Conversation Quality System

The Operating System for Human Connection.

We built the Conversation Machine™, our patent-pending Conversation Quality System that improves how conversations happen, in real time, so every interaction moves toward a better outcome.

It's one platform with two interfaces: power AI agents, or guide the people doing the talking.

Years in the making

Building conversational technology with world-leading brands since 2019.

Our leadership team earned its experience delivering breakthrough applications for some of the most exacting clients there are. We've put that experience into the Conversation Machine™.

Google
Microsoft
Meta
Salesforce
Harvard Medical School
Mass General Brigham
Ariadne Labs · Brigham Health · Harvard T.H. Chan School of Public Health
McGill University Health Centre
Brown University Center for Digital Health
Siemens Healthineers
AstraZeneca
The problems we solve

Bad conversations cost trillions of dollars and immeasurable human suffering.

We fix that.

Healthcare

Care breaks down in the conversation.

We help care teams be better communicators, on the phones and at the bedside, and help patients and caregivers be better informed.

Contact centers

Most conversations are handled - not improved.

We close the loop: real-time guidance, automated quality assurance, and training generated from identified performance gaps.

Training

From simulation to second nature.

AI personas role-play as the real people your teams meet. Skills from sims transfer to the moments that matter.

Mayo Clinic Innovation Exchange Member Company
Patent Pending
HIPAA Compliant
GDPR Compliant
SOC 2 Type II
Certified Infrastructure
ISO/IEC 42001
Certified AI Models
Interface 1: Supporting Human Agents
ROSIE by Connexions

Our closed-loop performance system for contact centers and help lines.

ROSIE uses the Conversation Machine™ to listen on every call, provide personalized real-time guidance, classify the agent's performance gaps (knowledge, skill, or attitude), and route them to a personalized training sim built to close that gap. Every call scored, every gap trained.

Learn more about ROSIE → ROSIE Real-Time Assist, live agent guidance during a call
Agent Workspace: Maria C. · Call #4821
LIVE
01 Personalized RTA
PERSONALIZED RTA

Real-time guidance, calibrated to this agent and this call.

ROSIE listens to the live call, compares against the agent's personal profile and scorecard, and surfaces the right prompt at the right moment. See the full animation on desktop.

02 Post-Call Analysis
Call Analysis
Maria Reyes | 5m 24s
May 4, 2026 @ 10:27AM
66/100 Fail · score below 70 TRAINING RECOMMENDED
Agent Evaluation
0 / 100
S1 — Opening & Greeting
7 / 10 PTS
×
Agent identified themselves and companyAgent identified self, but not company
Knowledge
1 / 2
✓
Call opened within 5 seconds
Skill
2 / 2
×
Warm & professional toneAgent acted agitated; interrupted
RTA Acted SIM
1 / 3
✓
Customer verified before sensitive discussion
RTA Acted Skill
3 / 3
×
Acknowledged customer tenure & loyalty status8-yr Platinum customer — no recognition given
RTA Knowledge
0 / 2
S2 — Active Listening & Comprehension
12 / 15 PTS
✓
Agent let customer finish without interrupting
RTA Acted Skill
3 / 3
✓
Correctly paraphrased or confirmed the issue
RTA Acted Skill
4 / 4
×
Demonstrated empathy & emotional acknowledgmentCustomer expressed frustration about $20 bill increase; agent did not acknowledge frustration before moving to resolution steps
RTA Acted SIM Skill
1 / 4
Call Summary
Customer
Maria Reyes
Tenure
8 years · Platinum
Reason
Bill increased $20 without notice
Root cause
Promotional discount expired without prior notification
Outcome
Escalated — supervisor transfer; customer reconsidering
CRM Output
Disposition
PRICE_SENSITIVITY
Offers
2 deployed · rate-lock + flex plan
Competitor
StreamFast
Sentiment
neutral_positive
Call Analytics
Duration
5m 24s
Turns
0
RTA Alerts
0
Speaking Time
28% Customer (78.5s) 72% Agent (204.3s)
03 Agent Training Dashboard
4 Modules Assigned
RC
Ruby Claire
Mid-Level · Tenure 2y 4mo · Team Atlas · Coach: J. Okafor
Modules
7/ 12
Streak
🔥14days
Next 1:1
Thu, Mar 1410:30 AM
LAST CALL SUMMARY
May 4, 2026
66/100
4 pts vs last week
Knowledge
58
Skill
62
Attitude
79
JO
Jordan Okafor · Coach
Note · 2 hours ago
Ruby — your call openings are slipping. Knock out the two opener modules before Thursday and we'll review the Win-Back drill together.
Achievements
🎓
First Module
🔥
Week Streak
✓
3 Modules
🏅
Top Quartile
⭐
Month Streak
Recommended Modules
Auto-assigned from Call #4821
K · Knowledge Assigned
Opening the Call
From criterion: Identified self & company
Beginner 8 min Due Mar 13
Learning Objective Recall the four-step opener and identify when each step applies.
0%
S · Skill In Progress
Empathy After Disclosure
From criterion: Empathy
Intermediate 14 min Due Mar 14
Learning Objective Demonstrate an empathic response within five seconds of a customer disclosure.
45%
K · Knowledge Recommended
Loyalty Tiers & Customer Tenure
Knowledge gap · Platinum-tier recognition
Beginner 10 min Due Mar 17
Learning Objective Identify the four loyalty tiers and the recognition phrase for each.
0%
S · Skill Recommended
Active Listening & Pacing
Skill-building · cross-criteria foundation
Advanced 22 min Due Mar 21
Learning Objective Apply mirroring and pacing techniques to match customer cadence in real time.
12%
Schedule a demo at connexions.studio/rosie
Interface 2: Empowering AI Agents

Conversational AI Agents.

We design and train AI agents - that interact by voice, by text, or as an embodied avatar - to answer questions, point people to the right next step, follow up, check in, and gather what your team needs. Our AI agents can also be trained to role-play as personas so learners can practice high stakes conversations.

An AI agent conversation by voice and text, with a live waveform
Voice and text

Speak or type, whichever is easier

The same agent answers a phone call, a text thread or a web chat. It listens, holds the goal of the conversation, and hands off to a person when it should.

An AI agent shown as an embodied avatar
Embodied avatar

A face, when the moment needs one

For practice and for conversations where presence matters, the agent appears as a character people can see and respond to.

Leadership

Decades leading work at the highest levels in the fields that matter.

Our founding team has spent their careers building expertise in the areas that matter most to this work: effective communication, digital innovation, AI systems, and healthcare.

Adam Blumenthal

Adam Blumenthal

Chief Executive Officer

30 years designing and building digital innovation products with the world's most influential organizations - from Google and the Metropolitan Museum of Art to Disney and National Geographic. Faculty at Center for Digital Health at Brown University and Ariadne Labs at Harvard. Honored by the Obama White House as a designer transforming teaching and learning with digital innovation.

Justin Sanders

Justin Sanders, MD, MSc

Chief Health Officer

Internationally recognized scholar of patient-provider communication. Chair of Palliative Care at McGill University and former Harvard Medical School faculty. Developed clinician training programs for Mass General Brigham, Penn, Stanford, Cedars-Sinai, and NHS England. Longtime researcher and practitioner of digital simulation in clinical education.

Dimitrios Doukas

Dimitrios Doukas

Chief Technology Officer

Award-winning creative technology director on interactive projects with Google, Microsoft, Meta, Amazon, others. Expert in designing and building interactive user experiences with digital simulation, avatars, and AI. Former head of digital games at Unit9, one of the world's preeminent digital production studios.

Mariano Cigliano

Mariano Cigliano

Head of AI

25 years in innovation and creative technology as a technology strategist, architect, and technical director with dozens of major brands. Since 2020, specializing in conversational and agentic AI systems. Previously Technical Director at Unit9.

Our Mission

Conversations that help people feel connected. At scale.

We built the Conversation Machine™ for one reason - every interaction is a chance to bring people closer to a solution, an answer, care, a brand, a colleague.

Contact centers. Training rooms. Hospitals. Storefronts. Wherever your team has the conversations that matter, we help each one connect.

Why we are called CONNEXiONS

"Gooseflesh or a chill. An immediacy of awareness of the patient's situation. A sense of being part of a larger whole. A lingering feeling of joy, peacefulness, or awe."

That is how three physicians described "connexions," moments when a clinician and a patient truly meet. We named the company after it, because it is not an accident of personality, it can be designed for, and it is not unique to medicine.

- Matthews DA, Suchman AL, Branch WT. Making connexions: enhancing the therapeutic potential of patient-clinician relationships. Ann Intern Med. 1993;118(12):973-977.
Book a meeting →Visit ROSIE