Lexcura Summit · Certification Program
Become certified in clinical intelligence.
Clinical intelligence is a new discipline — and the Lexcura Clinical Intelligence Model is its method: a seven-pillar approach to turning medical records into litigation-ready evidence. This certification prepares legal nurse consultants, senior paralegals, and clinical staff to practice it with confidence.
After checkout, complete the enrollment form so we can issue your course login.
Earn the LCCIA — Lexcura Certified Clinical Intelligence Analyst — credential. Certification is the prerequisite to licensing the Lexcura Clinical Intelligence Model, for individuals and for firms.
Why a new discipline
The gap between clinical knowledge and legal strategy
Attorneys need medical records to do legal work: establish standards of care, support causation, and hold up under scrutiny. Clinicians were trained to document care, not to build a litigation narrative. The people in between — legal nurse consultants, paralegals, and clinical staff — are asked to bridge the two, usually without a formal method for doing it.
Records are not evidence — yet
Thousands of pages of clinical documentation only become persuasive once someone knows what to extract, how to organize it, and how to present it in the language of the law.
Two languages, one record
Clinical fluency and legal strategy are rarely taught together. Without a shared framework, critical findings are missed, mis-framed, or arrive too late to shape the case.
A method, not improvisation
Clinical intelligence names and structures that bridging work. The seven-pillar model makes it teachable, repeatable, and consistent across cases and teams.
That is the gap clinical intelligence closes — a discipline for reading medicine through the lens of litigation, and litigation through the lens of medicine.
What certified professionals can do
The work you will be prepared to do
- 1
Read a medical record the way a litigator needs it read — identifying what matters, what is missing, and what will be challenged.
- 2
Apply the seven pillars of the Lexcura model to organize findings into a clear, defensible line of reasoning.
- 3
Translate clinical facts into litigation-ready summaries that counsel can rely on at every stage of a case.
- 4
Communicate findings with attorneys in precise, strategic language — and know the limits of your role.
- 5
Support meritorious screening, case preparation, and expert coordination with a consistent, professional standard.
Curriculum overview
Thirteen modules, built on the seven pillars
The LCCIA certification introduces the method, builds the analytical skills used to examine a healthcare record in a disciplined sequence, and concludes with applied case work, a capstone, and a final examination. The seven pillars: Record Integrity, Baseline Profiling, Imaging Analysis, Timeline Reconstruction, Standard of Care Review, Regulatory and Compliance Overlay, and Causation Mapping.
- 01
Introduction to Clinical Intelligence
Distinguish collecting information from developing supported clinical findings. Examine the limits of traditional record review and the role of the clinical intelligence analyst.
- 02
The Lexcura Clinical Intelligence Model™
Learn how the seven analytical pillars work together, how one finding informs the next stage, and how the complete method supports consistent case analysis.
- 03
Record Integrity
Evaluate completeness, inconsistencies, missing records, and documentation reliability. Recognize when gaps limit a conclusion and what additional evidence may be needed.
- 04
Baseline Profiling
Establish the patient’s condition, function, comorbidities, and risks before the event. Distinguish pre-existing limitations from changes in the documented clinical course.
- 05
Imaging Analysis
Evaluate documented imaging findings, comparisons, timing, and clinical response. Trace communication and follow-up, and recognize when specialist interpretation is required.
- 06
Timeline Reconstruction
Reconstruct what happened and when. Connect findings, recognition, communication, action, and escalation to identify delays and potential opportunities.
- 07
Standard of Care Review
Evaluate care in its clinical context. Identify potential departures, the evidence supporting them, and questions requiring qualified expert review.
- 08
Regulatory and Compliance Overlay
Examine relevant regulations, policies, and system obligations alongside the clinical record, keeping compliance findings distinct from conclusions about causation.
- 09
Causation Mapping
Connect the documented sequence with mechanisms of injury and outcome. Consider alternative explanations, contributing conditions, and the limits of the evidence.
- 10
Litigation Ready Output
Organize evidence, analysis, findings, significance, and recommendations into clear attorney-facing work product, communicating strengths, vulnerabilities, and limitations objectively.
- 11
Applied Case Analysis and Case Simulation
Apply the seven pillars together to realistic case material. Integrate the analysis and support resulting findings with evidence.
- 12
Capstone Case Review
Independently complete a case review addressing all seven pillars and final findings, demonstrating integrated analytical judgment in evaluated work product.
- 13
Final Certification Examination
Demonstrate understanding of the foundations, seven pillars, integrated analysis, and case application through a comprehensive final assessment.
After certification
The licensing program — eight advanced modules
For LCCIA holders approved for licensing: authorized use, report production standards, governance, attorney communication, and operational readiness.
- 01Licensed Use Authorization
- 02Report Production Standards
- 03Clinical Intelligence Governance
- 04Attorney Communication Standards
- 05Case Simulation Workshop I
- 06Advanced Case Simulation
- 07Operational Implementation
- 08Licensing Capstone Assessment
Format & assessment
How the program works
Structured online instruction with narrated presentations, guided workbook activities, case-based exercises, knowledge checks, and module quizzes — completed in sequence, on your own schedule.
Format
On-demand online course with narrated presentations, workbooks, and case-based exercises
Complete the required lessons and assessments in sequence
Time commitment
30 days of course access from issuance of your login credentials
Extensions require approval
Assessment
Knowledge checks, module quizzes, applied case analysis, a capstone case review, and a final certification examination
Lexcura reviews completion before releasing the credential and certificate
The path
Certify. License. Bring the model to your firm.
The Lexcura Clinical Intelligence Model is licensed — and licensure begins with people. Certification is a competency credential; professional use of the model requires separate Licensed Use Authorization, with its own approval, training, agreement, and fees.
Step one
Individual certification
Complete the LCCIA certification program — Lexcura Certified Clinical Intelligence Analyst — in the Lexcura Clinical Intelligence Model. You will be trained across all seven pillars and assessed on your ability to apply them to real record work. Certification is the prerequisite to licensing — and only a license permits commercial use of the model.
$7,500certification program
Step two
Individual licensing
Certified professionals may apply for Licensed Use Authorization. After eligibility review, you complete eight advanced modules and the Licensing Capstone Assessment, then receive written authorization to apply the model commercially as an Authorized Lexcura Clinical Intelligence Licensee. A firm is not required.
$12,500initial licensing program · $4,500 annual renewal
Step three
Firm licensing
A firm may certify its entire staff — but at least one licensed professional must work at the firm to oversee the work. An individual license covers only that individual; firm or enterprise use requires separate approval and authorization from Lexcura Summit.
By approvalseparate firm authorization
After checkout, complete the enrollment form so we can issue your course login.

About the founder
Michelle Carroll
Founder and Chief Clinical Strategist, Lexcura Summit
Michelle Carroll created clinical intelligence as a discipline — and the Lexcura Clinical Intelligence Model as its method. Her work is grounded in years of practice at the intersection of medicine and law, where she saw repeatedly that records held the answers, but no one had been taught to find them.
She is the author of five published books and has had papers published by the American Health Law Association. Through Lexcura Summit, she now teaches the model to the professionals who stand where she stood: legal nurse consultants, paralegals, and clinical staff serving the legal community.
FAQ
Questions, answered
Who is eligible for the certification?
The program is designed for legal nurse consultants, senior paralegals, and clinical staff working in law firms or medical-legal consulting companies. If you work with medical records in a legal context and want a formal method for that work, you are the intended audience. [Add specific eligibility criteria if any apply.]
What is the format of the program?
The certification is delivered as an on-demand course of thirteen modules. You study at your own pace and have thirty days from enrollment to complete the course. [Add details on module access, materials, and any support components.]
What are the payment options?
Individual certification tuition is $7,500. If you pay by credit card, a 3.5% processing fee is shown separately at checkout. Please review the eligibility, enrollment, access, and refund terms before submitting payment. [Add installment or firm-invoicing options if available.]
How do I earn the certification?
Complete all required coursework and assessments, pass the capstone case review and the final certification examination, and resolve any required remediation. Lexcura reviews completion before releasing the credential and downloadable certificate. Purchasing the course or viewing all lessons does not by itself confer certification.
How may I use the credential?
Successful participants earn the designation Lexcura Certified Clinical Intelligence Analyst (LCCIA). Certification is a competency credential; it does not itself authorize commercial use of the protected Lexcura methodology — that requires separate Licensed Use Authorization. [Link or attach full credential use guidelines when available.]
Do I need a license to use the model commercially?
Yes. Professional use of the Lexcura Clinical Intelligence Model requires Licensed Use Authorization. Licensing has its own approval process, training, agreement, and fees, and is not included in certification tuition. You must hold the LCCIA before licensing eligibility can be considered.
How does individual licensing work?
Certified professionals submit a licensing application and eligibility review. Once approved, you complete the eight-module licensing program and the Licensing Capstone Assessment, sign the license agreement, and receive written authorization — after which you may use the Authorized Lexcura Clinical Intelligence Licensee designation. The initial program fee is $12,500; the annual license renewal is $4,500. If your certification is more than 24 months old, a refresher is required first.
How does firm licensing work?
A firm may certify its entire staff, but at least one licensed professional must work at the firm to oversee the work. An individual license covers only the trained and approved individual; firm or enterprise use requires separate approval and authorization from Lexcura Summit.
Enrollment
Complete your enrollment
Already purchased the certification? Provide your details below and we will set up your course access and issue your login credentials. If you have not enrolled yet, use the Enroll button above — tuition is $7,500.
Licensing
Firm licensing inquiry
Firms interested in bringing the Lexcura Clinical Intelligence Model to their teams may submit an inquiry. Tell us about your firm and the work you do, and we will follow up to discuss approval and next steps.