Stress Number™:
one measure, two applications.

Company overview

The Oxygen Plan, Inc. develops and governs Stress Number™, a clinically validated, digitally administered measure of behavioral risk across home, work and social life, taken by adults on any device in two to three minutes. Upstream, used before anyone presents for care, it is a pre-diagnostic for population health. Downstream, as a governed, interoperable coordinate, it is a candidate reference standard for behavioral risk: what A1c and blood pressure are for physical health.

Federal capabilities & core competencies

• Pre-diagnostic population measurement: inside or outside the clinical encounter, with population baselines and before-and-after measurement.
• Measurement governance: scoring, version control, and comparability across institutions and over time.
• Routing: the Smart Referral Engine™ connects results to destinations each institution configures.
• EHR integration: EHR-ready architecture supporting SMART on FHIR, OAuth2 and FHIR R4; Epic SmartForms, flowsheet and note write-back demonstrated in Epic sandbox testing.
• Population analytics: live, aggregated views by home, work and social domain, tracked longitudinally.
• Evidence development: protocol design and implementation support alongside independent evaluators.

Differentiators

• Clinically validated: Peer-reviewed research published in Archives of Psychology (2018; N = 292), with correlations of r ≈ .68 with the BDI-II and r ≈ .58 with the SCL-90-R Global Severity Index. Mayo Clinic research.
• Neutral by design: independent measurement governance; no downstream clinical operations or financial incentives tied to referrals, treatment or service volume.
• Two applications, one measure: pre-diagnostic population measurement and a candidate governed reference standard, each with a distinct evidence and adoption pathway.
• Protected: patent pending; USPTO Track One prioritized examination granted September 2026.

Past performance

• Fortune 50 employer: six-plus years of deployment through the employer’s employee-assistance program.
• Population scale: 54,000+ administrations of the same 30-item instrument outside clinical settings, 2009–2013.
• Integration testing: eight Epic sandbox tests recorded as passed.