Post-discharge orchestration that prevents 30-day readmissions by reaching the patient where hospital tools can’t see: at home, through the people who are actually there.
Re-scored on every update. Each factor is tagged to the note, result or answer it came from, so the case manager sees exactly why.
Integrated inside the health system’s data environment, or zero-integration: a card at discharge, the family scans the packet, andi. runs the episode. No IT project to start.
The home care agency or community on Care Navigator starts from the open episode.
The Caregiver App is the family’s window. What they notice at home lands in the episode and in the case manager’s view.
Each episode is watched live. Red flags and uncertainty route to a person on the team, and any contact with clinical content waits for approval.
By unit, against that unit’s own baseline: what happened, what was caught, and what it would have cost.
Our engineers work alongside case management, the physician advisor and quality, on the unit where readmissions hurt most. Discovery, build and training happen on the unit, and Discharge Co-Pilot is shaped to how your team actually works. Nothing to integrate to start.
A live walkthrough of Discharge Co-Pilot from the people who built it, and who still operate in senior care every day.
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