Solutions

Care Transitions Pilot

A 90-day pilot model for Medicare Advantage plans, ACOs, and health systems to improve post-discharge engagement, comprehension, and secure escalation to care teams.

Core Problem

Patients frequently leave acute care settings unsure about medications, follow-up actions, and warning signs. This creates avoidable engagement failures, missed follow-up, and transitions-of-care risk.

Pilot Objective

Demonstrate measurable improvement in post-discharge patient engagement and comprehension through secure AI-assisted guidance and care-team escalation workflows.

Phase 1 Scope

Patient-facing plain-language summaries and contextual guidance.

Secure escalation workflow to care teams for follow-up.

Weekly KPI governance with gate-based progression.

Out of Scope in Phase 1

Enterprise-wide rollout and production bidirectional EHR write-back. These are addressed only after pilot success gates are met.

Deployment Models

Vendor-Hosted

Fastest launch model with lower internal infrastructure overhead and managed application operations.

Customer-Hosted Cloud

Customer cloud-account ownership with managed operations and control over account-level governance.

On-Prem / Private Data Center

For strict locality and network controls. Air-gapped variant is available for highly restricted environments.

Commercial note: pricing is finalized after the Week-1 architecture workshop based on deployment model, data sources, and operating requirements.

Security Baseline

Minimum-necessary PHI handling aligned to role and workflow.

Request-scoped AI context with zero-retention processing pattern.

Role-based access controls and tenant-aware isolation.

Auditability across access, prompts, responses, and escalations.

Pilot KPI Set

7-day post-discharge engagement rate.

Patient comprehension confirmation rate.

First-response time to patient escalation.

Escalation closure time and ownership clarity.

Pilot Delivery Timeline

Week 1

Architecture and security workshop

Confirm deployment model, data boundaries, escalation paths, and go-live gates with clinical, operations, and security stakeholders.

Weeks 2-3

Integration and readiness validation

Validate data flow, role-based access, auditability, and pilot workflow readiness across required teams.

Weeks 4-10

Pilot operation and optimization

Run live workflows for discharged members with weekly KPI review, issue resolution, and rapid operational tuning.

Weeks 11-13

Outcomes synthesis and scale plan

Publish pilot readout, compare outcomes against baseline, and define scale-up recommendation with deployment roadmap.

Next Step

Start with the Week-1 Architecture Workshop

We align clinical workflow, security controls, and deployment model first, then lock pilot gates and implementation timeline.

Schedule Workshop