Patient Engagement at Population Scale
Your care teams can't call every patient. But every patient needs to be reached. Conversational AI infrastructure that extends your team's capacity without adding headcount.
The Reality
Care Teams Are Overwhelmed. Patients Fall Through Cracks.
Hospital readmissions cost Medicare $26 billion annually. Quality measures close too slowly. Care transitions fail because no one has time to follow up. Your staff spends more time on administrative burden than patient care. The patients who need outreach most are the ones you can't reach.
- Readmission Cost
- $15,200
- Medicare Burden
- $26B/yr
- Admin Time
- 28 hrs/wk
Capabilities
Extend Your Care Team to Every Patient
Infrastructure that handles outreach so clinical staff handles care.
- Care Gap Closure
- Surface open quality gaps in conversation. Connect patients to scheduling. Close loops automatically. Every interaction is an opportunity to improve measures.
- Transition of Care
- Post-discharge outreach within 48 hours. Medication reconciliation. PCP follow-up scheduling. The coordination that prevents readmissions, at scale.
- Chronic Disease Management
- Regular check-ins with high-risk patients. Symptom monitoring. Medication adherence. Early intervention before conditions escalate.
- Preventive Care Outreach
- Annual wellness visits. Screenings. Immunizations. Reach the patients who need preventive care but aren't scheduling it themselves.
- Appointment Coordination
- Reduce no-shows with intelligent reminders. Reschedule when patients can't make it. Fill open slots from waitlists. Optimize your capacity.
- Population Health Campaigns
- Launch targeted outreach across your patient population. Quality initiatives. Seasonal campaigns. Public health response. All from one platform.
Readmission Prevention
Every Prevented Readmission Saves $15,000+
Hospital readmissions cost Medicare $26 billion annually. The average readmission costs $15,200 — and 82% of hospitals receive CMS penalties for excess readmissions. Most are preventable with proper follow-up.
The challenge isn't knowing what to do. It's having the capacity to do it. Post-discharge calls within 48 hours. Medication reconciliation. PCP follow-up scheduling. Care teams know this works — they just can't reach every patient.
Conversational AI changes the math. Every discharged patient gets timely outreach. Barriers surface immediately. Clinical escalations happen when needed. The follow-up that prevents readmissions becomes systematic, not sporadic.
- 48-Hour Outreach Post-discharge contact at scale
- Barrier Detection Surface issues before they escalate
- Clinical Escalation Route urgent cases immediately
Workflow Automation
Conversations That Trigger Action
Every patient interaction creates automatic next steps. No manual handoffs. No dropped balls.
- Automatic Task Creation
- Refill confirmed? Follow-up task created. Transportation barrier? Social services notified. Concerning symptoms? Clinical team alerted. Every conversation outcome triggers the right workflow.
- Smart Routing
- Issues route to the right team automatically. Medication questions to pharmacy. Scheduling needs to front desk. Clinical concerns to nursing. No triage burden on staff.
- Real-Time Notifications
- Urgent issues surface immediately. Care managers see high-risk patients the moment they're identified. No waiting for batch reports or morning huddles.
- Team Workqueues
- Staff see prioritized lists of patients needing action — sorted by urgency, filtered by role, organized by deadline. Work the queue, not the spreadsheet.
Quality Improvement
Close Gaps Before Deadlines, Not After
Every conversation is an opportunity to improve quality measures.
Quality measure deadlines don't wait. Annual wellness visits. Cancer screenings. Immunizations. Chronic disease management. The patients who need these services most are often the hardest to reach.
Conversational outreach changes the dynamic. Proactive engagement surfaces patients with open gaps. Conversations address barriers — scheduling, transportation, understanding. Appointments get booked during the call, not added to a callback list.
Real-time dashboards show progress toward measure targets. Prioritization ensures high-impact patients get reached first. The sprint to close-out becomes steady progress throughout the year.
- Gap Identification Surface open measures in conversation
- Barrier Resolution Address what's preventing completion
- Real-Time Tracking See progress toward targets
Infrastructure, Not Another Point Solution
From Manual Outreach to Systematic Engagement
Traditional Approach
- ✗Staff making calls between other duties
- ✗Patients reached randomly, not by priority
- ✗Outcomes logged but not actioned
- ✗Quality sprints at measure deadlines
Platform Approach
- AI handles conversations at scale
- High-risk patients reached first
- Every conversation triggers workflows
- Steady progress throughout the year
From IT Projects to Deployed Infrastructure
Traditional Implementation
- ✗6-month EMR integration projects
- ✗Heavy IT lift required
- ✗Rigid workflows locked in
- ✗Value delayed by implementation
Forward-Deployed Model
- Operational in days, not months
- Works with existing data exports
- Workflows adapt continuously
- Value visible immediately
Deployment
Live in Days, Not Months
Traditional health IT projects take 6-18 months. EMR integrations. Committee approvals. IT resource allocation. By the time you're live, the problem has evolved.
Our forward-deployed model works differently. Bring your existing data exports — patient lists, quality gaps, eligibility files. We configure the platform to your workflows. Launch your first campaign within days.
No EMR integration required to start. No IT project queue. Your team focuses on clinical work while our engineers handle the technical deployment.
- Days to Value Not months of implementation
- No Integration Required Works with existing exports
- Forward-Deployed Our engineers deploy with you
The Opportunity
What Patient Engagement Infrastructure Enables
- 40:1 Team Leverage
- capacity multiplier
- Population Patient Reach
- not samples
- Days Deployment
- not months
- Automatic Workflows
- not manual
Your Care Team Can't Call Everyone. The Platform Can.
30-minute walkthrough with our engineering team. Bring your hardest patient outreach challenge — readmission prevention, quality gaps, care transitions. We'll show you what the platform can do.