Care access & continuity

Every discharge
to a follow-up kept.

EnsureCare checks in during the first days after discharge, books the follow-up visit, and routes warning signs and questions to the care team while a readmission can still be prevented.

Eleanor W.Home since Mon · No follow-up booked

Text message

  1. EnsureCareHi Eleanor, checking in after your hospital stay. Any questions?
  2. Should I still take the new water pill?
  3. Question routed to care coordinator
  4. EnsureCareYour care coordinator will call you today. Can I book your follow-up for Thursday at 10:00 AM?
  5. Yes, Thursday works.
  6. Follow-up booked · care team updated
  • 11.8%

    of Medicare admissions lead to an unplanned readmission within 30 days.

    Tak et al., JGIM 2021
  • $48,030

    average inpatient cost of a readmission stay.

    Tak et al., JGIM 2021
  • 5.7 days

    average length of the readmission stay.

    Tak et al., JGIM 2021

Where it stalls

Discharge ends the stay.
Recovery happens at home.

Recovery can slip at many points after discharge, including these three.

  1. 01

    No follow-up booked

    The patient goes home without a follow-up visit on the calendar.

    No visit scheduled
  2. 02

    Questions go unasked

    New symptoms, missing medications, and unmet needs surface at home, with no one checking in.

    Warning signs missed
  3. 03

    Too many discharges to call

    Care managers cannot check in with every patient in the first days at home.

    Patients not reached

How it works

From readmission risk
to resolved.

The first days after discharge decide whether recovery holds. Patients go home with new medications, questions, and a follow-up visit to book.

Care Adherence Intelligence & Recovery PlatformCAIR Platform
See it on your discharges Explore the platform

What makes it different

Built to finish
the work.

  • Acts in the window that matters

    Analytics find risk after the fact. EnsureCare acts in the days after discharge.

  • Check-ins that listen

    New symptoms, missing medications, and unmet needs surface and route right away.

  • More reach for care managers

    Routine check-ins run on their own, so your team spends time where it is needed.

Measured from day one

Results you can
see and report.

Every action is logged, so impact is measured against your own baseline.

  • 30-day readmission rate
  • Follow-up visits within 7 days
  • Check-ins completed
  • Escalations resolved

Integrates with your existing stack

EpicOracle HealthathenahealthMEDITECHeClinicalWorksTwilio

Bring us your discharges.
Let’s keep patients home.

Show us how follow-up works after discharge today. In a 30-minute walkthrough, we will show how EnsureCare covers the first days at home.