patientcare

PatientCare Patient Engagement Platform

PatientCare concept model as deployed at Indiana University Hospital, Goshen, IN.

PatientCare is an AI-driven post-discharge care coordination platform designed to reduce hospital readmissions.

The system integrates with hospital analytics to identify high-risk patients prior to discharge and initiates a personalized, adaptive communication protocol aligned to each patient’s clinical condition and recovery path.

In-hospital and at-home field studies inspired a patient experience that is guardian-like, conversational; prompts and structured symptom checks are tailored to a patient’s disease profile and lifestyle. Real-time input analysis drives a human-in-the-loop escalation framework, enabling timely intervention by caregivers, family, or clinical teams.

PatientCare targets institutions incurring Medicare penalties for avoidable readmissions, aligning product impact with financial and care-quality incentives. The platform was successfully piloted and scaled in partnership with Conduent and Indiana University Health.

Proto.io demo.

Alpha Testing

Field study prototype in use by patients during critical 30-day post-discharge period.

Administrative dashboard for tracking device senssor-driven patient activity, patient
responses, and overall participation level.

Late-Stage Prototype
Testing language, tone and navigation styles, from having a friendly coach breaking the fourth wall, addressing users directly to a muted, generic tone of language and unembellished appearance.

Diagramming Disease State Scenarios

Excerpts from a field study report.

Field Study of Hospital Readmissions

Over a period of months, I interviewed and tracked a group of patients before and after an initial hospital discharge. We spoke face-to-face in the hospital, in private homes or at local cafes.