Hospitals and health systems
Hand off once. Know it was done.
Care management sends a structured mission from the chart. A community paramedicine program picks it up, runs the visit and returns status and outcomes, without your team chasing anyone by phone.
Mission template A2 · Heart failure 72-hour
Scheduled- Received09:12
Referral submitted from the patient chart at discharge.
- Scheduled10:04
County EMS accepts and books a visit for tomorrow, 13:00–15:00.
- En route13:06
Crew departs; patient receives an SMS with the arrival window.
- On scene13:34
Assessment underway; a walker need is flagged as a child request.
- Completed14:11
Outcome fields recorded; referrer notified; mission closed.
The problems this solves
Referrals that vanish
Faxed or phoned referrals have no status. You find out at readmission.
No coverage map
Nobody knows which program covers which county for which protocol.
Manual follow-up
Coordinators spend hours confirming a visit that already happened.
No outcome record
The visit happened, but nothing in your data shows what changed.
Fragmented logistics
Equipment, mobility and interpretation are arranged in separate channels.
Unprovable programs
You cannot defend the program's value at budget time.
A day in care management
- 01
Identify
Discharge or high-utilizer list flags a patient for a home visit.
- 02
Send
One structured mission with protocol, window and escalation rule.
- 03
Watch
Status changes appear without a call. Exceptions notify you.
- 04
Close
Outcome fields return and feed the cohort view.
Where it fits
Post-discharge follow-up, heart-failure 72-hour checks, COPD, falls risk, frequent ED users, behavioral health outreach, treat-in-place follow-up and hospital-at-home bridging.
Questions buyers ask
No. SoFaaS deploys the app into your EHR; Epic hospitals can start from the Showroom listing; a secure web referral form covers everyone else.
See a mission go from the chart to the home and back.
A 30-minute walkthrough with a coordinator view, a CP program view and the dashboard your sponsor will read.