Discharged today.
Followed through, well past day 30.
When a patient leaves the hospital, ED or a skilled nursing facility, the Care Agent runs your organization's transition protocol. It checks in, confirms medications and follow-up, watches for concerning symptoms and brings your team only the exceptions.
Step by step,
and who handles each one.
Maria L.*, 72 · heart failure
An example of how this workflow runs, and how often a person actually needs to step in.
*Stories are inspired by real patient experiences and health patterns observed in care. Names, images, quotes, and certain details have been changed or combined to protect privacy. Individual experiences and outcomes may vary. Your organization sets the protocol and escalation rules.
Any transition, your protocol.
The same workflow runs after a hospital stay, an ED visit, a skilled nursing discharge or another transition. Your organization sets the schedule and the questions. Ziva doesn't hard-code a clinical schedule.
Example schedule only. How documents fit into transitions →
When Ziva brings in a person.
Routine answers keep the workflow moving. These situations are evaluated by Continuous Intelligence and sent to the right person with context.
For example, chest pain, worsening breathlessness or rapid weight gain. Escalated to the right clinician right away.
Cost, insurance, pharmacy or confusion. Sent to the coordinator with what the patient said.
Flagged for scheduling help before the window closes.
A summary, medication list or referral wasn't received.
Escalated after the number of attempts your protocol allows.
Ziva asks for a repeat reading or an earlier check-in and re-evaluates.
Your organization decides.
Ziva follows it.
Clinical judgment, thresholds and escalation rules stay with your team.
Give your care team
fewer things to chase.
Show us how your team handles transitions of care today. We'll show you how the Care Agent would run it.