Rehab & Post-Acute Care
Objective biomechanical data — every session, from admission to discharge — for orthopedic, stroke, and neurological recovery. Documented the way payers need to see it.
A Different Kind of Record
How It Works
Whether it's a hip replacement or a stroke — the platform tracks what matters from Day 1.
The Mayo Clinic–trained model scores fall risk and functional trajectory before the patient arrives. Take the patients you can successfully discharge home in 14 days. Pass on the ones who belong in SNF. Protect your per diem. Protect your MA contract.
30 motion markers scored every session — gait, balance, transitions, power, turning, control. If a domain stalls, PT knows that shift. Not next week's review. That shift. Early course-correction keeps the stay on track and the discharge date intact.
Objective session-by-session data is what survives MA retrospective review — and what prevents the readmission that wipes out everything you earned.
Mobility Metrics Analysis
Heart rate. Blood pressure. Temperature. Respiratory rate. SpO₂. And now — movement. Six functional domains scored every session, from the first step after admission to the last before discharge.
Every patient gets their own baseline on Day 1. Recovery is measured as delta from that personal starting point — not against a population average. Domain scores map to IRF-PAI functional categories, supporting CMS reimbursement tier. Pre-admission fall risk runs on a Mayo Clinic–trained model across 6.5M records.
Stroke and TBI patients present with mobility deficits — gait asymmetry, balance impairment, loss of movement control. The same six domains that track orthopedic recovery capture neurological recovery too. Day 1 baseline, every session scored, trajectory documented.
Role-Based Intelligence
Powered by Care Plan — routed to each role, on every shift.
Objective stability data before approving unassisted mobility — including fatigue-driven changes that only appear on evening shifts.
Domain trends show exactly where recovery is stalling. Target the deficit — not the calendar.
A longitudinal trajectory — admission through discharge — that survives retrospective payer review.
Compliance-grade documentation that supports medical necessity, survives retrospective payer review, and satisfies IRF-PAI requirements without extra clinician effort.
Dynamic Care Plan
The Care Plan takes every domain score and routes the right action to the right person — automatically. Nursing sees fall risk. PT sees which domain to target. The Medical Director sees the trajectory that supports discharge. No extra charting. No separate system.
Role-routed — each clinician sees only their relevant actions
Updated every session — not a static document
Handoff-ready profile follows the patient to home health
This is the real app — tap each role to see exactly what Care Staff, Therapist, and Clinician see. Expand the sections too.
Built Into Your Workflow
SMART on FHIR. Embedded iFrame. No new login, no IT project. Live in days.
Reads the chart. Writes back. No re-entry.
Embedded panel. Clinicians stay in the workflow they know.
Signed agreement to first assessment: days.
Meets the security bar of any major health system.
No EHR? Doesn't matter.
Our AI handles onboarding with or without integration. Same data. Same day-one baseline. Zero IT dependency.
The Result
Domain trajectories replace impressions. Payers see what they need to see.
Decline shows up in the data before it shows up in the patient.
Six-domain profile follows the patient. Home health starts informed.
Domain scores map to CMS categories. The longitudinal record does the work.
Get Started
Request a personalized demo or ask about a free pilot for your team.