Perioperative Transitional Care Management

Turning the 90-day surgical episode into a guided, connected experience — for patients and their care teams alike.

This perioperative care management platform closes the communication gap that drives avoidable readmissions after procedures like total knee replacement. On the patient side, a mobile app delivers day-by-day guided activities (anesthesia testing, medication holds like stopping Coumadin, anxiety assessments), a direct line to a named care manager for callback or virtual visit requests, and plain-language education sequenced to where the patient actually is in recovery. On the care team side, a companion dashboard gives each care manager a real-time view across their full patient panel — planned vs. completed activities, a due-this-week queue flagged by urgency, and an inbox of incoming follow-up requests — so deviations from the expected recovery trajectory (a missed medication instruction, an overdue pre-op task) surface and get routed before they turn into an ED visit or readmission.