CARELOM • PATIENT ENGAGEMENT • REMOTE CARE COORDINATION • RPM • MULTILINGUAL TRIAGE
Intelligent Patient Engagement & Remote Care Coordination
CareLoom connects patients, clinicians, and hospital care teams across the care continuum with empathetic multilingual AI triage, automated post-discharge recovery tracking, and continuous remote biometric telemetry—reducing readmissions by 42% while expanding clinical capacity.
Trusted by 150+ hospital networks, specialty clinics & accountable care organizations (ACOs)
Continuously connected patient journeys from intake to recovery
Connected patient care coordination & automated remote monitoring
Multilingual Clinical Triage
Conversational intake and clinical triage across 40+ languages via WhatsApp, web, and SMS with red-flag emergency escalation protocols.
Automated Post-Discharge Recovery
Daily interactive check-ins, wound photo assessment, pain tracking, and medication reconciliation to dramatically reduce 30-day hospital readmissions.
Continuous Remote Patient Monitoring (RPM)
Direct Bluetooth and cellular telemetry sync with blood pressure monitors, glucometers, pulse oximeters, and smart scales with automated anomaly alerts.
Personalized Care Pathways & Therapeutics
Dynamic disease-specific care journeys for diabetes, CHF, hypertension, oncology, and post-surgical recovery with lifestyle and medication coaching.
Proactive care management that bridges the gap between clinic visits
Zero-Download Patient Access
Patients engage friction-free via WhatsApp, SMS, or secure web links without downloading separate apps, creating logins, or remembering complex passwords.
Algorithmic Risk Stratification
Continuous machine learning models monitor reported vitals and patient symptoms against early warning scores (NEWS2) to catch clinical decompensation days early.
Bi-Directional EHR & HIS Interoperability
Automated FHIR R4 and HL7 synchronization pushes patient vitals, compliance metrics, and nurse notes directly to Clinexa HIS, Epic, and Cerner with zero manual entry.
The 5-step remote care coordination and patient monitoring workflow
- Step 1: Patient Enrollment
Automated enrollment triggered by hospital discharge or clinic visit
Automatically enrolls patients via HL7/FHIR event trigger from hospital EMR or check-in kiosk.
Sends zero-friction onboarding link directly to patient's smartphone via WhatsApp or SMS.
Captures baseline health status, language preferences, emergency contacts, and caregiver access.
- Step 2: Continuous Telemetry
Passive biometric data collection and interactive daily check-in
Cellular and Bluetooth medical devices stream real-time blood pressure, glucose, SpO2, and weight.
Empathetic conversational AI prompts daily symptom check-ins tailored to the patient's condition.
Visual wound healing capture enables AI-assisted surgical site recovery tracking.
- Step 3: Risk Stratification
Automated clinical triage and decompensation risk scoring
Instantly categorizes conversation into Subjective, Objective, Assessment, and Plan (SOAP) format.
Extracts vital observations, review of systems (ROS), and history of present illness (HPI).
Auto-populates diagnostic ICD-10 and procedure CPT codes directly for physician review.
- Step 4: Care Team Intervention
Prioritized nursing escalation and 1-click video telehealth
Physician reviews structured note on-screen or mobile tablet in under 60 seconds.
One-click voice or text corrections with inline diagnostic and prescription verification.
Complete clinician sovereignty: AI proposes, but licensed physician always disposes.
- Step 5: EHR Documentation
Structured longitudinal clinical documentation and outcomes sync
Pushes signed note, diagnosis codes, and orders directly into Clinexa HIS, Epic, Cerner, or local EHR.
Emits FHIR R4 resources and HL7 messages into the hospital integration engine.
Stores cryptographic audit trail ensuring full HIPAA, GDPR, and medical compliance.
Clinically proven outcomes across acute care and chronic populations
Readmission Reduction
42%
Documented decrease in 30-day all-cause hospital readmissions for heart failure and post-surgical cohorts.
Care Plan Adherence
88%
Sustained patient adherence to medication regimens and biometric logging protocols over 90 days.
Patient Satisfaction
4.9/5
Patient satisfaction score across 250,000+ monitored patient recovery journeys and chronic care pathways.
Clinical directors & nursing leaders on CareLoom
“CareLoom reduced our CHF 30-day readmissions by nearly half. Patients love the daily WhatsApp check-ins, and our nursing team only intervenes when clinical parameters deviate.”
“The multilingual capabilities are an absolute game changer. We serve a diverse population, and CareLoom communicates flawlessly across 40+ languages without misinterpretations.”
“The automated RPM telemetry connects seamlessly into Clinexa HIS. We detect decompensation days before patients would otherwise end up in the emergency department.”
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“Our nurses were previously buried under routine follow-up calls. CareLoom automates routine touchpoints and highlights the 5% of patients who genuinely need immediate attention.”
“We achieved an 88% care plan adherence rate across our chronic disease population, significantly outperforming our historical phone-based outreach programs.”
Insights from patient engagement & connected health leaders
Transform your patient care coordination beyond hospital walls
Schedule a personalized live demo to see how CareLoom reduces readmissions, automates post-discharge monitoring, and drives superior patient outcomes.