Managed transitional careHospitals · Physician practices

After dischargeTechnology. People. Process.

Transitional care, reimagined.

Out of the hospital.
Not out of sight.

MedPulse One keeps a pulse on your patients after they go home, with connected devices, a dedicated care team and a process that turns every reading into action.

01The gap

In the hospital, someone is always watching. At home, recovery goes quiet.

Monitors. Rounds. A call button within reach. Then the patient goes home with a bag of new medications, a list of instructions and a number to call “if anything changes.”

That quiet is where things slip. A reading creeps up. A dose gets missed. A small change goes unnoticed until it isn’t small anymore.

About half

of Medicare patients readmitted within 30 days of a medical stay had no record of a doctor’s office visit between going home and coming back.

Jencks et al. · New England Journal of Medicine · 2009 · 50.2% · 2003–04 Medicare claims (opens in a new tab)

Same ten days, two endings (Illustrative · not a real patient)

02Same ten days, two endings · Without MedPulse One

Margaret goes home.

Margaret, 74, goes home after four days in the hospital for heart failure. Five new medications. A scale she’s meant to step on every morning. A number to call “if anything changes.”

Fig. 01 · Margaret · Weight, lb · Illustrative · not a real patient
  1. Day 0: 168.2 lb, not seen by anyone.
  2. Day 1: 167.9 lb, not seen by anyone.
  3. Day 2: 168.4 lb, not seen by anyone.
  4. Day 3: 168.1 lb, not seen by anyone.
  5. Day 4: 168.8 lb, not seen by anyone.
  6. Day 5: 168.6 lb, not seen by anyone.
  7. Day 6: 171.2 lb, not seen by anyone.
  8. Day 7: 172.1 lb, not seen by anyone.
  9. Day 8: 172.9 lb, not seen by anyone.
  10. Day 9: 174.0 lb, not seen by anyone.
  11. Day 10: no reading. Margaret is back in the emergency room.
  1. Day 06

    Her weight is up three pounds. She doesn’t think much of it.

  2. Day 09

    She can’t catch her breath.

  3. Day 10

    She’s back in the emergency room.

Nobody did anything wrong.
Nobody was watching.

02Same ten days, two endings · With MedPulse One

Same ten days. A different ending.

Technology to see. People to act. A process that holds it together. Here is what that looks like on the day that matters.

Fig. 02 · Margaret · Weight, lb · Illustrative · not a real patient
  1. Day 0: 168.2 lb, seen by the care team.
  2. Day 1: 167.9 lb, seen by the care team.
  3. Day 2: 168.4 lb, seen by the care team.
  4. Day 3: 168.1 lb, seen by the care team.
  5. Day 4: 168.8 lb, seen by the care team.
  6. Day 5: 168.6 lb, seen by the care team.
  7. Day 6: 171.2 lb, seen by the care team, and the care team called her.
  8. Day 7: 170.4 lb, seen by the care team.
  9. Day 8: 169.5 lb, seen by the care team.
  10. Day 9: 168.9 lb, seen by the care team.
  11. Day 10: 168.5 lb, seen by the care team.
  1. Day 06

    Her scale sends the reading. The care team sees the change and calls her that afternoon. Her doctor adjusts her medication the next morning.

  2. Day 10

    She’s at home, where she’s supposed to be.

Illustrative · not a real patient. Times and weights are placeholders until a clinician reviews the story.

03The turn

MedPulse One exists to end the quiet.

We send patients home with connected devices and put a real care team behind every reading. We notice early. We call. We escalate to the right clinician. We keep your team informed.

Not another dashboard for your staff to check: a team that’s already on it.

04ONE Patient · Technology to see

Your patients go home. They’re not on their own.

Patients go home with connected devices, like a blood pressure cuff, a glucose meter or a scale. Each reading reaches MedPulse One without anyone having to remember to call, and a real care team is on the other end.

A man at home checks his blood pressure with a connected cuff while talking on the phone
MedPulse One · Incoming readingIllustrative

Blood pressure

128/82 mmHg

A.L. · Day 3 after discharge

  1. 07:55Sent from home
  2. 07:56Received by MedPulse One
  3. 08:02Seen by the care team · in range
  • Set up with the patient

    Enrollment, device setup and onboarding, handled with care.

  • Readings arrive on their own

    Every morning’s numbers travel from home to the care team.

  • Someone on the other end

    Patients know who to talk to, and who will call them.

05ONE Care Team · People to act

Every reading seen. Every concern answered.

A dedicated care team watches the readings that come in from home. When something changes, they call the patient, bring in the physician when it’s needed and keep everyone informed.

MedPulse One · Care team viewIllustrative · protocol pending
  1. 01 Notice
  2. 02 Call
  3. 03 Escalate
  4. 04 Inform
  • 07:42Weight up 2.4 lb in a dayJ.T. · Heart failure · Day 6Called · 08:05Physician informed · 08:20
  • 07:55Blood pressure 128/82A.L. · Day 3Seen · in range
  • 08:10Glucose 112 mg/dLR.M. · Day 9Seen · in range
  • 08:31Weight 171.0 lbD.K. · Day 2Seen · in range
  1. 01

    Notice

    A reading from home changes. The platform flags it.

  2. 02

    Call

    Someone from the care team calls the patient.

  3. 03

    Escalate

    The physician is brought in when it’s needed.

  4. 04

    Inform

    The practice and the hospital see the same record.

06ONE Connected Platform · A process that holds it together

One record for everyone. Your team stays informed.

Physicians and hospitals see the same record: the reading, the call and what happens next. Escalation paths, documentation and reporting are agreed with you up front and built around your workflow, not on top of it.

MedPulse One · Physician summaryIllustrative

J.T. · Heart failure · Day 6 after discharge

Weight

186.4 lb

Up 2.4 lb in a day

  1. 07:42Reading flagged by the platform
  2. 08:05Care team called J.T.
  3. 08:20Physician informed

Next step: medication review

Shared withPracticeHospital care management

  • Escalation paths agreed with you up front

  • Every call and escalation documented

  • Reporting for your transitional-care program

  • Connections to your systems, scoped with you

07Why it works

Devices don’t change outcomes. What happens after the reading does.

Devices alone

About 55%of days

is how often patients sent readings in the BEAT-HF trial. Telemonitoring with coaching calls did not reduce readmissions at 180 days.

Ong et al. · JAMA Internal Medicine · 2016 · BEAT-HF · 1,437 patients with heart failure (opens in a new tab)

A team that acts

24.2 → 17.8days a year

lost to unplanned cardiovascular hospitalization or death, when a structured team of physicians and nurses acted on the readings around the clock.

Koehler et al. · The Lancet · 2018 · TIM-HF2 · 1,538 patients with heart failure (opens in a new tab)

Both trials studied patients with heart failure. They show what the research found, not a promise of results for every condition.

08Who we serve

Built for the teams accountable for what happens next.

Around your workflow, not on top of it.

Hospitals & health systems

Follow-up that starts at discharge, so the transition home is watched as closely as the stay.

What’s at stake

Up to 3%

of a hospital’s Medicare payments can be cut under the Hospital Readmissions Reduction Program. In fiscal 2023, 2,273 hospitals were penalized.

KFF Health News · 2022 · Fiscal 2023 penalties (opens in a new tab)

What you get

  • Structured follow-up after discharge
  • Connected monitoring for the patients who need it
  • Escalation routed to your clinical teams
  • Reporting for your transitional-care program
For hospitals & health systems

Physician practices

Care that continues between visits, without adding another program for your staff.

What’s at stake

7%

of eligible discharges were followed by billed transitional care management in 2015. Most patients went home without that structured follow-up.

Bindman & Cox · JAMA Internal Medicine · 2018 · 2015 Medicare claims (opens in a new tab)

What you get

  • Outreach and enrollment handled with care
  • Monitoring between appointments
  • Clear communication with your practice
  • Documentation aligned to your workflow
For physician practices

We also work with medical groups, home health and care management organizations. See all organizations

An older couple walking together through a sunlit courtyard

09Consultation

Let’s talk about the patients you’re sending home.

Tell us about your organization and what you’re looking to accomplish. We’ll contact you to discuss your needs and whether MedPulse One is a fit.

Interested in

Please do not include personal health information in this form. We’ll contact you to discuss your needs and determine whether MedPulse One is a fit for your organization.