Post-Acute Care Monitoring and Coordination
AI-Driven Visibility and Documentaiton
Core Mobile’s Post-Acute Care solution delivers real-time, intelligent support for managing patients after discharge, whether at home, in skilled nursing, or in rehabilitation settings. By combining remote video monitoring with AI and Ambient AI charting, the platform helps care teams track recovery, capture clinical updates, and respond to changes proactively.
The result is better outcomes, fewer readmissions, and higher-quality care across the post-acute continuum.
Key Benefits
Remote Patient Monitoring with AI: Detects movement, behavior patterns, and risk indicators in real time. No on-site staff required.
Ambient Documentation: Captures care team and patient conversations remotely or in person, auto-generating structured clinical notes.
Improved Care Continuity: Keeps care teams and primary providers updated with real-time insights and automated documentation.
Reduced Readmission Risk: Early identification of complications enables faster intervention and fewer hospital returns.
Flexible Deployment Across Settings: Supports SNFs, home health, rehab centers, and transitional care programs.
Features:
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AI Video Monitoring for Patient Safety
Continuously monitors inpatient rooms using AI to detect potential safety risks like unassisted bed exits, patient distress, or inactivity. Sends alerts to nursing stations in real time.
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Ambient AI Charting
Captures clinical conversations during rounds, assessments, or bedside visits. Transcribes and structures the content into SOAP notes, vitals summaries, or task updates, ready for review and sign-off.
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Patient Behavior & Risk Detection
Monitors and interprets daily patterns using video AI, flagging deviations like increased sedentary time, missed meals, or reduced mobility as early warning signs.
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Integrated EHR Documentation
Delivers structured, context-specific notes directly into the hospital’s EHR (Epic, Cerner, Meditech, etc.), reducing lag and improving continuity.
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Telehealth-Integrated Documentation
Enhances remote video consults with passive audio capture and note generation, eliminating manual follow-up entries and improving visit quality.
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Automated Care Summaries & Handoff Notes
Generates progress summaries for primary care providers, specialists, or inpatient teams when patients transition between settings or escalate to higher levels of care.
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Alerts for Non-Compliance or Complications
Notifies teams of missed medications, therapy sessions, or new symptoms, supporting early interventions and avoiding escalation.
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Customizable to Facility Protocols
Adjusts AI monitoring thresholds based on diagnosis, care plan, or patient risk, tailored to orthopedic recovery, stroke rehab, cardiac events, and more.
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Secure, Compliant Data Sharing
Fully HIPAA- and FISMA-compliant, enabling secure documentation and video monitoring across organizational boundaries and EHR systems.