Referral intake
Hand it the hospital discharge bundle or the recorded assessment conversation. The RN reviews and signs instead of typing.
Discharge bundle (FHIR)
Hip replacement · 14 meds
PT orders · fall risk noted
remy.
drafting the service plan
9 schedulable tasks
ADL assist levels, safety notes, visit cadence.
4 open questions
The unnamed 'water pill' stays a question, not a guess.
RN signs to activate
The plan does nothing until she resolves and signs.
Works with FHIR discharge bundles (eLTSS / PACIO) and recorded assessments
01
A FHIR discharge bundle from the hospital, or the recording of your RN's in-home assessment conversation. Either one is enough to start.
02
ADL and IADL assist levels, schedulable tasks with days and details, safety notes, a reminders-only medication list. An hour of after-visit typing, drafted.
03
Anything unverified is an open question the RN must answer before signing. Only a signed plan activates - and then it drives every shift's checklist.
From this morning's referral
Care plan drafted for the RN
→ nothing runs until she signs
Unreconciled meds and unverified hazards become questions for the RN, never silent assumptions.
The RN puts a phone on the table and talks with the client. The write-up drafts itself from the recording.
Drafted tasks carry days and instructions, so the plan flows straight into shifts.
Every plan is versioned with signature and timestamp. The record shows who approved what.
~15 min
to review, edit, and sign - the write-up used to take an RN an hour.
Same day
from referral to a plan the RN can sign.
0
plans activate without a nurse's signature.
01
The referral-to-first-visit gap shrinks by days.
02
Nurses assess and decide instead of typing.
03
Gaps in the referral surface as questions, not filler.
04
The signed plan becomes the caregiver's checklist.
| By hand | Generic AI | remy. | |
|---|---|---|---|
| Write-up time | ~1 hour after the visit | Retyped from notes | Drafted before the RN opens it |
| Hospital referrals | Read and re-keyed | Not connected | FHIR bundle read directly |
| Unknowns | Left blank or guessed | Confidently invented | Explicit open questions |
| Activation | When someone gets to it | - | On the RN's signature |
The recorded assessment path covers everyone else - and paper referrals can be summarized in. FHIR just makes it automatic under the CMS interoperability rules.
It's consented like any recording, and the recording's only job is the write-up. What the RN signs is what counts.
It won't guess. An unclear medication becomes an open question the RN must resolve before the plan can be signed - that behavior is tested, not aspirational.
No - every rating, task, and note is editable before signing. The draft is a head start, not a decision.
The trial workspace opens with demo data already in it. 14 days free, no card.