A concierge advocate for the transition home—and a continuing heart-health experience for the chapters ahead.
For hospitals and health plans seeking fewer avoidable complications and readmissions. HEART RESERVE connects patient education, warning-sign teaching, practical support and accountable follow-up in a proposed hospital-branded service.
Private working prototype · Proposed organization-funded service · Clinical monitoring, live messaging and payer contracts are not activated.
THE PURCHASING CASE
Invest in the gap between discharge and completed care.
The proposed first pilot tests whether patients understand their plan, receive indicated follow-up and get help with barriers. The longer-term goal is less preventable illness and lower total cost. Patient safety and necessary care remain the priority when an urgent visit is warranted.
01 · See the patient experience
Start with her concern. Try the next-step teaching, practical support and recovery card using fictional details.
Configure Postpartum Advocate and a supported Bluetooth cuff. Review the $35,000–$60,000 setup range, separate service costs and how they fit the larger pilot.
The hospital edition would use the organization’s approved brand, plan, contacts and response service. Shared HEART RESERVE tools carry the person’s history, questions and next steps across care.
01 / FIRST PILOT
Postpartum Advocate
Support after discharge for adults with pregnancy-related hypertension or preeclampsia, after vaginal or cesarean birth.
Proposed episode
90 days after discharge, then an accepted continuing-care handoff.
Core experience
Reviewed discharge plan, warning-sign teaching, medicine access, BP follow-up, practical help and patient advocacy.
First evidence goal
Clinician-specified early BP evaluation completed and reviewed by its due date.
Support for one agreed surgical pathway, using the treating team’s prescribed recovery plan and escalation route.
Scope to agree
Procedure, eligibility, episode length, response coverage and separate program price.
Core experience
Discharge understanding, prescribed tasks, medicine and appointment barriers, recovery questions and documented handoff.
First evidence goal
Due recovery tasks reviewed, barriers resolved and safe follow-through with workable staff effort.
Proposed expansion. This offer does not inherit postpartum clinical rules, the 90-day duration or the pilot budget. Cesarean recovery remains a pathway within the maternal program.
What would make today easier? One next action, plain-language teaching, and an easy way to say “I’m still concerned.”
02
Make access part of care
Keep language, phone or print preferences, medicine cost, transport and support needs with the request.
03
Show what happened
See the intended owner, due date and response. Reopen a request when the recorded outcome has not solved the problem.
Before discharge, the proposed service confirms the first interaction and an accessible contact route. Secure links or the existing portal can reduce the burden of another app where the delivery partner supports them.
A named team, clinician-approved deadline, backup route and source before a simulated assignment can advance.
02
Manage the work
Keep overdue and unknown deadlines visible. Track minutes, failed contact, missed check-ins, unresolved medicines and handoffs.
03
Evaluate hospital value
Measure actual staffing and avoidable expense, with revenue and reimbursement effects evaluated separately from payer claims.
A live service needs a funded primary and backup team. Showing a dashboard does not provide clinical capacity. Clinical assessment, prescribing and urgent response belong to the contracted care service.
Pay for a defined service. Evaluate the full result.
01
Compare with care today
Account for the maternity benefits, navigation and clinical services members already receive. Define the additional service clearly.
02
Count the full cost
Include claims across facilities, clinical coverage, technology, the license, devices, language support and operating overhead.
03
Set renewal criteria first
Agree completion, safety, patient experience, equity of access and workload measures before evaluating financial outcomes.
Proposed payment is per activated episode, with setup and evaluation separated. A chat message or symptom report does not trigger a fee. Terms and price remain to be negotiated.
Clinically reviewed BP evaluations by the due date / all eligible evaluations due.
Order or approved plan, due date, completion and authenticated clinical review. Uploaded readings alone do not qualify.
Did the next step happen?
Due actions with a documented outcome / all actions due. Report unresolved and unknown separately.
Medicine access, appointment follow-through, barrier outcome and receiving-service acceptance.
Was she heard and prepared?
Patient-reported understanding and feeling heard, with response rates and human teach-back review reported separately.
Offer and response counts, language and channel. Nonresponse is missing information.
Can the team deliver safely?
Open-task age, overdue and missing deadlines, delivery failures, adverse events, staff minutes per activated episode.
Auditable event times, actual coverage and workload records; review serious failures individually.
Is the full service worth funding?
30- and 90-day ED visits, readmissions and total maternal paid claims, plus incremental program cost.
Comparable current-care group, complete follow-up and agreed claims runout; financial findings are exploratory.
Larger-pilot planning assumption: 50 program + 50 current-care participants within the latest 24-month plan. Start with configuration and acceptance, then the first 5–10 service recipients after clinical approval. The sample cannot establish mortality reduction or reliable savings from uncommon events. The $250,000 service-pilot alternative includes development and evaluation; it is not a recurring license price. See Phase 1 for its relationship to the separate research budget.
HEALTH-PLAN SCENARIO WORKBENCH
What would the service need to deliver?
Use comparable, adjusted 90-day maternal claims assumptions and additional program costs. Start with your own assumptions or load a fictional example. Inputs stay on this page and are cleared when you reload or leave. This calculation is not evidence of effectiveness or an insurance reimbursement determination.
Formula: (current-care claims − program claims − additional recurring service cost) × program recipients − setup/evaluation cost. This simplified arithmetic cannot establish causation. Evaluate hospital expense and revenue separately →
THE HEART RESERVE FOUNDATION
Her story continues beyond the episode.
One continuing Heart Story
Pregnancy history, dated results and sources, medicines, corrections, visit questions and unfinished actions stay together.
Postpartum support includes vaginal and cesarean births. CDC advises attention to maternal warning signs during pregnancy and the year after delivery. The 90-day paid episode therefore needs an explicit handoff; it does not mark the end of risk or promise a year of monitoring.
Paid scoping should produce a current-platform demonstration, an approved clinical workflow, an itemized delivery quote, white-label and licensing terms, data/evaluation access, and a staffed launch plan.
Working in this prototype
Patient priorities and access preferences; saved concerns; documented simulation updates; deadline and backup requirements; patient reopening; missed-check-in and outage rehearsal; plan review, handoff and planning tools.
Required before patient enrollment
Clinical approval and coverage, authenticated access, consent and data protections, verified integrations and delivery receipts, failure testing, contracts, funding and a prospective evaluation plan.
Hospital branding, content ownership, modification rights and sublicensing must be agreed with the platform and purchaser. No vendor relationship, clinical integration, savings or superior effectiveness is represented as established.