For · Health systems

AI for hospital care transitions.

OneDose runs the transition out of hospital for health systems. Every discharged patient gets structured follow-up — Day 1, Day 7, Day 14, Day 30 — checking medication, side-effects and recovery, with escalation to your care team only on real signal. The coverage does not depend on how many nurses are free to dial.

The constraint on follow-up has never been clinical disagreement about whether it works. It is that it is a very large number of phone calls made by the most expensive people in the building.

Why care transitions are the gap

The transition out of hospital is the point where a health system loses sight of a patient it is still accountable for. The discharge is documented, the prescription is written, and the next reliable data point is whether they come back.

The intervention is not controversial: contact the patient, ask structured questions, notice the answer that matters, escalate it. It is understood well enough to be in every guideline. What stops it is arithmetic — a few hundred discharges a week, several contacts each, made by clinicians whose time is the scarcest resource in the organization.

So it gets rationed to the highest-risk cohort, and the medium-risk patient who stopped their anticoagulant on day four because it made them feel strange is not in that cohort. That patient is the reason the gap exists.

What changes with OneDose?

  • Follow-up on every discharge, not the top decile

    Coverage stops being a function of staffing. The patients you never had capacity to call are called, which is where the unmanaged risk actually sits — the highest-risk cohort was already getting attention.

  • Your clinicians see signal, not a call list

    The care team gets escalations with the full conversation attached, rather than a queue of numbers to dial. The work that reaches a human is the work that needed one.

  • It runs inside your estate

    OneDose reads and writes against the EMR and pharmacy systems already in place, so the follow-up record lives against the patient rather than in a parallel tool someone reconciles later.

  • Every action is logged

    Each agent action is recorded and attributable — which is the difference between a pilot your governance committee approves and one it does not.

Is this an AI making clinical decisions about our patients?

No — and this is the question worth settling before any other. OneDose agents collect and escalate. They do not diagnose, they do not triage a symptom to a conclusion, and they do not close a case a clinician has not seen. Clinical questions, low-confidence answers and any sign of deterioration route to a human with the full context attached.

The division is deliberate: the agent does the part that is a phone call and a form, and the clinician does the part that is a judgement. That boundary is a design constraint rather than a configuration setting, because it is the constraint that makes the rest of it deployable in a hospital.

Where to go next

The pages below cover the mechanism in detail — what each agent does, and what it deliberately does not.

Frequently asked

How does AI help with hospital care transitions?
AI removes the volume constraint on post-discharge follow-up. The check-ins that reduce avoidable deterioration are well understood but are rationed because they are thousands of phone calls made by clinicians. An agent runs the structured contact on every discharge and routes only the cases that need judgement to a human, so coverage stops depending on how many nurses are free to dial.
Does OneDose replace our care management team?
No. It removes the manual dialling and charting so the care team spends its time on the patients who actually need attention. The intended effect is fewer routine calls placed by clinicians, not fewer clinicians.
Does OneDose integrate with our EMR?
OneDose is built to read and write against the EMR and pharmacy management systems a hospital already runs, so the follow-up record lives against the patient record. Integration depth varies by system and region — ask us what is live for your estate and we will confirm it in writing before you commit to anything.
What does the care team actually see?
Escalations, with the conversation attached — not a call list. A case reaches a human when an answer crosses a clinical threshold, when the agent’s confidence is low, or when the patient asks for a person. Everything else is recorded and does not interrupt anyone.