The Discharge That Doesn't Bounce Back
co-op.care provides coordinated post-discharge companion care less than 1 mile from BCH. Physician-supervised. Worker-owned. Zero readmission target.
Partner With UsThe Problem
- 30-day readmission rates cost BCH significantly per unnecessary return
- Patients discharged home alone are 3x more likely to return to the ER
- Discharge planners have 10 minutes to arrange post-acute care
- Most home care agencies have 77% turnover -- the caregiver the patient meets isn't the one who shows up
The Solution
- co-op.care is located less than 1 mile from BCH
- Consistent caregiver assignment -- same person, every visit
- ComfortCard scanned at discharge transfers full care history instantly
- Josh Emdur DO provides physician oversight and care plan continuity
- Reed AI monitors care gaps and flags concerns before they become ER visits
- Every care activity logged. Every outcome tracked. Every claim defensible.
How It Works From Your End
One phone call or referral click. We handle the rest.
ComfortCard Created Before Discharge
Patient's care history, medications, and care plan captured digitally before they leave the hospital.
Care Plan Activated Same Day
No waiting period. No intake backlog. The care plan transfers directly to the assigned caregiver.
Caregiver Assigned Within 24 Hours
A consistent, named caregiver matched to the patient's needs and preferences. No revolving door.
Weekly Status Updates
Your team receives structured weekly reports: care hours logged, vitals tracked, any concerns flagged.
Metrics That Matter to Your Team
Every data point defensible. Every outcome measured.
ER Return Prevention
Days since discharge without ER return
Care Delivery
Care hours logged per patient, per week
Medication Adherence
Adherence rate tracked and reported
Fall Prevention
Fall incidents (target: zero with in-home support)
Satisfaction
Patient and family satisfaction scores
AI Monitoring
Reed-flagged care gaps resolved before escalation
Built for Interoperability
ComfortCard
Digital care card scanned at discharge. Full history, medications, directives, and care plan transfer in one tap.
Reed AI
Continuous monitoring AI that flags care gaps, medication risks, and behavioral changes before they escalate.
Structured Reporting
FHIR-compatible data. Weekly status reports to the referring team. Every activity documented and defensible.
Start a Conversation
For BCH discharge planners, case managers, and social workers.
Inquiry Received
We'll reach out to schedule an introductory conversation within 48 hours.