Step 1Pre-arrival
Step 2Registration
Step 3Triage
Step 4Admission
Step 5Inpatient
Step 6Coordination
Step 7Discharge
Step 8Post-Discharge
Swimlane 1Patient
👤Fills the form once
From phone or kiosk, in their language. Uploads ID and insurance card photo.
✓Confirms, doesn't repeat
Reviews pre-filled summary. Signs HIPAA + treatment consent on the same screen.
🩺Adds today's symptoms
Updates pain score and current symptoms only — history is already there.
🛏️Settles in
Wristband prints from the same record. No clipboards.
💬Stays informed
Family contact gets approved updates per consent preferences.
🤝One care plan
Sees the same plan their nurse, PT, and case manager see.
🏠Leaves with clarity
Plain-language discharge summary in preferred language and channel.
📞Stays connected
Follow-up call or text using their stated preferred contact method.
data →
data →
data →
data →
data →
data →
data →
data ✓
Swimlane 2Intake form (data baton)
Swimlane 3Care team actions
📞Scheduler reviews, not retypes
Spends time prepping the visit instead of keying data.
AI assist
🖥️Front desk verifies ID
One screen check vs. paper packet; 90 seconds vs. 12 minutes.
AI assist
🩻Triage nurse focuses on patient
Asks targeted clinical questions, not demographics again.
AI assist
🧑⚕️Hospitalist gets a populated H&P
Note template arrives pre-filled; edits, not authors from scratch.
AI drafted
👩⚕️Bedside team sees full picture
Pharmacist verifies meds; nurse sees code status and language pref.
AI assist
🗂️Case manager skips re-intake
SDOH and support data already there; arranges resources earlier.
AI assist
📋Discharge planner one-click prints
AVS, scripts, and follow-up appts generated from the record.
AI generated
🧭Outreach team prioritizes
Risk-stratified call list driven by intake + stay data.
AI scored
Swimlane 4Systems & safeguards
🔐Consent-scoped tokens
Only fields needed for scheduling pass through; audit-logged.
Risk ↓
🛡️Validated payer feed
270/271 eligibility check; mismatches trigger soft-stop, not delay.
Risk ↓
🚨Allergy / interaction alerts
Drug-drug + drug-allergy checks fire on triage screen, not later.
Risk ↓
🧬FHIR-bound chart
Data lands as discrete FHIR resources, not free text.
Integrity
📡Live single source of truth
Updates write back so every role sees the same current chart.
Integrity
🔄Closed-loop tasking
Referrals + consults track to completion, not lost in inboxes.
Risk ↓
📨Patient-channel router
Sends discharge instructions via SMS / portal / print per consent.
Privacy
📊Outcomes & readmit signals
Same record feeds quality reporting and readmission models.
Insight
Swimlane 5AI agents (job to be done)
🗣️Voice Intake Agent
JTBD: Talk the patient through the form by phone or chat in their language; capture clean, coded fields.
🪪ID & Eligibility Agent
JTBD: OCR the ID + insurance card, run 270/271 eligibility, request prior auth, and reconcile mismatches.
🚦Triage Acuity Agent
JTBD: Suggest ESI level from chief complaint, vitals, and history; flag sepsis, stroke, fall risk for nurse review.
📝H&P Drafter Agent
JTBD: Draft history & physical and admission orders from the intake record; clinician edits, never authors blank.
💊Med Reconciliation Agent
JTBD: Match home meds to inpatient orders, surface duplicates, interactions, and dose issues for pharmacist sign-off.
🧭Care Coordination Agent
JTBD: Orchestrate referrals, consults, and SDOH resources; chase open tasks until closed-loop.
📄Discharge Summary Agent
JTBD: Generate plain-language AVS, route scripts to preferred pharmacy, book follow-ups in the patient's calendar.
📞Outreach & Risk Agent
JTBD: Score readmission risk, run check-in calls/texts in preferred channel, escalate red-flag responses to a nurse.
Swimlane 6Efficiency & risk reduction
⏱️−70% scheduling rework
No callbacks for missing demographics or insurance.
Time saved
🪪Sub-2-min check-in
ID + consent on file; eligibility already verified.
Throughput
⚕️Earlier critical alerts
Allergy / sepsis / fall-risk surface during triage.
Safety
📉Fewer transcription errors
Coded fields, not retyped paragraphs, populate the H&P.
Quality
🩹Safer med rec
Discrepancies caught on day 1, not at discharge.
Safety
🧑🤝🧑Earlier social support
SDOH visible on admission lets care management start day 1.
Equity
🚪Faster, safer discharge
One-click AVS in patient's language; correct pharmacy on file.
Experience
📈Lower readmissions
Targeted follow-up + closed-loop referrals reduce 30-day returns.
Outcomes