Pick up your remaining medication
If cost or transportation is getting in the way, tell your transition team.
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01The experience
One transition.Three experiences.Nothing gets lost.
Cairava gives patients a clear next step, gives care teams the work that needs human attention, and gives hospital teams visibility into whether the transition is actually closing.
One synthetic heart-failure transition episode on day 4 of 30, shown as three connected views: the patient reports a medication-cost barrier, the care team picks it up as an exception, and the program view records it as human owned.
Doris WhitfieldSynthetic patient
Heart-failure transition
Day
04
Current focus
Medication access
Source
Hospital-approved discharge plan
Transition spineCurrent 02 / Medication
- 01Discharge
- 02Medication
- 03Follow-up
- 04Barrier
- 05Human review
- 06Close
Medication access
Pickup scheduled · no barrier
On track
- Owner
- Unassigned
- Response window
- Today
Transition obligations
4 / 6closed
0human owned
2open
Current exceptionMedication access
Owner · assigningWithin response window
One shared stateThree views of the same transition episode.
View asOne shared state
- 01Patient knowswhat comes next
- 02Barriers surfacebefore they disappear
- 03Humans ownclinical decisions
- 04Every loophas an ending
Scroll to follow one transition↓
One pathway
Discharge changes the setting. It should not break the pathway. The approved plan continues as actions, work, barriers, evidence, and accountable closure.
How the episode moves
One episode. The right work reaches the right person.
The experience changes by role and moment, but the transition does not split into separate products. Each stakeholder acts on the same hospital-approved pathway with a boundary appropriate to their responsibility.
Patient + named caregiverActs on the planAuthorized care teamOwns and reviews workProgram ownerOversees pathway execution
01 / At dischargeThe approved plan becomes workPathway starts Patient + caregiverThe patient understands the next steps. A named caregiver can participate with separate consent.
Care teamAuthorized transition staff review the source plan, confirm the pathway, and establish ownership.
Program ownerThe program owner sees an eligible episode enter the hospital-defined pathway.
02 / First days homeThe plan stays visibleActions progress Patient + caregiverPatient and caregiver follow agreed medication, appointment, and check-in actions.
Care teamRoutine progress stays quiet while incomplete or reported work remains visible.
Program ownerThe program owner sees episode state and whether required work is moving.
03 / When a barrier appearsThe right work finds an ownerException owned Patient + caregiverThe patient reports a question or barrier without having to find the right department.
Care teamTransition staff own follow-up. Licensed clinicians retain patient-specific clinical interpretation.
Program ownerThe program owner sees the open obligation, category, and current response state.
04 / Resolution + closureThe pathway records what happenedOutcome explicit Patient + caregiverThe patient sees that the question has a path and receives the appropriate human update.
Care teamStaff record evidence, resolution, or the reason work remains open.
Program ownerThe program owner sees whether critical work reached an explicit pathway state.
Source of clinical recordEHR
Shared execution stateCairava transition pathway
Clinical interpretation remains with licensed clinicians.
01 / Patient + caregiver
Know what comes next.
The patient experience turns the discharge plan into a clear path forward—what to do, what to understand, what needs follow-up, and where to raise a concern.
Primary participantPatientActions, questions, updatesWith separate consentNamed caregiverAgreed support and access
- 01
Today
Medication checkCompleted - 02
Next
Follow-up visitTuesday · 10:30 - 03
Check-in
How are you feeling?Ready when you are - 04
Help
I have a questionQuestions have a path
Patient-owned actionsCaregiver access by consentQuestions reach the teamVisible next step
02 / Care team
See what still needs attention.
Instead of treating every patient like another call on a list, Cairava surfaces unresolved medication, appointment, symptom, laboratory, and social work with ownership and response context.
01Medication accessNeeds review+
- Why
- The patient reported that the medication was not available at pickup.
- Owner
- Transition nurse
- Window
- Hospital-defined response window
- Source
- Patient report
02Follow-up gapAssigned+
- Why
- The visit remains unconfirmed in the transition workflow.
- Owner
- Care coordinator
- Window
- Before the pathway deadline
- Source
- Scheduling state
03Patient questionWaiting+
- Why
- A question needs a person to review the source context and respond.
- Owner
- Transition team
- Window
- Hospital-defined response window
- Source
- Patient check-in
04Patient concernHuman review+
- Why
- Patient-reported context requires licensed interpretation before clinical action.
- Owner
- Licensed clinician
- Window
- Per approved escalation rules
- Source
- Patient check-in
Transition staffOwn workflow follow-up, routing, and documentation.
Licensed clinicianRetains patient-specific clinical interpretation and action.
Routine work stays quiet.Exceptions become visible.
03 / Program owner
See the pathway, not just the activity.
Program owners can see where transitions are progressing, where barriers recur, how quickly work is acknowledged, and whether critical obligations reach an explicit outcome.
EnrolledContactMedicationFollow-upBarriersClosure
Episode 01
Barrier owned
Episode 02
Barrier owned
Episode 03
Follow-up incomplete
Episode 04
Closed
Episode 05
Awaiting owner
What the program owner sees
One event / three views
One event. Three views. No lost handoff.
Follow one synthetic medication-access event as the same transition state becomes patient guidance, accountable staff work, and program visibility.
Patient reports
“I couldn’t pick up my medication.”
01Patient view
Medication help requested
We’ve shared this with your care team.02Shared state
Patient-reported barrier
Source and current state stay attached.03Care-team view
Medication access barrier
- Owner
- Awaiting assignment
- Status
- Incoming
- Source
- Patient report
04Program-owner view
Medication access
- Episode
- Open obligation
- System view
- Included in pathway operations
Medication help requested
The patient reports that the medication was not available at pickup.
Clinical boundary
Automation can prepare the work. Clinical decisions stay human owned.
Hospital-approved rules can manage workflow state, deadlines, routing, and review preparation. Licensed clinicians retain patient-specific clinical interpretation and action.
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Start with one pathway, clear ownership, and a contained design partnership.