Care that’s clearer at home than in the hospital
Nestera ties patient intake to home transfer and care logistics, so your clinicians spend their day on patients instead of phone calls.
- HIPAA-aligned
- Human in the loop
- SOC 2 in progress
M.R.
CHF exacerbation · Bed 618
Transfer today · 2:00 PM
Three layers, one coordinated journey.
T.W.GI bleed
4W · 412MRN 84212M.R.CHF exacerbation
6E · 618MRN 71048R.D.Post-op day 1
5S · 503MRN 90233J.K.Cellulitis
4W · 407MRN 66120S.B.Sepsis workup
ICU · 214MRN 58471A.L.COPD
6E · 622MRN 77390K.N.AKI
5S · 518MRN 83015P.S.Pneumonia
4W · 421MRN 61847D.H.Afib with RVR
TELE · 310MRN 74562L.G.DKA
5S · 511MRN 88204C.M.Pyelonephritis
4W · 415MRN 69331B.F.DVT
6E · 605MRN 72918N.O.Pancreatitis
5S · 522MRN 80476E.V.Asthma exacerbation
4W · 402MRN 65089H.T.Hyponatremia
6E · 611MRN 79154W.C.Osteomyelitis
5S · 507MRN 86723F.J.Syncope workup
TELE · 306MRN 70265G.A.HFpEF
6E · 629MRN 75830O.R.COVID pneumonia
4W · 426MRN 82547V.S.UTI · delirium
5S · 514MRN 68912Candidates
M.R.CHF exacerbation
94J.K.Cellulitis
87A.L.COPD
82P.S.Pneumonia
76Three layers, one coordinated journey.
01 · Patient recognition
Find the right patients, then clear their path home.
Nestera reads your whole census in real time: labs, vitals, SDOH, pending consults, and route fit. It ranks candidates with clinical rationale and a projected clearance time for each one.
- Configurable eligibility criteria for your program
- Auto-generated barrier checklist with ownership routing
- Deep links back to source data in your EHR
T.W.GI bleed
4W · 412MRN 84212M.R.CHF exacerbation
6E · 618MRN 71048R.D.Post-op day 1
5S · 503MRN 90233J.K.Cellulitis
4W · 407MRN 66120S.B.Sepsis workup
ICU · 214MRN 58471A.L.COPD
6E · 622MRN 77390K.N.AKI
5S · 518MRN 83015P.S.Pneumonia
4W · 421MRN 61847D.H.Afib with RVR
TELE · 310MRN 74562L.G.DKA
5S · 511MRN 88204C.M.Pyelonephritis
4W · 415MRN 69331B.F.DVT
6E · 605MRN 72918N.O.Pancreatitis
5S · 522MRN 80476E.V.Asthma exacerbation
4W · 402MRN 65089H.T.Hyponatremia
6E · 611MRN 79154W.C.Osteomyelitis
5S · 507MRN 86723F.J.Syncope workup
TELE · 306MRN 70265G.A.HFpEF
6E · 629MRN 75830O.R.COVID pneumonia
4W · 426MRN 82547V.S.UTI · delirium
5S · 514MRN 68912Candidates
M.R.CHF exacerbation
94J.K.Cellulitis
87A.L.COPD
82P.S.Pneumonia
7602 · Command center
One screen for the whole program.
The HAH Command Center puts field staff locations, visit schedules, open blockers, and agent activity in one place. Reassign a visit with one click and the engine re-optimizes the routes around it.
- Live map with nurse status and remaining schedule
- Agents contact stakeholders on their preferred channel
- Full audit trail of every outreach and resolution
HAH Command Center
Lincoln Park, Chicago · Live dispatch
J.K.
A.L.
R.D.
S.B.
David K.
Sarah M.
Tom B.
Equipment delayed
3:02 PM
J.K.'s delivery slips to 3:40 PM
Checking reassignment
3:02 PM
Scanning nearby visits for an open window
Schedule adjusted
3:03 PM
David visits A.L. first, no time lost
Sarah confirmed
3:04 PM
Arrived at R.D.'s, vitals in progress
Med refill ready
3:15 PM
Pharmacy confirmed pickup for A.L.
Visit complete at A.L.'s
3:41 PM
Equipment arrived, David returns to J.K.
Tom en route
3:44 PM
Heading to S.B.'s · ETA 12 min
Message from R.D.
3:47 PM
“Feeling much better today, thank you”
Visit complete at J.K.'s
3:51 PM
Both visits closed, nothing rescheduled
Med reminder sent
3:52 PM
CHF refill nudge queued for J.K.
Back on plan
3:53 PM
Both visits on time · zero idle minutes
David dispatched
3:00 PM
En route to J.K. · ETA 12 min
R.D. vitals stable
3:05 PM
Blood pressure and O2 within range
1+1Auto-reroutes
0 minIdle time
2/2On-time visits
03 · Patient experience
Keep patients informed and leadership ahead of the trend.
Patients see who is visiting and when. Agents gather subjective context between visits. Leadership hears about a metric when it moves, instead of going looking for it in a dashboard.
- Real-time visit ETAs from live routing data
- Agent-assisted symptom check-ins between visits
- Program metrics surfaced when trends shift
Care calls
Post-visit check-in · Day 3
Maria G.
Home · CHF pathway
Voice Agent
Hi Maria, checking in after today's visit. How's your breathing this evening?
Patient
Better than this morning. A little tired after walking.
Voice Agent
Glad to hear it. Any swelling in your ankles today?
Patient
A little in the left one.
Voice Agent
Noted. I'll have a nurse take a look tomorrow morning.
Scheduling follow-up visit
Listening for requirements…
Requirements from call
Matching providers
Sarah M.
RN · CHF certified
Tom B.
RN · Wound care
Kim P.
LVN
To assign
- Verify Sarah's schedule
- Insert into 10:00 AM route
- Notify care team
0Check-ins today
0+1Flags caught
0%−2%Readmission
The whole patient journey, coordinated.
From census screening through discharge, every handoff is tracked and every barrier has an owner.
Hospital
Bed 618
Home
Discharge
Step 01Day 0 · 09:41
Identify
- Census scanned · 847 patients
- M.R. flagged · eligibility 94
Scan census for HAH candidates with ranked eligibility and barrier flags.
Step 02Day 0 · 14:06
Clear barriers
- Cardiology sign-off cleared
- O2 concentrator confirmed
Track consults, imaging, equipment, and sign-offs to projected clearance.
Step 03Day 1 · 13:52
Transfer home
- Transport booked · 2:00 PM
- Family notified of arrival window
Coordinate admission logistics across internal teams and vendors in parallel.
Step 04Day 2 · 10:00
Coordinate care
- Sarah M. assigned · 10:00 AM
- Route optimized · zero idle time
Optimize daily routes, surface new orders, and clear blockers before they hit the schedule.
Step 05Day 6 · 11:15
Discharge & follow-up
- Day-6 check-in completed
- Episode closed · PCP updated
Check-ins and patient education keep the support going after the episode closes.
The whole patient journey, coordinated.
From census screening through discharge, every handoff is tracked and every barrier has an owner.
Hospital · Bed 618
Identify
Scan census for HAH candidates with ranked eligibility and barrier flags.
- Census scanned · 847 patients
- M.R. flagged · eligibility 94
Clear barriers
Track consults, imaging, equipment, and sign-offs to projected clearance.
- Cardiology sign-off cleared
- O2 concentrator confirmed
Transfer home
Coordinate admission logistics across internal teams and vendors in parallel.
- Transport booked · 2:00 PM
- Family notified of arrival window
Coordinate care
Optimize daily routes, surface new orders, and clear blockers before they hit the schedule.
- Sarah M. assigned · 10:00 AM
- Route optimized · zero idle time
Discharge & follow-up
Check-ins and patient education keep the support going after the episode closes.
- Day-6 check-in completed
- Episode closed · PCP updated
Home
Your protocols. Your call.
Nestera adapts to how your program already works. Clinicians stay in control, and every action is logged.
Connected to your systems
Real-time data from your EHR, scheduling tools, and care protocols keeps every decision current.
Clinicians stay in control
Nestera runs on your SOPs. Every recommendation can be accepted, adjusted, or overridden, and the final call is always a person's.
Configurable to your program
Eligibility criteria, routing weights, and therapeutic interchange rules adapt to how your team already works.
Every action logged
Review agent decisions, audit responses, and change workflows in real time, with a record your compliance team can actually read.
Care coordination · M.R.
LiveEHR· 9:41 AM
New labs for M.R. pulled from your EHR. Eligibility refreshed.
Nestera· 9:41 AM
M.R. meets home-transfer criteria. Proposing per your protocol.
Home transfer · today 2:00 PM
Visit cadence: 1×/day · Sarah M., RN
per HAH-07 · CHF day-3 transfer criteriaVisits · day one
RN· 9:42 AM
Adjusted to 2 visits on day one, then standard cadence.
Approved with changesNestera executing your change
- Sarah's day-one route rebuilt
- Family notified of 2 visits tomorrow
- EHR order updated · cadence 2×
Logged · #48211
Proposal, adjustment, and reroute saved to the audit trail.
Let your clinicians practice at the top of their license.
Leave the coordination to Nestera.
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