Catch the discharge. Close the loop. Before the window slips.
Pelica turns the ADT feed into a transitions-of-care worklist the moment a member is discharged, drafts the follow-up, and tracks the 5-day window to close. One outreach queue across quality, pharmacy, and care management means the same member is never called three times. Proactive, not reactive.
70%+
TRC gaps in 30 days
75%
7-day follow-up after ED
5-day
window, tracked to close
You find out about the discharge
after the window has closed.
Care teams don't miss follow-ups because they don't care. They miss them because the discharge data arrives late, the member's picture is scattered, and three teams are calling the same person about different things.
The data is already lagged.
By the time the discharge shows up in a report, the 5-day window is half gone. The team is forever catching up, and the readmission risk window is the part you can least afford to miss.
Behind before you startThree calls to one member.
Quality, pharmacy, and care management each run their own list, so the member gets called three times in a week about different gaps, sometimes in a language they don't speak.
Fragmented across teamsReactive, never preventative.
Without a live picture, the team is responding to problems after they happen instead of catching illness early. The capacity to be proactive never materializes.
Acting after the factTwo kinds of work.
Only one needs a coordinator.
Your coordinators are there for the member: the assessment, the relationship, the care plan. Pelica takes the watching, the drafting, and the tracking so they can be present on the call.
The work only a coordinator can do
- Being fully present with the member on the call
- The clinical assessment and the care plan
- The complex case that needs a human to navigate
Everything that shouldn't need one
- Watches the ADT feed and opens the TOC task in real time
- Drafts the follow-up and tracks the 5-day window to close
- Runs one outreach queue, so no member is called three times
- Surfaces the whole member, and writes the note in seconds
One canonical record.
Every transition. Real-time.
Three layers, each addressable on its own. Deployed together, the equivalent of 8 to 15 point vendors in a single platform.
Live data
ADT feeds, claims, EHR (FHIR/HL7), pharmacy, and labs, unified into one canonical record per member in real time, so a discharge is known the moment it happens. Tenant-isolated, BAA-covered, encrypted end to end.
The AI workforce
The Care Management copilot opens a transitions-of-care task on every qualifying event, drafts the outreach with med rec reviewed, prioritizes by risk, and assigns to one shared queue, so nothing is missed and no one is double-called.
Action
Coordinators work a prepared, prioritized list with the whole member in view; one call resolves what used to take several; and the call note is written automatically in seconds.
Be proactive on a large panel,
without adding coordinators.
A small team managing a large panel can't manually watch every discharge. Pelica watches for them, and hands the team a prepared, deduplicated worklist.
Close the loop inside the window.
Pelica catches the discharge in real time, drafts the follow-up, and tracks the 5-day window, so transitions-of-care gaps close before they slip, not at quarterly reconciliation.
- 70%+of transitions-of-care gaps closed within 30 days
- 75%7-day follow-up after an ED visit (FMC)
- 1 queueacross teams, so no member is called three times
Be present, not buried in data.
Coordinators stop chasing discharges and stitching context together. They get a prepared list with the whole member in view, so they can be fully present on the call and move to the next member quicker.
- Whole-membercontext surfaced before every call
- ~10scall notes written automatically, hands-free
- 2–3×members covered by the same team
Live with the largest
IPA in the country.
Delivered at HealthCare Partners, a physician-led IPA managing 200,000 lives across 1,000 providers, and live within two weeks of signing.
70%+
Transitions-of-care gaps closed within 30 days, before the window slips.
75%
7-day follow-up after an ED visit for members with multiple chronic conditions.
ADT-driven
Discharges known in real time, so the 5-day window starts on day zero.
100%
Adoption across the care management team at the largest IPA in the country.
The teams that moved
from reactive to ahead of it.
Operators at our flagship IPA on what changes when the discharge comes to you, and the member's whole picture comes with it.
We're catching whatever illness early, so we can be more preventative and not reactive. Now we're able to see pretty much the whole picture for the patient, instead of just looking at a spreadsheet.
All these questions can be answered in one call, where previously they were fragmented across multiple calls in multiple departments.
Now my team can fully be present and focus on the call. The AI just makes the perfect note for them, so they can move to the next member quicker.
Built for healthcare's highest compliance bar.
Tenant isolation, encryption end-to-end, full audit trail, and contractual zero-retention with every LLM provider in use. Available on request: SOC 2 Type II report, BAA template, subprocessor list, pen-test history.
Visit our Trust Center →
Care management leaders ask us this.
“It really focuses on that holistic member approach. Not a piecemeal quality closure opportunity, we're looking at the member and their full picture.”
Charlotte Buckley
Director of Quality Performance · HealthCare Partners
See Pelica on data that looks like yours.
30-minute walkthrough. We'll run the Care Management copilot live on a redacted book of business from a real risk-bearing org.
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