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Hospitals, health systems & senior living

Rezilia for Hospitals & Health Systems

The moment the patient leaves your building, your system goes blind. The discharge plan is handed to a family member who has had no training, no handover and no sleep, and whose capacity nobody measured. Rezilia gives your transition teams continuous visibility into caregiver readiness. Epic-native, FHIR R4.

2,400+US hospitals under CMS readmission penaltiesCMS Hospital Readmissions Reduction Program
up to 3%of Medicare reimbursement at risk each yearCMS HRRP
30%readmission reduction when a family caregiver is meaningfully involvedRodakowski et al. JAGS 2017
The reality

You discharge to a caregiver whose capacity you never assessed.

Discharge planning measures the patient. It does not measure the person who will actually deliver the plan, who will manage eight medications, three follow-ups and a wound dressing while holding a job. When that person is overloaded, adherence falls first, then the patient comes back through your emergency department.

And the signal exists. It exists in the density of their week, in how the family is coordinating, in whether anyone has taken over a single task. It just does not exist inside your EHR, because nobody has ever collected it.

Readmission is a caregiver capacity problem long before it becomes a clinical one.

What you get

A family layer that closes the loop, and an analytics layer your teams can act on.

Rezilia is deployed to patients’ families at the point of discharge and connects to your record through FHIR R4, no parallel data entry, no separate login for your clinicians.

For the family

Rezilia

The discharge plan, translated into something a family can actually execute.

  • Medication schedule, follow-up appointments and care tasks, shared across the family
  • A 24/7 AI companion for the questions that arrive at 2am instead of at clinic hours
  • Stage-by-stage navigation for the post-discharge weeks that decide the outcome
For your teams

Rezilia Pro

Cohort analytics and readiness signals inside the workflow your transition team already runs.

  • Transition readiness score at discharge and in the 30 days that follow
  • Distress and non-adherence signals, surfaced 48-72 hours ahead
  • Cohort analytics by unit, service line and payer, for quality and population health
How a deployment runs

Pilot first. Evidence before scale.

Scope a unit

One service line, one cohort, typically a high-readmission population such as heart failure, COPD or post-stroke.

Integrate

Epic-native connection over FHIR R4 with SMART Backend Services. Your clinicians stay in their existing workflow.

Enroll at discharge

The care manager sends the family an invitation as part of the discharge conversation. Activation takes minutes and does not require an app store.

Measure

Readiness scores, distress signals and a co-designed readmission study your quality team can publish.

The clinical case

Everyone measures the patient. Nobody measures the person the plan depends on.

Assessment tools like TCARE and the Zarit Burden Interview take a snapshot at a single moment. Rezilia is longitudinal: it models each caregiver against their own baseline and projects forward against the events already on their calendar. That is what turns caregiver burden from a research construct into an operational signal.

Engagements

Custom pricing

Pilot, enterprise license and analytics. Co-built readmission study included as ROI evidence. Pricing depends on scope, integration depth and number of sites.

Epic-native, not Epic-adjacent

FHIR R4 with SMART Backend Services. No parallel data entry, no CSV exports, no clinician logging into a second system.

Built for the HRRP window

Readiness and distress signals concentrate exactly where the 30-day penalty window bites.

Evidence you can publish

We co-design the study with your quality team. Our UCF research partnership exists so this is measured properly, not asserted in a brochure.

Extends to senior living

The same architecture serves skilled nursing and senior living operators, where family communication is the number-one driver of satisfaction and complaints.

Questions

What clinical and IT leaders ask us.

We complete security and integration questionnaires directly, write to connect@taloshealth.ai.

Is Rezilia a medical device?

No. Rezilia is not a medical device, does not diagnose and does not make treatment decisions. It provides caregiver-facing coordination and surfaces readiness and distress signals to your teams as decision support. Escalation logic is reviewed by our clinical advisory board.

How does the Epic integration work?

Through FHIR R4 with SMART Backend Services. We consume the discharge summary, medication list and appointment data with appropriate consent, and can write structured caregiver-readiness observations back where your configuration allows. Our sandbox integration is live; production scope is agreed during the pilot.

What is the evidence base today?

The link between caregiver involvement and readmission reduction is established in the literature. What is not established, by anyone, is prospective prediction of caregiver overload. Our Cognitive Load Index is in production and the 4-week burnout forecast is in clinical validation. We would rather tell you that plainly than overstate it, and we co-design the study that fills the gap.

Who owns the data?

The family owns their individual data. Your organization receives aggregated, de-identified cohort analytics plus, where consented and clinically appropriate, patient-linked readiness observations. A BAA is in place and the architecture is HIPAA compliant.

How long is a pilot?

Typically 6 to 12 months on one service line, sized to reach statistical relevance on the readmission endpoint. Shorter pilots produce activation and engagement data but not clinical evidence.

Do you work with senior living and skilled nursing?

Yes. The family coordination and communication layer transfers directly, and the readiness signal is useful at admission as well as at discharge.

The plan leaves with the family.
So should the visibility.

A scoped conversation with your transition, quality and IT teams.

connect@taloshealth.ai · Epic-native · FHIR R4 · HIPAA compliant