Better continuity doesn't happen by accident.
We're preparing for early partnership and pilot opportunities with organizations interested in strengthening continuity between healthcare and home.
Depending on the organization and population served, partnerships may include defined pilot populations, transition-focused continuity episodes, caregiver support, community resource connection, and agreed-upon measures of experience and follow-through.
If your organization is exploring better ways to support people beyond the clinical setting, we'd welcome the conversation.
Let's build the evidence together.
The discharge may be complete. The transition isn't.
Once someone leaves a hospital, clinic, or other care setting, responsibility for carrying out the plan often shifts quickly to the individual and the people supporting them.
Follow-up appointments still need to happen. Transportation has to be arranged. Medications need to be obtained and understood. Community resources may need to be accessed. New barriers can emerge. And caregivers are often trying to coordinate it all.
The gap isn't always the plan. Sometimes it's what happens after the plan is made.
Toemi is being built to strengthen that space.
Continuity doesn't end with a discharge plan.
Toemi provides a non-clinical layer of continuity designed to help individuals and caregivers carry the plan forward once they return home.
Transition Support
A consistent point of connection as individuals move from healthcare to home.
Resource Connection
Help connecting individuals and caregivers with appropriate healthcare, transportation, community, and support resources.
Follow-Through
Purposeful check-ins focused on identified next steps, emerging barriers, and continuity during the post-transition period.
Caregiver Connection
Support for the family members and caregivers often helping carry the plan forward at home.
Toemi complements clinical care. We don't replace it.
Designed to fit into the transition—not complicate it.
01 — IDENTIFY
Your organization identifies individuals who may benefit from additional continuity support.
02 — CONNECT
With appropriate consent and processes in place, Toemi establishes connection with the individual or caregiver around the healthcare transition.
03 — SUPPORT
Toemi provides a defined continuity episode focused on follow-through, resource connection, barriers, and caregiver needs.
04 — CLOSE THE LOOP
At the end of the episode, we help establish a clear path forward and, when included in the partnership model, provide appropriate information back to the referring organization.
Built for partnership.
Hospitals & Health Systems
Strengthen continuity following discharge and other significant care transitions.
Health Plans & Value-Based Care Organizations
Extend non-clinical support around barriers, follow-through, and member experience.
Physician Practices & Specialty Programs
Add continuity around complex treatment journeys and significant changes in care.
Community & Aging Organizations
Strengthen connections between healthcare, caregivers, community resources, and home.
We're preparing for early pilot and partnership opportunities with organizations interested in strengthening continuity between healthcare and home.
Depending on the organization and population served, partnerships may include defined pilot populations, transition-focused continuity episodes, caregiver support, community resource connection, and agreed-upon measures of experience and follow-through.
If your organization is exploring better ways to support people beyond the clinical setting, we'd welcome the conversation.
Let's build the evidence together.
Our vision extends beyond care transitions.
Toemi is also developing The Toemi House, a new residential assisted living concept centered on dignity, connection, beautiful surroundings, and the feeling of home.