Nestera is a care coordination platform that connects hospital patient intake to home transfer and care logistics for Hospital-at-Home programs. The platform continuously screens the hospital census to rank eligible candidates, then provides a command center for managing field staff, visit schedules, and care barriers in real time. It uses live routing data, automated agent workflows, and voice-assisted patient check-ins to keep care moving smoothly from hospital bed to home discharge.
Funding
Funding not disclosed
Founders
Product
Problem
Hospital-at-Home (HAH) programs face significant coordination challenges after a patient is cleared for home transfer, including arranging transport, equipment, medications, and follow-up visits. Clinicians lose hours each day to phone calls with pharmacies, DME vendors, transport services, and family members, while patients receive suboptimal monitoring between visits and leadership remains unaware of worsening metrics until it is too late.
Solution
Nestera provides a three-layer care coordination platform that manages the entire HAH patient journey from census screening through discharge. The platform automatically reads the full hospital census in real time—labs, vitals, social determinants of health, pending consults, and route fit—to rank patients for HAH eligibility with clinical rationale and projected clearance times. Its HAH Command Center consolidates field staff locations, visit schedules, open blockers, and agent activity into one screen, allowing one-click visit reassignment with automatic route re-optimization. A voice-based care agent conducts symptom check-ins between visits and flags concerning responses for clinical review. Throughout the episode, every handoff is tracked with a full audit trail, and program metrics are surfaced to leadership as soon as trends shift.
Target Audience
Primary customers are hospitals and health systems operating or launching Hospital-at-Home programs, including their care coordination teams, nurse managers, discharge planners, and clinical leadership overseeing home-based acute care.
Features
- Real-time census scanning with ranked candidate eligibility scores and barrier checklists, including deep links back to source EHR data
- HAH Command Center with live map, nurse status, remaining schedules, and one-click visit reassignment that re-optimizes routes automatically
- Multi-channel stakeholder outreach (calls, texts, emails) with full audit trail of every interaction and resolution
- Voice agent that performs post-visit symptom check-ins, captures requirements, and automatically schedules follow-up visits with best-matched providers
- Intelligent blocker routing that detects delays (e.g., equipment, pharmacy) and reassigns nearby staff to avoid idle time and missed visits
- Real-time visit ETAs communicated to patients and family members, plus program metric alerts when readmission risk or other trends shift