Cohezon offers a care‑continuum platform that links hospitals, post‑acute providers, primary care, and patients, enabling seamless coordination across fragmented electronic health record systems. The platform includes two digital assistants—Dina for care managers and Mena for patients and families—to streamline discharge navigation and post‑discharge planning, reducing readmissions and unnecessary bed days.
Funding
Funding not disclosed
Founders
Product
Problem
Patients and families often face fragmented handoffs after hospital discharge, leading to confusion, delayed follow‑up, and high readmission rates. Care coordinators must juggle multiple EHRs, referral tools, and communication channels, which creates inefficiencies and increases costs.
Solution
Cohezon provides a care‑continuum platform that sits above existing systems and links hospitals, post‑acute providers, primary care, and patients within a single workflow. The platform includes two digital assistants: Dina supports care coordinators in managing referrals and discharge plans, while Mena guides patients and families through their post‑discharge journey with plain‑language information. By centralizing data and communication, the solution enables faster hospital discharge, complete referrals to post‑acute settings, continuous primary‑care updates, and transparent family notifications. The unified engine reduces reliance on fax, chat, and siloed tools, helping to lower readmission risk and avoidable hospital days.
Target Audience
Primary users are hospital discharge planners, RN case managers, and post‑acute care organizations, with secondary users including primary‑care physicians and patients/families navigating the transition from hospital to home.
Features
- Unified care‑continuum layer that connects hospitals, skilled‑nursing facilities, home‑health agencies, primary‑care practices, and patients without requiring deep EHR integration
- Dina assistant for care coordinators: automated referral generation, facility discovery, and real‑time status tracking of post‑acute placements
- Mena assistant for patients and families: bedside and at‑home navigation with plain‑language explanations of next steps, options, and responsibilities
- End‑to‑end workflow that captures discharge plans, shares them across settings, and keeps families informed via secure messaging
- Cloud‑based platform designed to overlay existing clinical systems, reducing the need for multiple point solutions
- Analytics dashboard showing readmission risk, referral completion rates, and cost impact of avoided hospital days