Coordinating transitions from home to hospital and back again requires precise communication and shared accountability. Without reliable data handoffs, patients and caregivers face delays, duplicative work, and preventable risks.

XGC Software Inc. works with care teams to orchestrate seamless workflows across paramedicine, acute care, and community partners. We connect referral sources, standardize escalation protocols, and automate notifications so that everyone understands the next best action.

When building scalable pathways, focus on:

• Creating shared care plans that travel with patients between settings and update in real time.
• Capturing social determinants of health to connect patients with the right community supports after discharge.
• Embedding analytics that highlight bottlenecks, missed follow-ups, or gaps in transportation and logistics.

Our team helps organizations pilot, refine, and expand home-to-hospital programs powered by CareRelay and the national HIS. Together we can deliver compassionate, coordinated experiences that keep patients safe across every touchpoint.