For EMS and community paramedicine
Walk in knowing what is current.From the record the family and the doctor already keep.
When a practice refers a patient to your service, your crew opens one page on a phone before the visit: allergies and DNR, the medications taken today, what the doctor changed lately, the latest readings and the family's emergency card. After the visit, Log this visit puts what your crew found on that same record.
In the browser on any phone, tablet or computer. Nothing to install.
- Community paramedicine and mobile integrated health programs
- Ambulance services and EMS agencies that make scheduled home visits
- Paramedics and EMTs a practice or a family asks to follow a patient at home
At the door
A kitchen table full of bottles, and nobody sure which ones are current.
Which medications are current
Bottles from more than one prescriber on the kitchen table, some stopped, one paused, one stepping down. Nobody at the door is sure which ones the patient takes today.
What happened since the last visit
The readings are on paper, or in a family member's head, and that family member is at work. The doctor changed a dose last week and the note never reached your crew.
A patient who cannot say it
After a stroke, with aphasia or on a ventilator, the patient cannot tell your crew what hurts, who to call or who speaks for the patient.
Built for crews who know what is current before the door opens, and for findings the doctor and the family read as soon as the visit is saved. A pilot measures these with you, on your own visits.
Before and during the visit
What a crew needs before the door opens, on one phone page.
The field view is read-only and opens only for a patient in your caseload. The family runs the record and names the patient, so the page says How to talk with Sam and Who can speak for Sam. Every card below is in the app today and links the Help Center article that describes it.
The field view: one page, on your phone
Allergies and DNR first, then what the patient takes today, read before your crew knocks.
Partners and the partner caseload →How it works
Field view on the patient's row opens one read-only page built for a phone, in the order a crew needs it: allergies and DNR at the top, the medications taken now, the dose changes, the latest readings, the last visit and the emergency information. It shows what the family and the care team recorded, as it was logged, and calls no reading high or low.
Which medications are current, with today's dose
Current medications with today's dose; paused and stopped ones closed, with why and since when.
Prescriptions: medications, allergies and pharmacies →How it works
Current medications list today's amount and when it is given, the reason and who ordered it. A taper shows today's step, a medication on set days says whether today is a dose day, and an as-needed one shows the doses given today. Paused and Stopped sit in closed sections with a count, so a bottle on the table that is history reads as history.
What the doctor changed lately
The dose changes recorded in the last 30 days, with who recorded each one.
Dose history and tapers →How it works
Recent dose changes lists what was ordered in the last 30 days, such as an increase, a decrease or a stop, with the date it starts and who recorded it. Your crew reads the dose history; the family and the doctors and nurses on the team record it. The app records what was ordered and never suggests a dose.
The latest readings, with who and when
The newest of each reading from the last 14 days, with the time and who logged it.
Health Tracking: the bedside chart →How it works
Glucose, blood pressure, pulse, oxygen saturation, temperature, respirations, pain score and weight, each the newest from the last 14 days, with the time on the patient's clock and who logged it: the family, a home professional, a nurse or your own crew.
The emergency information, and who speaks for the patient
The family's emergency card, how to talk with the patient, and who can speak for the patient.
Important papers: who can speak for the patient →How it works
From the Emergency Plan Card the family keeps: the advance directive, the conditions checked on the card, oxygen with its flow, implants and devices, the address and cross street, the next of kin and the physician with tap-to-call numbers, and How to talk with Sam, a note the family writes for responders. Who can speak for Sam lists the badges the family set from signed papers, such as Health care agent and the person's name.
Log this visit
When, the vitals your crew took and the findings, saved to the record the family and doctor share.
Referrals and the partner caseload →How it works
Log this visit is the field view's one main button: the date and time, any of blood pressure, pulse, respiratory rate, oxygen saturation, temperature, blood sugar, weight and pain from 0 to 10, and the findings in plain words. Saved, it is one line on the record's feed that the family, the practice and your service read, with the findings behind a tap; each vital lands in Health Tracking under your crew member's name, and the field view shows it as the Last visit.
The whole record, one tap away
Open the record puts your crew member on the care-team dashboard as a community paramedic.
Since your last visit →How it works
Open the record takes your crew member into the same dashboard the family's nurses and doctors use, as a community paramedic. It opens on Since your last visit, which for a community paramedic shows the vitals, falls, alerts and the emergency card since the last visit, and the Emergency card tab holds the whole card, Notes included.
We walk through the field view and Log this visit with you, step by step.
Your caseload
The patients practices refer to you, and the crew on each one.
Your service's panel reads Caseload. Each referral names exactly one patient, so your people see the patients referred to your service and never the rest of the practice's.
A caseload of referred patients
Each referred patient with the practice that referred, who, when and why.
Partners: the companies your organization works with →How it works
Your service's panel reads Caseload. A patient a practice referred to you shows Referred by, the practice's name, who referred and when, and the reason. Your administrator sees every live referral and picks who visits; Add crew puts more of your people on a referral. Everyone else sees only the referrals they are on, and never the practice's other patients.
Requests for an in-home assessment
A practice asks for a visit as Routine, Same day or Urgent; you accept or decline.
Referrals and requests from a practice →How it works
A practice can ask your service for an in-home assessment with a reason, how soon (Routine, Same day or Urgent) and who it would like to visit. Open requests sit at the top of Caseload: Accept and pick the person, or Decline with a reason. The visit your crew logs completes the request, and the practice sees the findings.
Feed and alerts across your caseload
One stream of alerts, team posts and activity for the patients you may see, with Acknowledge.
Feed and alerts, and acknowledging →How it works
Feed and alerts is one stream across your caseload, newest first, filtered by patient, by type or unacknowledged only. Acknowledge records it on your organization's side and never touches the family's own alert settings; Open patient switches to that patient's dashboard.
How readings reach your crew
Each crew member chooses instant, a daily digest or off, patient by patient.
The Alerts tab: how readings reach you →How it works
Every reading the family or the team logs becomes an alert line for the patient's clinical logins, and a reading outside the targets the family typed goes out at once. Each crew member sets the Alerts tab for each patient: every reading or only flagged ones, instant, a daily digest or off. A text never carries a value.
Bring the list of practices that refer to you today.
What the family keeps ready
On the patient's phone and in the record, before your crew arrives.
These are the family's own pages, free for every family. They are what your crew finds on the patient's phone at home and on the Emergency card tab of the record.
Critical medical info, on the patient's phone
A card marked read-only for emergency responders, on the patient's Emergency page.
The Emergency page and SOS →How it works
Emergency is the last link in the menu, in red, on every screen of the patient's app. Its Critical medical info card, marked Read-only for emergency responders, shows the patient's name, date of birth, allergies, medications, DNR or directive and facility, as the family entered them.
Communicate, for a patient who cannot speak
The patient taps a phrase and the app says it out loud: what hurts, and where.
Tap any phrase to speak it →How it works
The patient taps a phrase and the app says it out loud. The Emergency page has emergency phrases spoken with one tap and a way to show pain and where it is on the body; Communicate builds a message or spells a word on the letter board. There is no timer and no rush.
The Emergency Plan Card
Conditions, oxygen, the evacuation plan and transport, kept current and printable.
The Emergency Plan Card →How it works
The family keeps the patient emergency plan identification card in the app: the conditions that apply, such as oxygen, a ventilator, bedbound, dialysis or pets in the home, the oxygen flow, the next of kin, the physician, the evacuation plan and the transport it needs, Ambulance among them. Every clinical login reads it, and one button prints it.
How a crew gets in
The family writes how EMS gets in on the card, such as where a lockbox is, never the code.
Door access →How it works
On Door access the family ticks EMS can get in (emergency code or lockbox), then writes how a crew gets in, such as where the lockbox is or who to call, in the Notes on the Emergency Plan Card, never the code itself. Your crew reads those Notes on the record's Emergency card tab.
Get Help Now reaches the family, not 911
A help alert goes to the family and the professional on shift; the app never calls 911.
Get Help Now alerts →How it works
Get Help Now speaks at once, gives five seconds to cancel, then alerts the family: whoever runs the account, the family members who share the care, and the home professional on shift, with backup contacts called when nobody answers. It never alerts your crew or the clinicians, and the app never calls 911 by itself: with no answer, the patient's screen says Call 911 now, with a button.
See the Emergency page and the Emergency Plan Card in the demo.
How you connect
Three ways in, and one for your own system.
A practice refers a patient to your service
A practice on ExpressAgain keeps your service on its Partners list, linked to your organization, and refers an enrolled patient to you, to one of your people or to your administrator to assign. The family is told on the care-team feed and by a phone notification, and can end the referral from the Care Team page; ending it takes the patient off your caseload at once. On Settings, the partner directory lets your service be listed, find a partner on ExpressAgain, and ask, accept or decline. Nothing pays or rewards anyone for a referral.
Partners and referrals →Your service as its own organization
ExpressAgain sets your service up as an organization of the kind EMS / community paramedicine, starting in preview. Your administrators invite your paramedics and EMTs, who sign in with their organization email and password. Your service can also enroll a patient it follows itself, by the family's email or mobile number: the message names your service and its location, never the patient, and the family accepts.
Preview and signed organizations →One paramedic, one family
A family can give one of your paramedics a login of their own: on the Care Team page, the Community paramedic / EMS (CP/MH) code. Your paramedic joins at the IDC Team sign-in and reads the patient's record like any clinical login: the day plan, the medications, the readings, the alerts and the emergency card.
Invite a clinician with a code →
Charting in your own system? The Partner API takes the same home visit from it (when, who, the vitals and the findings) for patients whose families shared with your service by share code. Keys are issued after a signed business associate agreement, and your patient care record vendor, or your own system, has to agree to send. No dispatch, CAD or patient care record product is connected today. Log a home visit through the Partner API.
How a service starts
Three steps, starting with the practices that already refer to you.
Book a 30-minute demo
We go through how your crews would use the caseload, the field view and Log this visit, starting from the practices and hospitals that already refer patients to you.
We set up your service
Your service becomes an organization of the kind EMS / community paramedicine, in preview. Your administrators invite your paramedics and EMTs, and the panel opens on Caseload.
Your first patients
A practice on ExpressAgain links your service as its partner and refers a patient, or your service enrolls a patient with the family's yes. Before each visit, your crew opens the field view.
Questions
What EMS services ask us.
Start with the practices that already refer to you. Walk into the next visit knowing what is current.
Book the 30-minute demo, or tell us about your service and a real person replies within one business day.
Request a demo
Talk to us about your service.
Whether you run a community paramedicine program or make home visits from an ambulance service, which practices or hospitals refer patients to you, and how your crews chart today. A real person replies within one business day.
Rather pick a time now? Book a 30-minute demo.
One team, one plan
Built for the interdisciplinary care team
An interdisciplinary care team is a group of different health professionals who work together closely with the patient and family to create a single, shared treatment plan. ExpressAgain is the platform where all of those parties care for one patient together: the same day, the same medications, the same notes, and the same record of who did what and when.
Family
the daughter, the siblings, the friends who show up
Home care
aides hired directly or sent by an agency
Clinicians
nurses, therapists, hospice, palliative, paramedics
Agencies
the office that staffs, schedules and bills