For families, after a spinal injury
Still in the hospital. Already getting ready for home.
Your father is out of the ICU after a spinal injury, a surgery is still ahead, and the stay will be long. The plan after is home, with total care, around the clock. ExpressAgain starts on the ward: the surgeons and doctors, the visiting hours, the day plan and the medications go in now, and the same record follows the patient home to the Home Team.
Free to start, in the browser on any phone, tablet or computer. Nothing to install.
New to ExpressAgain? See the page for families.
The situation
It starts in the hospital, and it follows the patient home.
We started the app while my mom was in the hospital. It starts in the hospital or the facility, and then it follows you home.
A long stay ahead
Out of the ICU, a surgery still to come, tests still being run. The surgeons, the doctors, the surgery date, the visiting hours and the medications all go into the app now, from the ward, so nothing has to be rebuilt later.
Not a nursing home
The plan is home, with total care. The Home Team side of the app is built for exactly that: finding the professionals, the agreements, the shifts, the checklists, the clock and the pay, ready before the first shift.
Two teams, around the clock
One team Monday through Friday, another for the weekend, day and night. Each person has a recurring slot with the days it covers, and an open shift is offered when someone cannot come.
A record that moves with the patient
The app runs in the browser on any phone, tablet or computer. A transfer to another hospital, a move to be near a specialist center, and then home: the same record, the same logins, the same day plan.
What you set up now
While your father is on the ward, the record is built for where the patient is today.
Create the account, add the patient by name, and the whole app says Sam's Day, Sam's Schedule, Sam's care. Every card below is on the family's side of the app today and links the Help Center article that describes it.
Every surgeon and doctor, on the Care Team page
Each one is a contact card with a name, a role and a phone number to tap and call: the spine surgeon, the surgeon for the amputation, the gastroenterologist, the primary doctor, the clinic. Log a call or visit records the hospital admission, each call, who was on it and what was decided.
The Care Team page →A login for each clinician who should see the record
Give access on a doctor's card, or Add to your home team, mints a single-use code for that discipline: Physician (MD / DO / NP / PA), Nurse (RN / LPN), Physical therapist, Occupational therapist, Speech therapist, Palliative care and more. The person joins at the IDC Team sign-in and reads the day plan, the medications, the tracking and the notes.
Invite a clinician with a code →Visiting: where the patient is, and when people can come
Visit Planning shows where the patient is, the floor and room, and the visiting hours. A shareable visit link lets a guest see who is already coming and request a time; the family answers Approved, Please wait or Not today. While the patient is in a facility, the Room Schedule books the room in fixed blocks, two by day and one overnight. On the Visitors page the patient says I would like visitors today or No visitors today.
Visit Planning and the room schedule →The Schedule: the surgery date, the appointments, the days away
One calendar for a doctor appointment, therapy, the daily routine and travel. A stay at another hospital, or anything over more than one day, is one entry from a first day to a last day, and those days read Away to anyone booking a visit. Coming up reaches six months ahead, by month.
The Schedule →The day plan, named after the patient: Sam's Day
Time blocks for the day as the family wants it run, each with the steps to follow and a how-to video the family records. Whoever is on shift taps each step off, and the log keeps who did it and when. The app says the patient's name, never a pronoun, on every label.
The day plan →Health Tracking, started on the ward
Blood pressure and pulse, temperature, oxygen, weight, meals, sleep, a bathroom log for urination and bowel movements, symptoms such as pain, nausea or a fall, and personal care: a shower, a bath or bed bath, a wash-up, dressed, a skin check, moving around. Every entry carries who logged it. The chart records and displays; it never judges a value.
Health Tracking →Medications, with every change the doctors order
Each medication keeps its history: started, increased, decreased, paused, resumed or stopped, the day it starts and who ordered it. Times from the label become a dose-due pop-up for whoever is on shift, and a dose nobody logged counts as missed in the Medications report. The app records what was ordered; it does not check or suggest doses.
Prescriptions and the dose history →The papers that let the family speak for the patient
Important papers lists the health care power of attorney, the living will, the financial power of attorney, the Medicare permission to share and the rest, with each state's signing rules, a status for each and the signed copy uploaded. Insurance & Devices keeps the Medicare number sealed. My Vault holds private details behind a PIN, on the family's own device.
Important papers →
The Care Team page can be filled in from the hospital room this afternoon.
When the patient comes home
The Home Team: two teams, every shift, every checklist, every invoice.
Care Team helps manage the care. Home Team helps the patient at home: the aides, CNAs, LPNs and RNs on shifts, the companions, the household help. Each professional has one profile with the agreements, the documents, the pay and the schedule, and the home side is set up before discharge, not after.
Find the team
Find a team member sends a questionnaire to anyone the family is considering, and the Marketplace search finds professionals by service and ZIP area. Agencies & Quotes writes a de-identified overview and the proposed schedule, sends one link, and the agencies' quotes land back in the app side by side, with no access to the record.
Find a team member →Agreements and documents before the first shift
Home Team agreements drafts the Independent Service Agreement from the template, sends it, the professional signs, the family countersigns; an agency's own PDF goes in with its rules. One table shows who has completed the agreement, the W-9, CPR, the license, TB and the skills checklist.
Home Team agreements →Two teams, 24 hours a day, 7 days a week
On Home Team management, the Weekly schedule holds a recurring slot per person with the days it covers: the weekday team Monday through Friday, the weekend team Saturday and Sunday, day shifts and overnights that cross midnight, each at its own rate. When someone cannot come, the shift is offered as an open shift and whoever picks it up is on the schedule for that day.
Home Team management →A checklist at the start and the end of every shift
The family writes the Start of shift and End of shift items. An item can be verified from the day's data, such as vitals logged, medications given or a shower logged, or by a photo the professional must take before it counts. A required item left undone holds that day's pay for the family's review.
Shift checklists and photo proof →Bathed and dressed, out of the house, the barber
Bathing and dressing are blocks on the day plan with their steps, and the personal-care log records each shower, bath, wash-up and dressing with how the patient moved. An outing, the barber or a drive goes on the Schedule as a routine or an appointment, and an away clock-in place lets the professional clock in at a pick-up away from the house that day.
The day plan →Supplies, with the gloves, wipes and sanitizer on the list
Supplies keeps what the house stocks, by category: gloves, wipes, incontinence, skin, first aid, medical, cleaning and paper, and where each is kept. The guide suggests what a house like this usually keeps, from disposable gloves and disinfecting wipes to hand sanitizer and bed pads, and the grocery list carries what runs low.
Household and medical supplies →A clock that works only at the house
The family sets the house on Home Team management, and the Home Team clocks in and out only there: the phone's location is checked at the tap, never tracked in between. This week shows where every clock happened. A professional who is not there can only Ask the family to fix my time, and the family fixes the time or sends them back.
Clock in and out only at the patient's home →Timesheets, invoices and pay
The clock becomes the timesheet. Each professional, or the agency office, sends an invoice for the pay period; the family approves it, and Pay now shows their chosen method: Zelle, Cash App, direct deposit, a check, a bank transfer or a wire. Mark paid records how and with what reference, and the year's paid total shows on their profile.
Clock in and out, the time log and pay release →
Hiring, agreements and the weekly schedule are ready weeks before the first shift.
One record
The family, the care team and the Home Team read one record, each from their own side.
The family
The owner and caregiver-role accounts run the record from a phone, a tablet or a computer, in the browser. Nothing to install.
Who is who →The care team
Every clinician login opens the care-team dashboard: Today (the checklist, since your last visit, the schedule, the team feed, alerts), the patient's care, the patient, Clinical, My shifts, Paperwork, and Billing & pay. Every discipline reads the day plan.
The care-team dashboard →The Home Team on shift
Clock in at the house, the start-of-shift checklist, the day plan's steps to tap off, the dose-due pop-up for the medications on this shift, the end-of-shift checklist, clock out.
The app during a visit →
Every clinician login, whatever the discipline, reads the day plan.
Create a free accountQuestions
What families in this situation ask us.
Start the record today, from the hospital room. It comes home with the patient.
Create the free account now, or tell us where things stand and we will set the first pieces up with you.
Talk to us
Tell us where things stand.
Where your loved one is now, what the doctors have said about the stay, and what the plan at home looks like. A real person replies within one business day, and we set the first pieces up with you.
Rather start on your own? Create a free account.
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