For hospice and palliative care

Comfort care at home, with the family on the same record.And the patient can still say what they need.

Families already run the care at home in ExpressAgain. Your hospice and palliative clinicians join that same record with their own logins: the comfort phrases the patient taps, the day plan, the doses, the symptoms, the team feed and the papers that say who can speak for the patient.

In the browser on any phone, tablet or computer. Nothing to install.

  • Hospice agencies caring for patients at home
  • Palliative care programs following patients between visits
  • Hospice and palliative clinicians already on a family's care team
A nurse at the bedside of an older man who is using an oxygen mask

Where your team works

Most of the day happens when your team is not in the room.

  • The patient may not be able to say it

    Speaking can take more breath and strength than the patient has. A phrase the patient can tap, and hear said out loud, is often the quickest way to say I hurt, I can't breathe or please stay with me.

  • The family is there between your visits

    The family and the professionals in the home see the night, the pain and the doses. Your team needs what they saw, written down with who saw it and when, not remembered at the next visit.

  • The wishes and the papers need to be findable

    Who can speak for the patient, whether the advance directive is signed, and the emergency plan should be one tap away for everyone on the team.

Built for fewer phone calls between visits and for a team that sees the same picture as the family. A pilot measures these with you, with your own patients.

At the bedside

What the patient and the family use every day, and your team reads.

The family runs the record and names the patient, so the app says Sam's Day and Sam's care, never a pronoun. Every card below is in the app today and links the Help Center article that describes it. Families can read about it on the hospice and palliative care page.

  • Hospice & Palliative mode: comfort phrases first

    Comfort, pain, breathing and family phrases at the top of Communicate, said out loud with one tap.

    How it works

    When the family chooses the Hospice & Palliative mode, the Comfort & End of Life phrases open first in the Phrase Library and Communicate shows four columns near the top: comfort, pain with a scale from 0 to 10, breathing and family. The library also holds wishes and decisions (I want to stay at home, please call my hospice nurse), spiritual care, feelings, memories and rest. The phrases are the patient's own words; the app speaks them for the people in the room and never calls anyone or changes a medicine.

    Hospice and comfort phrases →
  • The day, as the family runs it: Sam's Day

    The day in time blocks with steps and how-to videos, ticked off by whoever is there.

    How it works

    The day plan holds the day the family wants: turning, mouth care, meals, rest, each block with its steps and a how-to video the family records. The family or the professional on shift taps each step off and the log keeps who did it and when. Your clinicians see the same day on their dashboard, with the same ticks. Every label says the patient's name, never a pronoun.

    The day plan →
  • A symptom log with photos and videos

    One tap for pain or a fall, where it hurts, and up to three photos or short videos on the entry.

    How it works

    Pain with where it hurts, leg pain with which leg, a fall, nausea and the rest, each stamped with the time and who logged it, with up to three photos or short videos. The app never scores or interprets an entry, and the pictures are seen only by the people who read the symptom log; they are never sent in an email or a text.

    The symptom log →
  • The help button: used, and needed but not used

    A log of each press and each time help was needed and the button was not pressed.

    How it works

    When the patient wears a help button, the family records the day it was given, then logs Pressed the help button or Needed help, didn't press the button, with whether it was on and what happened. The Help button card counts them week by week, and Since your last visit adds one line of counts. It keeps counts of what was logged and never raises an alert.

    The help button →
  • As-needed doses, and every dose change ordered

    An as-needed dose is logged with one tap under the name of whoever gave it, and every ordered change is kept.

    How it works

    An as-needed medication has Give a dose and Given earlier instead of a schedule, with a count against the label's limit typed by the family; at the limit the card says to check with the care team, and it never stops anyone from logging or advises. Each medication keeps a dose history of every change ordered, with the day it starts and who ordered it, and each change is a line on the team feed. The app records what was ordered; it does not check or suggest doses.

    Prescriptions and the dose history →
  • Important papers: who can speak for the patient

    The health care power of attorney, the living will and who holds which authority, with a status for each.

    How it works

    A checklist of the papers that let the family speak and act for the patient: the health care power of attorney, the living will, the Medicare and Medicaid representative forms, the financial power of attorney and the rest, each with a status and the signed copy. Badges such as Health care agent show on the Care Team page and on the Emergency Plan Card. Your clinicians read the statuses and the badges, never the stored copies, and Signing Mode in Communicate gives the patient nine quiet answers for a signing.

    Important papers →
  • The Emergency Plan Card, in the app

    The patient emergency plan identification card, kept current by the family and ready to print.

    How it works

    The paper Patient Emergency Plan Identification Card, kept in the app: demographics, qualifying conditions, the evacuation plan and the rest of the card's fields. The family keeps it current, every clinical login reads it, and one button prints it.

    The Emergency Plan Card →
  • Home Care Team Plan, for the people in the home

    The family's 25-section plan, filled from what is already in the app, printed for your team.

    How it works

    The 25 sections of a home care team plan on one page, each filled live from what the family already entered: the Emergency Plan Card, Important papers, Prescriptions, the day plan, the care targets and the weekly schedule. Where two pages disagree it shows both and says These don't match. The family opens and prints it; it is the family's working copy and does not replace your plan of care.

    Home Care Team Plan →
Book a 30-minute hospice and palliative demo

We open one patient's home with you in the demo.

Your clinicians

A Hospice login and a Palliative care login, each with the tools of a medical discipline.

Like a physician or a nurse, a hospice or palliative login updates the care targets, recommends the diet, records the dose changes that were ordered and writes the team's standing instructions. Therapists and the professionals in the home read them.

  • A Hospice login and a Palliative care login

    Each discipline joins the family's care team with its own single-use code and its own password.

    How it works

    The family's Care Team page has a Hospice code and a Palliative care code, next to Nurse and Physician. Your clinician enters the code at the IDC Team sign-in, says who they are and chooses a password, then signs in from any device. The login sees the shared clinical record for that patient: the day plan, medications, targets, Health Tracking, notes and reports, never the family feed.

    Join a patient's care team with a code →
  • Since your last visit: pain, symptoms, sleep and comfort

    The dashboard opens on what changed since your last visit, chosen for hospice and palliative care.

    How it works

    A hospice or palliative login lands on Since your last visit: pain, symptoms, sleep and fatigue, notes from the team and the family, and, while the family's mode is Hospice & Palliative, how often the comfort and wishes phrases were used. Every line is a count, a range or what changed since your last logged visit, and none of it is a judgment about the patient.

    Since your last visit →
  • Set the care targets and recommend the diet

    Hospice and palliative logins update the targets and the diet, stamped with who changed them.

    How it works

    Like a physician or a nurse, a hospice or palliative login can update the care targets and the when-to-call instructions on the Care targets tab, and recommend the diet the kitchen follows. Each change is stamped with who made it and when, keeps the earlier value with a Put back button for the family, and goes on the team feed. Therapists, paramedics and the Home Team's professionals read them.

    Targets, when to call, and care alerts →
  • Care alerts, in plain lines

    Readings and symptoms reach your clinicians as plain lines; one outside the targets goes at once.

    How it works

    Each glucose, vitals or symptom entry becomes one plain line that goes to the active clinical logins on the circle (the help button log never does), and a line outside the targets goes out at once. Each clinician chooses instant, a daily digest or off. The email carries the lines; a text says only that a new alert needs a look, with no values. An alert says what was logged and whether it was inside the targets, and nothing more.

    The Alerts tab →
  • The team feed, with the family

    One conversation for the family and every discipline, with the day's activity in it.

    How it works

    The care team's own feed: your hospice and palliative logins, the nurses, the physician, the therapists and the family members who run the care read and post there, and a dose, a reading or a ticked step shows as an activity line with the initials of who logged it. Friends and the wider family never see it.

    The IDC Team feed →
  • The Visit Flow Sheet

    One entry per visit, stamped with your clinician's name and discipline, with that day's readings pulled in.

    How it works

    The home-visit treatment flow sheet, kept in the app: the visit date and time, the boxes the paper has, and Use that day's readings to pull what Health Tracking holds for that date. Each entry is stamped with the clinician's name and discipline, the values are kept as typed, and the family reads every visit.

    The Visit Flow Sheet →
  • After a visit: the wrap-up and standing instructions

    A note for the family, instructions that stay on the record, and the next visit booked.

    How it works

    When a visit on the patient's Schedule ends, your clinician gets one message with a link to wrap it up: what was logged during the visit, a note to the family, instructions for the patient and the family, standing or until a day, and the next visit. Hospice and palliative logins also add or change the team's standing instructions, with their name and the time on each.

    After a visit →
Book a 30-minute hospice and palliative demo

See Since your last visit as your clinician sees it.

Your organization

Every patient you follow, on one panel.

A family can bring one of your clinicians in with a code, with no organization at all. When you want the whole program on it, we set your hospice up as an organization, and your team works from the panel.

  • Your hospice as an organization

    Set up with our team as an organization of the kind Hospice, with one panel for every patient you follow.

    How it works

    ExpressAgain sets your hospice or program up as an organization of the kind Hospice. The panel lists every patient you enrolled with the last reading, open alerts and unread feed, and Open takes a clinician with access into that patient's dashboard. Archive closes a patient out of the program with a reason, ends every access and keeps the history.

    The organization panel →
  • Enroll a family by email or text

    The message names your hospice and its location, never the patient, and the family says yes.

    How it works

    Enroll a patient sends the family an email or a text that names your organization and its location only, never the patient, with a link they accept, creating an account first if they need one. Each enrollment has a primary clinician and coverage: covering colleagues, a coordinator and the office people who work with them. An enrollment can also cover the patient's access.

    Enrolling patients and coverage →
  • Feed and alerts, with an escalation window

    One stream of alerts and team posts across your patients, acknowledged, with escalation per location.

    How it works

    Feed and alerts is one stream of the alert lines, the team-feed posts and the activity of every patient you may see, filtered by patient or by what is waiting. Acknowledge records it on your side and never touches the family's settings. An escalation window per location emails the primary and covering clinicians when a flagged alert waits too long.

    Feed and alerts, and escalation →
  • Your team, each with a discipline

    Invite your nurses, physicians and hospice and palliative clinicians, each with a role and a discipline.

    How it works

    Team lists your organization's members with their role, location, discipline and status. Invite by email; the person sets a password and signs in at the IDC Team sign-in, one identity across every patient you follow. A member whose own discipline is hospice, palliative care, nurse or physician can update targets for a patient they have access to.

    Team: inviting your people →
  • Start in preview

    A small number of patients and people before your agreement is signed, to see how it works.

    How it works

    Before your agreement is signed, your organization is in preview: a few patients and a few people from your team, three of each unless agreed otherwise. At the number, Ask for more patients, Book a call and Unlock all hospice features appear. Once it is signed, the limit is gone and your administrators invite everyone they need.

    Preview and signed organizations →

Connecting your own systems

The Partner API reads what families shared with your organization and pushes readings and documents back, with every call logged; keys are issued after a signed BAA. The HL7 v2 feed is built and pending activation.

We sign a Business Associate Agreement with partner organizations once our vendor agreements are complete; that is in progress now, so ask us for the timeline.

How a program starts

Three steps, starting with one family.

  1. Book the 30-minute demo

    We walk through one patient's home with you: the comfort phrases, the day plan, the symptom log, Important papers and what your clinician sees on Since your last visit.

  2. Start as an organization in preview

    We set your hospice or program up as an organization of the kind Hospice, with a few patients and a few people from your team before any agreement is signed.

  3. Enroll your first families

    Enroll a family by email or text, or ask a family already on ExpressAgain for the Hospice or Palliative care code. Your clinicians join and land on Since your last visit.

Questions

What hospice and palliative teams ask us.

Start with one family. See what your team sees between visits.

Book the 30-minute hospice and palliative demo, or tell us about your program and a real person replies within one business day.

Book a 30-minute hospice and palliative demo

Request a demo

Talk to us about your hospice or palliative program.

How many patients you follow at home, which disciplines visit, and how your team hears from families between visits today. A real person replies within one business day.

Rather pick a time now? Book a 30-minute hospice and palliative demo.

Your details go to our team only.

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