For rehabilitation, skilled nursing and assisted living
A voice at the bedside, and a plan for going home.With the family in it, wherever they live.
For the patient who wakes unable to speak, Communicate says the words out loud. For the family, Visit Planning holds your floor, the room, your visiting hours and who is coming. For discharge, your therapists' recommendations land on the family's Coming Home page and carry into the Home Care Team Plan.
In the browser on any phone, tablet or computer. Nothing to install.
- Inpatient rehabilitation facilities
- Skilled nursing facilities: short-term rehab and long-term care
- Assisted living and memory care communities
The stay
Weeks in your building, a family on the phone, and a day when the patient goes home.
Waking up without words
After a stroke, a brain injury or a breathing tube, a patient may understand everything and say nothing. Communicate says the words out loud from the first day in your building.
See at the bedside ↓A family far away
Where is the patient, when can we come, who is there today, how was the day? The family answers those questions in Visit Planning and on the family feed, not at the nurses' station.
See the family's side ↓Therapy that has to go home
The exercises, the transfer, the equipment and the room setup: your therapists file them from their own login, and they land on the family's Coming Home page.
See going home ↓A discharge home
The family walks into the discharge conversation with its questions printed, and leaves with a Home Care Team Plan the home team can work from.
See going home ↓
Built for fewer calls to the nurses' station about when to visit, and for a discharge where the family already holds your therapists' recommendations. A pilot measures these with you, on one of your units.
At the bedside
A patient who cannot speak still has something to say.
Communicate is free for every patient. The family sets it up on the patient's own phone or tablet, your speech therapist adds the words that matter, and the app waits as long as it takes. Every card below is in the app today and links the Help Center article that describes it.
Tap a phrase, and the app says it out loud
Communicate, for a patient who understands but cannot speak, free for every patient.
Tap any phrase to speak it →How it works
Speak holds the phrases needed most and a sentence builder; Type lets a family member type anything and have it spoken; Letters is an alphabet board the patient spells on, letter by letter, and the board speaks it. A 3 at a time switch shows a few choices at once, for calmer days. There is no timer and no rush. Communicate is free for every patient and never behind a paywall.
ICU and after-surgery phrases
For a breathing tube or fresh surgery: breathing, the nurse, pain from 0 to 10, yes and no.
ICU and after-surgery phrases →How it works
Two categories for the hospital bed: ICU & Breathing Tube and After Surgery. Short, first-person phrases for breathing, calling the nurse, pain from 0 to 10 and where it hurts, yes and no, comfort and position, water, ice chips and the light. The app speaks the words for the people in the room; it does not call the nurse or ring an alarm.
Sam's words, added by your speech therapist
Names, places and needs no ready-made library could know, first on the patient's screen.
The patient's own words →How it works
A group named after the patient, such as Sam's words, for a grandchild's name, the family church or a favorite show. The family adds them, and a speech therapist on the care team adds words from the care-team dashboard with Add words to Sam's library. They come first on Communicate, in every mode, and every word says who added it and when.
Medical Words, in plain language
What a word means, why it is used and what to expect, with questions to tap and ask.
Medical Words →How it works
A plain-language dictionary: what an MRI is, why the team uses saline, what to expect. Each card offers questions the patient can tap to ask out loud, such as Why do I need saline? It explains words, never the patient's own case, and points back to the care team.
A sign-in of the patient's own
A number code on the tablet or phone the family marks as the patient's.
The patient's own key →How it works
The family can add the patient's own sign-in: an email and password on the same account, or a 5 to 10 digit number code that works on the devices marked as the patient's. On that tablet the login page shows a number pad, so the patient opens Communicate without typing an email.
We show Communicate on a tablet, the way a patient in your building would use it.
The family, near or far
Where the patient is, when to come, and how the day went, in one place the family runs.
The family names the patient, so the app says Where Sam is and Sam's Schedule. Your visiting hours and your rule for the room sit beside the family's calendar, and the relatives flying in keep their travel in the same app.
Where Sam is, with the floor, the room and your visiting hours
Visit Planning: the facility, the floor and room, the visiting hours and a shared calendar.
Visit Planning and the room schedule →How it works
The family sets the place as Hospital / Rehab with your facility's name, the floor, the room and your visiting hours, and Where Sam is shows them to everyone in the circle. A month calendar shows who is coming when, with Add my visit. When the patient goes home, the family switches the place to Home and the old floor and room are no longer shown.
A Room Schedule that keeps your facility's rule
Fixed visiting blocks, two people by day and one overnight, unless the family sets your number.
Visit Planning and the room schedule →How it works
While the place is a hospital or rehab room, the Room Schedule shows the day in fixed blocks from 7 AM, with two visitors in a block by day and one overnight. Under Edit rules & times the family writes your visiting rules, sets the number your unit allows and hides the blocks that are not open. The server keeps the number: a full block takes no more bookings.
Visitor requests, and the patient's own say
The family answers each request, and the patient can say Not today.
Visitors: the patient's own view →How it works
A request lands in Visitor Requests, where the family answers Approved, Please wait or Not today. The patient's own readiness steers it: on the Visitors page the patient sees who is coming and who wants to visit, answers Yes, Maybe later or Not today, and How I feel about visitors can change at any time.
A visit link for people outside the app
One link shows where and when to come, and lets a guest ask for a time.
Visit Planning →How it works
The family creates a shareable visit link. A guest sees where and when to come and who is already coming, and asks for a time; the request goes to the family's approval queue. There is no medical information on that page.
Travel & Logistics, for the family coming from far away
Flights, lodging, pickups and trip notes, so nobody waits at an airport.
Visit Planning, requests and travel →How it works
Travel & Logistics holds the flights, the lodging, the pickups and the trip notes for the relatives who fly in. A trip on the Schedule marks those days Away, and no visit is booked inside them.
The daily note, for everyone who cannot be there
Each evening a short note about the day, written from what was logged.
The daily note →How it works
The daily note writes up the day for the family feed from what was logged: the readings in words, the meals, the mood, who came. It is written by fixed rules, never by a model, and reviewed by the family before it posts in its first week. Friends get a gentler version that never carries a number, a medication or a symptom name.
Bring your visiting rules to the demo, and we set up a room with them.
Going home
Your therapists' recommendations go home with the family.
Each of your therapists and nurses signs in with a login of their own. What they assign and recommend lands on the family's Practice and Coming Home pages, and the family arrives at discharge with the questions, the equipment list and a plan for the first weeks home.
A login for each of your therapists and nurses
One code per discipline, and each person signs in with their own email and password.
Invite a clinician with a code →How it works
The family creates a code for each discipline: speech, physical and occupational therapy, nurse, physician and more. Your therapist joins at the IDC Team sign-in with the code, a name, credentials and your facility's name, and lands on Since your last visit, a summary chosen for that discipline. Each discipline gets only its own action tabs.
Exercises that carry on at home
Assign exercise from presets in your discipline's language; they show up on the Practice page.
Assign exercises and home recommendations →How it works
Speech, physical and occupational therapists have Assign exercise: presets such as naming practice around the house, morning dressing practice, bed-to-chair transfers and sit-to-stand, with goal defaults and a preview of what the family will see. The exercises appear on the patient's Practice page, which never grades, and the whole team sees each other's assignments.
Home recommendations, filed where the family acts on them
Filed by category, marked Done, In progress or Need help, and you see which.
Coming Home: getting ready for discharge →How it works
Your therapists file each home recommendation under one of four categories, such as Communication setup, Daily living & environment or Mobility & safety, with the equipment, the room and what to do in an emergency. They land on the family's Coming Home page, where the family marks each Done, In progress or Need help, and that status shows back on the therapist's dashboard.
Coming Home: ready for the discharge conversation
Checklists to ask the team, gather the equipment and ready the home, printed for the meeting.
Coming Home →How it works
Coming Home has Ask the team (equipment and who orders it, mobility and safety, therapy and home health, medications and follow-up, who to call), Equipment and Ready the home, and one button prints the list to take to the meeting. Every list is a prompt to confirm with the care team, never medical advice.
The Home Care Team Plan, for the first weeks home
The 25-section plan, filled from what is already in the app, from the day of discharge.
Home Care Team Plan →How it works
The 25 sections of a home care team plan on one page, from the Patient Profile and the Weekly Coverage Plan to the Medication Plan and the Team Readiness Checklist, each filled from what the family already entered. When the family logs the discharge on the Care Team page, that day is the plan's start date. Where two pages disagree it says These don't match. It is the family's working copy, not a licensed professional's plan of care.
The Emergency Plan Card, ready for home health
The patient emergency plan identification card, kept current and ready to print.
The Emergency Plan Card →How it works
A home health agency's Patient Emergency Plan Identification Card, kept in the app: demographics, qualifying conditions, the evacuation plan and the rest of the paper card's fields. The family keeps it current, every clinical login reads it, and one button prints it for the agency that takes over at home.
See a home recommendation go from your therapist's dashboard to the family's Coming Home page.
How your facility connects
Start with a login for your therapists. Grow into an organization, the Partner API and HL7.
Care-team logins, one per discipline
The fastest start: a family that already uses ExpressAgain gives each of your therapists and nurses a code. They join at the IDC Team sign-in, see that one patient's clinical window (the day plan, medications, targets, tracking, notes and reports) and never the family feed.
Join a patient's care team with a code →Your facility as an organization, starting in preview
ExpressAgain sets your facility up as an organization with our team. In preview, before the agreement is signed, a few patients and a few people from your team can start: three of each unless agreed otherwise. The organization panel shows every patient you follow, with the last reading and open alerts. Open goes straight into that patient's care-team dashboard.
Preview and signed organizations →Enroll a family from the panel
Enroll a patient by the family's email or mobile number: the message names your facility and its location, never the patient, and the family accepts, creating a free account first if they need one. Archive asks why a patient is leaving, such as moved to another facility or discharged from the program, and ends every access.
Enrolling patients and coverage →The Partner API
Keys after a signed BAA
Your facility gets a six-character share code. A family types it, sees your name, picks exactly what you may read or add, and can revoke it at any time. Your system then reads the readings, medications and care plan those families shared, and sends readings and PDF documents back, with every call logged.
Share with an organization →HL7 v2 feeds
Pending activation
Admits, discharges, results and appointments from your system, through an interface engine we operate. A family links your facility's code and the patient's record number, and nothing is ever matched by name. The family can send home readings back to you as results.
Interoperability →
The Partner API reference is on Developers, and the feeds and keys are set up with our team on Partners & Integrations. Nothing is shared with your facility until a family says so, and the family can end it at any time.
How a facility starts
Three steps, starting with one unit.
Book the 30-minute facility demo
We walk through one patient's stay with you: Communicate at the bedside, Visit Planning with your visiting rules, your therapists' recommendations on Coming Home and the Home Care Team Plan.
Start with one unit, in preview
We set your facility up as an organization in preview, with a few patients and a few people from your team, and the numbers agreed with you.
Bring in the first families and therapists
Enroll a family from the panel, or a family that already uses ExpressAgain gives your therapists their codes. Each therapist signs in with their own login.
Questions
What facilities ask us.
Start with one unit. See a voice at the bedside and a plan for going home.
Book the 30-minute facility demo, or tell us about your facility and a real person replies within one business day.
Request a demo
Talk to us about your facility.
Inpatient rehab, skilled nursing or assisted living, how many units, and what you want to solve first: a voice at the bedside, families and visiting, or the trip home. A real person replies within one business day.
Rather pick a time now? Book a 30-minute facility 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