How It Works

How ExpressAgain Works

Read it, select it, and let ExpressAgain say it out loud.

One team, one plan

Built for the interdisciplinary care team

ExpressAgain is an integrated patient care, communication, and care management platform built for people who can think, read and remember clearly but struggle to speak, as well as people who can speak for themselves but have no safe, trusted way to show whether the care they're receiving is the care they're owed.

As an all-in-one platform, it brings patients together with the families, caregivers, nurses, therapists, physicians and agencies who care for them, so everyone works from one plan, one schedule and one shared record, from the hospital to home.

The same day, the same medications, the same notes, and the same record of who did what and when.

The patient in the middle, with families, caregivers, nurses, therapists, physicians and agencies in boxes around the patient, an arrow between each box and the patient, and a ring through all six boxes that says One plan, One schedule, One shared record.The patientone person, one planFamiliesthe daughter, thesiblings, thefriends who show upCaregiversaides, CNAs andcompanions in thehome, hireddirectly or sent byan agencyNursesRNs and LPNs onvisits, shifts andmedications, withthe visit noteTherapistsspeech, physicaland occupational,with exercises topractice at homePhysiciansMDs, DOs, NPs andPAs, reading whatchanged since thelast visitAgenciesthe office thatstaffs, schedulesand billsOne plan · One schedule · One shared record

The patient is in the middle, and six kinds of people care for that one person. Every arrow runs between a box and the patient, and the ring runs through all six:

  • Families: the daughter, the siblings, the friends who show up.
  • Caregivers: aides, CNAs and companions in the home, hired directly or sent by an agency.
  • Nurses: RNs and LPNs on visits, shifts and medications, with the visit note.
  • Therapists: speech, physical and occupational, with exercises to practice at home.
  • Physicians: MDs, DOs, NPs and PAs, reading what changed since the last visit.
  • Agencies: the office that staffs, schedules and bills.

All of them work from one plan, one schedule and one shared record: the day plan the family writes is the one the aide follows and every care-team login reads.

Hospice, palliative care and community paramedic clinicians join the care team the same way, with a code from the family.

The Core Interaction

No writing. No typing. No speaking from scratch.

Instead of asking you to write, type, or speak from scratch, ExpressAgain gives you a clear, organized library of phrases and questions. Find what you want to say, tap it or highlight it, and ExpressAgain speaks it clearly out loud.

1

Browse or search

Find the right phrase or question in a clear, organized library.

2

Select

Tap or highlight what you want to say. No typing, no writing.

3

Speak

ExpressAgain speaks it clearly out loud, in your voice's place.

What's Inside the App

A library built for real life, not just basic needs.

Basic Needs
Feelings & Comfort
Saying No
Medical Questions
Legal, Financial & Identity
Family & Visitors
Faith & Comfort
Games & Cognitive Engagement
About My Aphasia

The library is the start. See everything the platform does for the patient, the family, both teams, practices, hospitals and partners.

See all features

Built for Real Accessibility

Everyone deserves to be heard.

  • Screen readers
  • Adjustable text size and contrast

Built for Security

Encrypted, role-based, audited from the ground up.

  • Encrypted infrastructure with audit trails
  • Encryption in transit and at rest
  • Strict access controls
  • Full audit logging
  • SAML single sign-on for hospitals and clinics

ExpressAgain is designed to meet the technical safeguards required under HIPAA. Organizations using ExpressAgain are responsible for executing a Business Associate Agreement (BAA) as part of their deployment.

Questions

Common questions