
Bridge Hospital to Home With Confidence
Seamlessly Connect
Hospital to Home
Elderwise by Ajentik
Keep caregivers connected with care teams through shared care plans, daily check-ins, and secure messaging—powered by intelligent automation that works 24/7 so no one feels lost after discharge.
Trusted by Hospital Discharge Teams Nationwide
Join leading healthcare systems keeping families connected with care teams
Everything Families and Care Teams Need
Elderwise brings together care plans, reminders, and communication in one place—keeping everyone informed from hospital to home
Hospital-to-Home Connection
Shareable care plans, daily check-in reminders, and direct messaging with the care team
Medication & Schedule Reminders
Medication reminders, appointment scheduling, and easy logging for families
Caregiver Support & Education
Training resources, peer community, and communication tools that reduce caregiver stress
Why One Platform Matters
Everyone on the Same Page
Caregivers, families, and care teams see the same information—no more scattered notes and missed updates
Easy Communication
Secure messaging between families and care teams means questions get answered quickly
Less Caregiver Stress
Reminders, resources, and support in one place so caregivers feel confident, not overwhelmed
How It Works: Staying Connected After Discharge
Discharge Team Shares the Care Plan
Mrs. Johnson's family receives her care plan, medication schedule, and follow-up appointments right on their phone
Family Completes Daily Check-Ins
Each day, the caregiver logs how mom is doing and notes any questions or concerns
Care Team Sees the Updates
Discharge nurse can see check-ins and reach out if the family has questions or needs support
Outcome: Everyone Stays Connected
Family feels supported, care team has visibility, and questions get answered before they become emergencies
How Elderwise Hospital Partnership Works
Simple integration from discharge to home, keeping everyone connected
Discharge: Share the Care Plan
Discharge team shares care plans, medication schedules, follow-up appointments, and caregiver instructions through Elderwise—families get it instantly on their phone.
Transition: Family Stays Connected
Family caregiver receives mobile app with daily check-in reminders, medication schedules, and a direct messaging line to the care team.
Ongoing: Care Team Has Visibility
Your team sees caregiver check-ins, notes, and can communicate directly with families—keeping everyone informed throughout the care journey.
Care Coordination Features
Everything you need to keep families and care teams connected
Hospital-to-Home Connection
Keep families connected with care teams after discharge through shared care plans, daily check-ins, and direct messaging.
Medication Reminders & Tracking
Help caregivers stay organized with medication schedules, photo logging, and easy communication with the care team about any concerns.
Daily Check-Ins & Logging
Simple daily check-ins help caregivers document what's happening at home and share updates with the care team.
Caregiver Support & Education
Connect family caregivers with training resources, peer community, and direct access to the care team. Supported caregivers provide better care.
Care Team Communication Hub
Bring everyone together—family caregivers, discharge teams, primary care, and specialists—in one secure communication platform.
Engagement & Program Analytics
Track caregiver engagement, check-in completion, and communication patterns. Demonstrate program value to stakeholders.
See How Many Families You Can Connect
Estimate the reach and engagement of your care coordination program
Your Program Data
What Families Get:
- Shareable care plan on their phone
- Daily check-in reminders
- Direct messaging with care team
- Caregiver support resources
Families Connected Per Year
Families with direct access to their care team after discharge
Monthly Engagement
Annual Program Impact
Connect with our team • Discuss your needs • Explore partnership options
What Discharge Teams & Caregivers Are Saying
Real feedback from hospital partners and family caregivers using Elderwise
"Elderwise gives us visibility into how families are doing at home. We can see check-ins and reach out when someone has questions, instead of only hearing from them during emergencies."
"I felt terrified bringing Mom home after her fall. Elderwise gave me confidence—daily check-ins, medication reminders, and direct access to her care team. Game changer."
"The dashboard shows us caregiver engagement and who might need a check-in call. Finally we can track how families are doing and demonstrate the value of staying connected."
Testimonials represent real user experiences. Individual results may vary based on practice setting, specialty, and patient volume.
From the Ajentik Platform
Elderwise bridges hospital to home—keeping families connected with care teams through intelligent coordination that adapts to each care journey.
Meet Elderwise™
Elderwise™ is Ajentik's care coordination product, connecting family caregivers, care teams, and older adults—making communication easy, keeping everyone informed, and ensuring no one feels lost after leaving the hospital. Powered by agentic AI that handles coordination automatically.
Stay Connected
Families and care teams share updates, messages, and care plan information in one secure platform.
Caregiver Support
Training resources, peer community, and direct communication with the care team when questions arise.
Care Team Visibility
See caregiver check-ins, engagement activity, and communication history in a unified dashboard.
Key Features
- Shared care plans families can actually follow
- Daily check-in reminders and logging
- Medication schedules and appointment reminders

Elderwise
Bridging hospital to home
Keeping families connected with care teams
Elderwise is a care coordination platform, not a medical device. For medical decisions, consult your healthcare provider.
Seamless Integrations
Connect your existing healthcare platforms and tools with our AI automation ecosystem Connect with 501+ enterprise platforms and services powered by our Platform integration suite.