For hospital partners

A small, supervised pilot for practical barriers after discharge.

AfterNest is designed to complement an existing care-transition workflow, not replace it. The hospital keeps clinical ownership while trained Recovery Navigators support approved non-clinical tasks such as transportation, technology, language navigation, appointment logistics, caregiver coordination, and community resources.

One hospital pilotApproximately 30 days per patientSix-month pilot period
Illustrative hospital-to-home discharge conversation
Designed around the handoffThe hospital retains clinical responsibility while AfterNest supports the practical follow-through after the patient opts in.

Illustrative concept imagery. No hospital partnership or endorsement is represented.

Clear division of responsibility

The hospital owns the medicine. AfterNest supports the practical follow-through.

The pilot only works if both sides know exactly where responsibility begins and ends.

Hospital partner

Identify, refer, retain clinical ownership.

1
Define eligibilityTarget population, exclusions, referral source, and patient opt-in.
2
Make the warm handoffIntroduce the optional service before discharge.
3
Maintain escalationClinical questions and urgent concerns return to licensed care.
AfterNest

Assign, coordinate, verify, close.

1
Assign a Recovery NavigatorOne trained person supports the approved Non-Clinical Recovery Support Plan.
2
Work the barriersTransportation, technology, language navigation, caregiver, appointment, and approved resource tasks.
3
Report the outcomeResolved, handed off, declined, or escalated.
What the pilot funds

People and practical follow-through, not another reminder system.

Funding supports the workforce, supervision, transportation coordination, training, community-resource capacity, workflow technology, and evaluation required to make the support reliable.

Illustrative AfterNest Navigator training
Workforce

Recruit and train Navigators

Build a supervised volunteer pipeline with clear role standards before patient contact.

Illustrative AfterNest transportation support
Delivery

Resolve practical barriers

Support transportation and other real-world logistics that can block follow-through.

Illustrative home technology support
Experience

Make support usable at home

Help patients navigate technology and non-clinical logistics in a calm, accessible way.

Proposed pilot

Small enough to control. Structured enough to learn.

The project plan calls for one anchor hospital, a limited patient group, and a six-month pilot before broader expansion. UCSF Health is the team’s preferred potential partner, but no partnership is confirmed.

Population

Patients without enough practical support at home

Priority groups include older adults, people living alone, lower-income patients, and patients facing language or access barriers.

Safety

Workflow + privacy approved first

Referral, escalation, consent, data access, insurance, supervision, and incident response settled before launch.

Workforce

Screened, trained Navigators

Structured preparation, clear role boundaries, quality review, and supervisor oversight.

Duration

Approximately 30 days per patient

The overall soft-launch pilot runs for six months before a larger rollout is considered.

Pilot scorecard

Measure whether the service works before claiming clinical impact.

The first question is whether AfterNest can reliably reach patients, move practical barriers toward resolution, fit the hospital workflow, and operate at a sustainable cost.

Dimension
Example measure
What it tells us
Access
Referral-to-first-contact time
Whether support reaches patients while needs are still actionable.
Execution
Priority barriers resolved
Whether needs move beyond referral into verified follow-through.
Experience
Patient + healthcare worker feedback
Whether the service is useful, trusted, and easy to work with.
Feasibility
Navigator workload + cost per patient
Whether the model can be staffed and funded responsibly.
Funding & partnership structure

Start with one anchor hospital and diversified outside funding.

The paper and presentation identify grants, community foundations, hospital partnerships, fundraising, sponsorships, and individual donations as potential funding paths. The goal is to avoid relying on a single hospital or donor.