MayaRED · Transitions of care

The most-proven discharge protocol, delivered to every patient.

Maya walks each patient through all 13 components of Project RED in plain language and confirms understanding with teach-back. Then 30 days of follow-up keeps them connected to your clinicians and your network.

43%fewer 30-day heart-failure readmissions, Spring Valley Hospital
$0fee to the health system
32languages supported
No EHR buildstarts from the discharge packet
The comprehension gap

Patients think they understood. Most didn't.

In studies of older adults, nearly everyone says they understand why they were hospitalized, but far fewer can describe their diagnosis. Few recognize their own gaps, and nurses rarely have time to check.

Say they understood why they were admitted96%
Could actually describe their diagnosis60%
Recognized their own knowledge gaps20%
The 30-day journey

From the bedside to day 30, nobody falls through.

  1. DAY 0Guided dischargeAt the bedside or once the patient is home: diagnosis, medicines and warning signs at a 6th-grade level, with teach-back.
  2. WITHIN 48 HRSFirst contactOur staff reaches the patient and confirms follow-up appointments.
  3. BY DAY 7Clinician visitA transitional-care visit, ideally with the patient's own clinician.
  4. WEEKS 2–4MonitoringCompanion app check-ins, two-way text, connected BP cuff or scale where appropriate, symptom triage.
  5. DAY 30Close and reportComprehension and outcome reports go to your team.
Why MayaRED

Built with the people who wrote the protocol.

The source protocol

Dr. Brian Jack of Boston University, creator of Project RED, collaborated to build MayaRED. RED is a National Quality Forum Safe Practice.

AI held to the protocol

Built on the Maya Engine, 10+ years in development. The protocol decides each step, and the conversational AI works only within the options that logic allows.

Your clinicians, supported

Your clinicians stay at the center, augmented by our technology and the staff that supports them.

Conversational AICompanion appTwo-way textVoiceConnected devicesMedical assistants
"I really liked Maya. It was easier to understand than the nurses and doctors."
Patient, Spring Valley Hospital
The partnership

You introduce it. We run it.

No change to your discharge workflow and no added staff time after the introduction.

Your hospital provides

  • A point of contact
  • The discharge packet (sent, or read-only access)
  • Staff who introduce MayaRED at discharge

MayaMD provides

  • The platform and support staff
  • Connected home devices
  • Outreach, appointments and documentation
  • Comprehension and monthly outcome reports

Questions health systems ask

How is this different from AI calling tools?

MayaRED starts at discharge, delivers the full RED protocol with teach-back, and keeps people in the loop for 30 days.

How is it paid for?

By default MayaMD bills transitional care management, with no fee to the health system. If your clinicians bill, our fee comes from that new revenue, not your current budget.

Do we need an EHR integration?

No. We start from the discharge packet. No integration or ADT feed is required.

Where do we start?

One unit or condition, usually heart failure or another CMS-penalized condition, with a results review at 90 days.

Start with one unit. See results at 90 days.

A 20-minute call, a scoping session, a one-page pilot agreement and BAA, then go-live.