The most-proven discharge protocol, delivered to every patient.
Maya walks each patient through all 13 steps of Project RED, the nationally recognized discharge protocol, in plain language, at the bedside or once they're home. It confirms understanding with teach-back, and our clinical staff supports your clinicians through 30 days of follow-up.
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.
From discharge to day 30, nobody falls through.
- DAY 0Guided dischargeAt the bedside or once the patient is home, Maya explains the diagnosis, medicines and warning signs, with teach-back.
- DAYS 1–2First contactOur staff reaches the patient within two business days, on behalf of your clinicians.
- DAY 7Clinician visitA transitional-care visit with your clinician.
- WEEKS 2–3MonitoringCheck-ins, symptom triage, medication reminders, connected devices, red-flag alerts.
- DAY 30Close and reportProgram closes; comprehension and outcome reports go to your team.
A new symptom at home gets a clinical answer, not a default trip to the ER.
During the 30 days, patients can report a new or worsening symptom by app or text at any time. Maya’s built-in symptom triage asks the follow-up questions a clinician would, recommends the right level of care and writes a note for your team. Emergencies are sent to the ER right away. Everything else is routed to your clinicians or a telemedicine visit, so avoidable ER visits and readmissions stay avoidable.
Deployment figures are from a past virtual-triage program built on the Maya Engine. Study: Delshad S, Dontaraju VS, Chengat V. Cureus 2021;13(8):e16956.
See a MayaRED discharge.
Five moments from a heart-failure discharge, from guided discharge to the day-2 call. Tap a step, or let it play.
- 01DAY 0Explain the diagnosisAt the bedside or once home.
- 02DAY 0Review every medicineWhat changed, and why.
- 03DAY 0Teach-backConfirm it was understood.
- 04DAY 0Red flagsWhat to watch for at home.
- 05DAY 2The follow-up callA real person, early.
Robert, you were in the hospital for heart failure. Your heart wasn't pumping strongly enough, so fluid built up in your lungs.
So that's why I was so short of breath?
Exactly. Your medicines and a few daily habits will help keep that fluid down.
Project RED · Diagnosis
Illustrative example. The patient, staff member and details are fictional.
Built with the people who wrote the protocol.
The source protocol
Co-developed with Dr. Brian Jack of Boston University, creator of RED. A National Quality Forum Safe Practice and Peter Drucker Award winner.
Dr. Brian Jack, Boston UniversityAI that can't go off-script
The protocol decides each step. Notes contain only what the patient said. Patent-pending method for hallucination-free clinical notes.
$0 to you, either way
MayaMD bills TCM by default, so there’s no fee to the health system. Prefer your own clinicians to bill? Our fee comes from the new revenue you capture, never your existing budget.
"I really liked Maya. It was easier to understand than the nurses and doctors."Patient, Spring Valley Hospital pilot
You introduce it. We run it.
No change to your discharge workflow. Your clinicians step in only when a patient needs them.
Your hospital provides
- A point of contact
- Discharge notifications
- EHR access for our medical assistants
- Staff who introduce MayaRED at discharge
MayaMD provides
- The platform and staff to support your clinicians
- Connected home devices
- Outreach, consent and EHR 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 our staff supports your clinicians for 30 days.
How is it paid for?
MayaMD bills transitional care management (TCM) directly, so there’s a $0 fee to your health system. If your own clinicians prefer to bill TCM, our fee is paid from that new revenue, not your current budget. Either way, we handle enrollment, documentation and claims prep.
Do we need an EHR integration?
No. Start with a manual handoff or EHR access; add a real-time ADT feed later.
Where do we start?
One unit or condition, usually heart failure or another CMS-penalized condition. Results review at 90 days.
Start a 90-day MayaRED pilot, at no cost.
For hospitals, skilled nursing facilities, rehab hospitals, LTACs and value-based care groups. The full RED discharge protocol and 30 days of follow-up support for your clinicians, with no IT integration.
A 20-minute call
A physician on our team walks through the workflow and helps you pick the first patients.
A pilot outline
One page: which unit, which patients, and the measures we agree to track.
Agreement and BAA
A simple pilot agreement and business associate agreement.
Go live
Name a pilot lead and start enrolling. Our staff supports your clinicians with outreach and follow-up for the full 90 days.
After day 30, the same team keeps going.
Patients who need ongoing support move straight into remote monitoring and monthly care, with no handoff to a stranger.
Start with one unit. See results at 90 days.
Start with a no-cost 90-day pilot on one unit. A 20-minute call is the first step.