Bridging Community and Acute Care
UPTAKE
Personalizing Recovery After Acute Kidney Events
Lead
Matthew James
Co-Lead
Neesh Pannu
Additional Contributors
Nusrat Shonmu, Tyrone Harrison, Moaliosa Donald
Share this project
Share this project
Bridging Community and Acute Care
UPTAKE
Personalizing Recovery After Acute Kidney Events
Lead
Matthew James
Co-Lead
Neesh Pannu
Additional Contributors
Nusrat Shonmu, Tyrone Harrison, Moaliosa Donald
Share this project
THE CHALLENGE
Acute Kidney Injury (AKI) is a serious condition that can cause long-term complications, including cardiovascular issues and recurrent hospitalizations. AKI often develops rapidly, and without proper management, it can lead to lasting health problems. A major gap exists in the continuity of care as patients transition from hospital to home. Many patients with AKI are unaware of their condition or lack the clear, tailored guidance needed to understand their diagnosis and navigate safe recovery, increasing their risk of severe health outcomes.
THE CHALLENGE
Acute Kidney Injury (AKI) is a serious condition that can cause long-term complications, including cardiovascular issues and recurrent hospitalizations. AKI often develops rapidly, and without proper management, it can lead to lasting health problems. A major gap exists in the continuity of care as patients transition from hospital to home. Many patients with AKI are unaware of their condition or lack the clear, tailored guidance needed to understand their diagnosis and navigate safe recovery, increasing their risk of severe health outcomes.
THE CHALLENGE
Acute Kidney Injury (AKI) is a serious condition that can cause long-term complications, including cardiovascular issues and recurrent hospitalizations. AKI often develops rapidly, and without proper management, it can lead to lasting health problems. A major gap exists in the continuity of care as patients transition from hospital to home. Many patients with AKI are unaware of their condition or lack the clear, tailored guidance needed to understand their diagnosis and navigate safe recovery, increasing their risk of severe health outcomes.
THE INNOVATION
UPTAKE is a patient-specific educational and guidance platform designed to support AKI management after hospital discharge. It provides a tailored, after-visit summary that includes AKI-related information, customized follow-up instructions, and preventive guidance to help patients manage their condition proactively. By delivering personalized, condition-specific discharge documentation that is relevant and easy to understand, UPTAKE strengthens patient awareness, supports safer recovery at home, and improves continuity of care during a period of elevated health risk.
THE INNOVATION
UPTAKE is a patient-specific educational and guidance platform designed to support AKI management after hospital discharge. It provides a tailored, after-visit summary that includes AKI-related information, customized follow-up instructions, and preventive guidance to help patients manage their condition proactively. By delivering personalized, condition-specific discharge documentation that is relevant and easy to understand, UPTAKE strengthens patient awareness, supports safer recovery at home, and improves continuity of care during a period of elevated health risk.
HOW IT WORKS
At the point of discharge, the clinical team creates and delivers a personalized AKI-focused summary to the patient. This document provides essential information about their kidney event, along with customized recommendations for medication management, follow-up blood work, and lifestyle changes. The summary offers clear, actionable steps to help patients understand their health risks, engage in appropriate follow-up, and manage AKI safely at home.
HOW IT WORKS
At the point of discharge, the clinical team creates and delivers a personalized AKI-focused summary to the patient. This document provides essential information about their kidney event, along with customized recommendations for medication management, follow-up blood work, and lifestyle changes. The summary offers clear, actionable steps to help patients understand their health risks, engage in appropriate follow-up, and manage AKI safely at home.
THE BENEFITS
For Users
Greater Awareness: Patients receive clear information about their AKI diagnosis and the significance of their condition.
Personalized Guidance: Tailored instructions support medication management, follow-up blood work, and lifestyle changes after discharge.
Improved Confidence: A customized summary helps patients understand what to expect and how to navigate their recovery.
Safer Home Management: Clear steps and condition-specific guidance reduce the risk of serious complications following hospitalization.
For The System
Reduced Readmissions: Personalized education and clear follow-up instructions help decrease AKI-related return visits and hospitalizations.
Efficient Resource Use: Better-managed recovery supports appropriate use of clinical resources and reduces strain on hospital teams.
Lower Long-Term Costs: Preventing severe outcomes and complications can lessen the ongoing healthcare costs associated with unmanaged AKI.
Adaptable Model: This personalized discharge approach can be extended to other conditions, supporting scalable, patient-centered care.
THE BENEFITS
For Users
Greater Awareness: Patients receive clear information about their AKI diagnosis and the significance of their condition.
Personalized Guidance: Tailored instructions support medication management, follow-up blood work, and lifestyle changes after discharge.
Improved Confidence: A customized summary helps patients understand what to expect and how to navigate their recovery.
Safer Home Management: Clear steps and condition-specific guidance reduce the risk of serious complications following hospitalization.
For The System
Reduced Readmissions: Personalized education and clear follow-up instructions help decrease AKI-related return visits and hospitalizations.
Efficient Resource Use: Better-managed recovery supports appropriate use of clinical resources and reduces strain on hospital teams.
Lower Long-Term Costs: Preventing severe outcomes and complications can lessen the ongoing healthcare costs associated with unmanaged AKI.
Adaptable Model: This personalized discharge approach can be extended to other conditions, supporting scalable, patient-centered care.
Get Involved
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