CARE Home Care Grid

Care is local. Coordination is statewide.

CARE powers palliative and home-based care grids that help health systems know every vulnerable patient, coordinate local care teams, document home visits, track follow-ups, and monitor coverage across communities.

Patient registryHome visitsCare teamsFollow-upsDashboardsAI-ready records

Community layer

Patient home

needs, caregiver, locality

Field teams

workers, volunteers, nurses

Facilities

primary care, hospitals, referrals

Program layer

Visit queue

today, due, overdue

Escalations

doctor review, referral, supplies

Coverage view

ward, district, state

CARE solution

Home Care Grid

Shared patient timeline

Every visit, task, referral, and follow-up in one record.

Need
Visit
Task
Plan
Forms
Roles
Tasks
Dashboards
01Identify
02Register
03Assess
04Assign
05Visit
06Follow up
07Escalate
08Monitor

Why CARE

Home-based care is a coordination problem.

Palliative care happens through relationships over time: patients, caregivers, volunteers, nurses, doctors, facilities, NGOs, and program teams working together. CARE gives that network a shared operating layer without turning care into a narrow registry or a standalone app.

CARE Core primitives
Patients
Facilities
Users
Roles
Forms
Tasks
Referrals
Care plans
Dashboards
APIs
Audit trails
FHIR-aligned records

Not another vertical system.

The same patient may move between home care, primary care, hospitals, pharmacy, diagnostics, TeleICU, and follow-up. CARE keeps those workflows connected on one open foundation.

A care grid around every patient

From first identification to the next safe follow-up.

CARE supports the complete loop of community-based care: who needs help, who is responsible, what happened at the visit, what must happen next, and where the system is falling behind.

01

Identify

Find patients who need continuous support.

02

Register

Create a shared record with local context.

03

Assess

Capture clinical, functional, and social needs.

04

Assign

Link the patient to a care team and facility.

05

Visit

Document home care at the point of service.

06

Follow up

Schedule the next action and owner.

07

Escalate

Route medical, referral, or supply needs.

08

Monitor

See coverage, gaps, and program quality.

Product capabilities

The pieces a home-care network actually needs.

CARE turns home visits into structured continuity of care: records, teams, visits, referrals, tasks, dashboards, and improvement loops.

Patient registry

A shared registry for vulnerable patients, families, caregivers, addresses, facility linkage, care needs, risk status, and local body mapping.

Home visit workflows

Mobile-first workflows for visit lists, vitals, symptoms, nursing needs, medicine needs, caregiver concerns, notes, and next visit dates.

Care-team coordination

Assign field workers, nurses, doctors, volunteers, NGOs, facilities, and follow-up owners without losing accountability across the network.

Structured records

Every visit, assessment, referral, note, follow-up, and care plan becomes part of the longitudinal CARE record.

Dashboards and coverage

Track registered patients, overdue visits, high-risk patients, referral status, workload, district coverage, and service gaps.

Volunteer and NGO coordination

Support registration, role mapping, training status, patient assignment, activity tracking, and collaboration with care teams.

Referral and escalation

Move from home care to doctor review, facility referral, specialist palliative care, teleconsultation, or supply support when risk increases.

Care planning

Turn problems, goals, interventions, home-care tasks, follow-up schedules, caregiver instructions, and review cycles into action.

Reference deployment

CARE has already been tested at population scale.

Kerala's palliative-care grid is the strongest proof point: CARE supports a statewide care-coordination model across patients, home visits, care teams, voluntary organizations, public facilities, and program dashboards.

1,300+

primary care centers

1,300+

NGOs and care organizations

330,000+

registered patients

1.3M+

home-care consultations

12,000+

daily users

Deployment snapshot for CARE-powered home and palliative-care programs.

Built on CARE Core

Reusable infrastructure, not a one-off palliative module.

CARE gives governments, hospitals, NGOs, and implementation partners a common foundation for home-based care that can be adapted locally and reused across programs.

Open-source and public-good oriented

Built on CARE Core, not a one-off app

FHIR-aligned structured patient records

Mobile-first frontline workflows

Designed for government and voluntary-sector networks

Dashboards for live program visibility

Role-based access and audit trails

Ready for AI-assisted documentation and summaries

Implementation model

Pilot a district. Train the network. Scale the grid.

CARE deployments can begin with a focused geography and expand through repeatable workflows, training packs, dashboards, and data-quality routines.

01

Map the care model

Understand patient identification, field teams, facilities, NGOs, referral routes, home-visit forms, training, and reporting needs.

02

Pilot one geography

Configure forms, dashboards, roles, visit workflows, and support processes in one district, network, or program area.

03

Train by role

Prepare field workers, nurses, doctors, volunteers, facility admins, coordinators, and program teams with workflow-specific training.

04

Scale with playbooks

Reuse deployment checklists, training packs, dashboard packs, data-quality reviews, support models, and governance rhythms.

CARE AI for home care

Reduce documentation burden without reducing accountability.

AI belongs inside the care workflow, on top of trusted records, roles, forms, and audit trails. In home-based care, CARE AI can help field teams document faster and help program teams see what needs attention.

Voice-native visit notes

Help nurses and field teams document in local languages with review before saving.

Patient summaries

Summarize long histories, recent visits, open tasks, and follow-up needs before a home visit.

Follow-up drafts

Draft care plans, caregiver instructions, referral summaries, and next-step checklists.

AI drafts
Humans decide
CARE records
Systems learn

Reusable Home Care Grid

One reference model, many care programs.

CARE's home-care architecture can support palliative care, elderly care, NCD follow-up, oncology follow-up, post-discharge monitoring, disability care, rehabilitation, and other programs that depend on continuity outside the facility.

Deployment blueprint

Workflow templates

Form templates

Dashboard indicators

Training materials

Volunteer role model

Security baseline

Localization guide

Outcomes to measure

Measure continuity, not just registrations.

Coverage

registered patients, assigned teams, local body coverage

Continuity

visits completed, overdue patients, follow-up closure

Quality

documentation completeness, referral completion, review time

Equity

coverage gaps across geographies and vulnerable groups

Home Care Grid FAQ

Open palliative care infrastructure, explained plainly.

What is CARE Home Care Grid?

CARE Home Care Grid is the CARE-powered operating layer for home-based and community-based care programs. It supports patient registration, care-team assignment, home visits, structured documentation, follow-ups, referrals, dashboards, and program visibility.

Is CARE only for palliative care?

No. The same CARE Core primitives can support palliative care, elderly care, NCD follow-up, post-discharge follow-up, oncology follow-up, disability and rehabilitation programs, and other longitudinal community-care workflows.

How does CARE support field teams?

CARE gives field teams mobile-first workflows for visit lists, assessments, notes, symptoms, vitals, medicine needs, caregiver concerns, follow-up dates, and escalation requests, while keeping the patient record connected to facilities and program dashboards.

How is Kerala relevant to this page?

Kerala is the reference deployment that shows the model at population scale. The page focuses on CARE as reusable infrastructure, with Kerala used as proof that home-based care can be coordinated through a shared digital grid.

Can implementation partners deploy a Home Care Grid?

Yes. CARE provides the open core, workflows, APIs, forms, roles, dashboards, and implementation patterns. Partners can localize the care model, train users, integrate local systems, and contribute improvements back to the shared core.

Deploy CARE for home-based care

Build a care grid for every vulnerable patient.

CARE helps health systems move from fragmented home-visit programs to coordinated, measurable, and compassionate care networks.