DISCHARGE · TRANSITION

The Navigator

LLM-powered route generation from acute hospital to home and community care — so every TBI patient leaves the hospital with a clear, personalized path.

How the Navigator works
EHR discharge dataSeverity, deficits, countyReferral center databaseCapacity, region, wait timesThe NavigatorGenerates the optimal routeRoute sheetAcute to rehab to communityPhysician verifiesSigns and printsFamily receivesPrint plus QR, no login

What it does

Optimal route at discharge

Generates the care route from structured clinical data: severity, deficits, county, discharge destination.

Referral center matching

Matches against a database of neurosurgery, neurorehabilitation, physical therapy, and community services — by capacity, region, and wait times.

Physician-verified route sheet

Produces the printable route sheet the physician verifies and signs. The clinician stays in the loop, always.

QR access for families

The family accesses the route anytime from home. No app, no login.

What it replaces

ROLE
The navigation work no one currently does — families calling hospitals blindly, waiting weeks to learn where to go next.
COST
2–6 weeks of lost recovery time in the critical early window — the most functionally expensive weeks after TBI.
TIME TO VALUE
Active from the first discharge.

What it does not do

Does not make clinical decisions

The physician verifies and signs every route.

Does not guarantee availability

It shows the best-evidence route with estimated wait times. Families are told to call ahead.

Does not replace the discharge consultation

It structures and extends it.

Open the discharge form
TBI Navigator instruments support navigation and communication. They do not provide medical advice. Every route is verified by a physician.