Discharge to assess (D2A)

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Bringing longevity, quality of life, and social connectivity to every older adult with an AI-augmented experience.

MiiCare is heading a consortium that has successfully sought and obtained an Innovate UK Smart grant to address the challenges connected with the discharge to assess model. As part of this grant, we formed partnerships with De Montfort University, Connected Places Catapult, Leicester, Leicestershire, and Rutland ICB, and Willows Health.

Delayed discharges cost the NHS £820 million annually.

With longer hospital stays associated with infection risks, permanent cognitive decline and more…

Where the problems lie

Discharge planning

The process of connecting with clinicians and social care, modifying care packages, and the deconditioning of patients can lead to a fragmented and sluggish discharge process, ultimately raising the likelihood of readmission.

Insufficient, individualised, and proactive communication can result in patients being readmitted to the hospital. Furthermore, healthcare professionals expressed concerns about older adults adapting to new technology, while patients had mixed opinions about embracing new technology in their homes.

Pre-admission

Despite the potential to prevent hospital admissions, patients may still be unnecessarily admitted to hospitals due to the intricate process of navigating and accessing social care services, as well as delays in receiving adequate care.

Decision to discharge

Delays in the discharge process, stemming from risk-averse practices, lead to extended periods of patients waiting in hospital beds. Consequently, their health deteriorates further.

Post-discharge

MiiCare and the consortium aim to utilise our AI-based conversational technology to support the discharge-to-assess process. By introducing unconventional data collection and analysis methods, we will be able to offer valuable health insights alongside established clinical data sources like blood pressure and heart rate. Helping to assess the overall well-being of patients in their home environment post-discharge.

Our Solution


The proposed solution encompasses the following key features:

  • Remote monitoring to provide reassurance in cases of falls or medication non-compliance.

  • The MiiCare dashboard offers doctors access to essential user data, promoting patient discharge and home monitoring.

  • Continuous updates are available to promptly identify anomalies.

  • Facilitating a smoother transition for junior doctors and care package developers once familiarised with the solution.

  • Identifying vulnerable patients due to delayed discharge through data collection and patient conversations.

  • Improved method for capturing diverse baseline markers to assess patient well-being.

  • Monica fostering confidence and trust through open and non-intrusive conversations with users.

Our bespoke AI system will

Automate and schedule patient care assessments with Monica.

Use conversations with Monica to evaluate mental health status and detect early indicators of mental health conditions.

Reduce number of patients needing to be discharged to a 24-hour residential care setting.

The detection of possible symptoms is made possible by recognising changes in voice patterns.

Overall patient’s well-being through data collected from Monica, and the other IOT devices.

Provide 24/7 interactive virtual support to users that can help reassure them and their families.

Our partners

  • De Monfort University

    Bringing international expertise in health and social care and the incorporation/use of AI and ML technologies.

  • Connected Places Catapult

    The UK’s innovation accelerator for cities, transport, and place leadership. The Catapult will lead on the user-led design aspects of the project.

  • Leicester, Leicestershire, and Rutland ICB

    Leicestershire and Rutland covers a population of 1.6m people, and will be supporting this project recruiting individuals from their existing care pathways.

  • Willows Health

    Sitting as the largest provider of Primary Care services in Leicester and Leicestershire, Willows Health has a successful track record of delivering research and product innovation.

  • Innovate UK

    Innovate UK is the United Kingdom's innovation agency, which provides money and support to organisations to make new products and services.