Postpartum follow-through · Ohio
Women complete the next step in their care — and their practice can verify it happened.
NestWell is a defined postpartum follow-through program for OB practices. In the twelve weeks after birth, each patient gets short check-ins, a care plan she can understand, a named person at her practice she can reach, and verified completion of what comes next. Connected to your practice, not in place of it.
- birth 0 enrolled before discharge; a named contact confirmed
- day 3 check-in: recovery, one mood item, one barrier item
- day 7 check-in; early-visit reminder if it is on her plan
- day 14 mood screen; a positive screen goes to a clinician’s queue, same-business-day target
- day 21 a human contact is confirmed, not assumed
- week 6 visit preparation; referral follow-up
- week 9 summary drafted for a clinician to review
- week 12 comprehensive visit; transition with owners for open items
Who it is for
Built for the practice. Felt by the patient.
NestWell reaches women through their own OB practice, so the buyer and the person who benefits are on the same page from the start.
For OB practices, groups and health systems
A workflow with owners, hours and a clock.
- What the program does week by week, and what it asks of your staff
- Queues with a named owner, coverage hours, and what happens when nobody answers
- How it fits beside the tools you already use
- How a pilot is structured: a fixed pilot fee or a per-enrolled-episode price; clinical services stay with the practice
For women and families
A short check-in, a plan in plain words, and a real person to reach.
- What to expect each week, and how little it asks of you
- Who sees what, and your control over what is shared
- What changes after a loss, and what stops
- A named person at your practice you can reach, and your practice’s after-hours instruction in plain words
What a patient gets
Five things, each of them a step toward the next appointment.
-
A brief check-in
Day 3, 7, 14, 21, then week 6, 9 and 12. At most five single-tap items, under ninety seconds, one hand. Skip is always available. No streaks, no badges, no “you missed a check-in”.
target: under 90 s · items: ≤ 5 · free text optional -
A care plan she can understand
Clinician-approved explanations of her existing plan, what to bring to the visit, and the questions she has saved to ask. Every sentence is approved before a patient sees it.
content: clinician-approved · language: plain -
A named person she can reach
A care coordinator at her practice by name, the correct after-hours instruction, and human review when an answer needs it.
owner: coordinator · coverage hours visible to the patient -
Verified follow-through
A referral counts when the appointment was kept, not when a link was sent. A callback counts when it happened, with the minutes logged.
referral: appointment kept · callback: occurred, 12 min -
A concise clinician summary
At week 9 and week 12, a draft of what changed and what is still open, assembled for her clinician to review and sign, with an owner for every open item.
week 9 · draft for review · week 12 · transition reviewed
[Your practice’s approved emergency instruction appears here]
Day 14 check-in · 1 of 5
How is your recovery going today?
Skip is always available. You choose who sees your mood answers.
Synthetic example. Tap an answer to step through it yourself.
How accountability works
Every check-in has an owner, a clock, and a verified outcome.
A check-in is not finished when it is sent. It is finished when a named person has acknowledged it, the next step has happened, and her clinician has a summary.
What the practice controls
Owners, backup owners, coverage hours, acknowledgment and resolution targets, screening thresholds and the wording of every patient-facing sentence are practice configuration — visible and versioned. NestWell’s defaults are reviewed by its clinical safety owner, an OB‑GYN, and the practice’s named clinical owner approves them for their own patients before a patient sees them.
Where AI sits, and where it does not
AI explains approved material and drafts summaries for a clinician to review.
It also groups the questions she saved for her visit, and logs every call it makes. Nothing else.
What the model does
- Explains clinician-approved material in plain words, and in her language
- Assembles a draft summary from logged events for a clinician to review and sign
- Groups the questions she saved so her visit covers them, with her original words alongside
- Logs every call it makes, with the approved source it drew from
What it never does
- Decide what is urgent, or rank her symptoms
- Diagnose, screen, or interpret a screening result
- Reassure her, or comment on her answers in any way
- Hold a therapy-style conversation
- Change or soften an emergency instruction — that text is locked
- Stand in for her clinician or the named person at her practice
Every default check-in question, screening threshold, escalation rule and patient-facing sentence is reviewed by NestWell’s clinical safety owner, an OB‑GYN, and approved by each practice’s named clinical owner for their own patients. Rules are tested like anything else; a rule is not safe because it is simple.
Founders
An operator and an OB‑GYN, building in Ohio.
One of us owns the practice workflow. The other owns clinical safety. Neither role is delegated to a model.
Amber Siddiqui
Co-founder — operations, partnerships and the practice workflow [confirm] title
Supply-chain transformation and large-scale planning programs at Deloitte. Greater Chicago area; Northern Illinois University; fluent in Spanish.
Sarah Nazir, MD
Co-founder — OB‑GYN; clinical safety owner [confirm] board certification, practice affiliation
Every default check-in question, screening threshold, escalation rule and patient-facing sentence is hers to approve; each practice’s named clinical owner then approves them for their own patients.
For practices · Ohio pilot
Partner on a pilot. Twelve weeks per patient.
One practice, a named clinical owner and a budget owner, a small batch of enrolled patients followed for twelve weeks each. A fixed pilot fee or a per-enrolled-episode price; clinical services stay with the practice.
3 a.m. is when a patient looks for the after-hours number. The pilot tells us whether it is answered.
Goals we will measure in the pilot
- Completion of planned postpartum visits, counting every eligible patient
- Time from a positive screen to clinician assessment, and to a kept appointment
- Staff minutes per enrolled patient, median and top decile
- Escalations acknowledged inside target, and escalations missed
- Patient-reported usefulness at week 6 and week 12
- Dropout, and differences by language, insurance and access barriers
These are goals until measured. There are no NestWell outcomes to cite today, and we will not invent any.
For women and families
Expecting, or newly home?
NestWell reaches patients through their own OB practice, so you cannot sign up on your own yet. Join the interest list and we will tell you when a practice near you is offering it. We will never ask you for health information on this site.