A workflow with owners, hours, and a clock.

No. NestWell is a defined postpartum follow-through program connected to your practice. Assessment, treatment, after-hours coverage and referrals are clinical services that stay with the practice and its partners. The program is set up so that each of those has a named owner, a clock, and a logged outcome.

AI explains approved material and drafts summaries for a clinician to review. It also groups the questions a patient saved for her visit, with her own words kept alongside. It never decides what is urgent, interprets a screening result, reassures a patient, holds a therapy-style conversation, or changes the emergency instruction. Every call it makes is logged with the approved source it drew from.

Whoever your after-hours arrangement names, and the patient is shown that arrangement in plain words. If the urgent queue has no coverage at that hour, her screen says so and tells her to call the practice’s after-hours number or to follow the practice’s approved emergency instruction. She is never shown a waiting message. Part of the pilot is finding out what your after-hours coverage costs today and whether it is answered.

The role shows as not yet assigned in the configuration, the item escalates on schedule and is marked unowned, and the pilot report counts it as a missed escalation. An unowned urgent queue, or a referral partner with no capacity, is a condition to pause enrollment, not something the program works around quietly.

Your practice defines eligibility and enrolls patients, late in pregnancy or before discharge; a nurse can also enroll a patient in person later. Every eligible patient is counted in the denominator, including those who were not offered the program and those who declined, so completion rates cannot be flattered by leaving people out.

Day 0 is the day of birth, including a stillbirth. When a sensitive status is set, by staff or by the patient herself, every infant, feeding, milestone and celebration item is suppressed immediately, without waiting for review. She is asked once how she wants to be addressed and how often to be contacted, including “not for now”, which pauses check-ins and creates a commitment for a named person to call within seven days. Nothing resumes automatically.

A patient can be enrolled in a language once its safety-critical content, the emergency instruction and the check-in items among it, has been approved by your clinical owner in that language. Until then she is recorded as not offered, with the reason, she still counts in the denominator, and an outreach item for a person to handle is created, flagged “interpreter or Spanish-speaking staff needed”. We would rather block enrollment than send an unapproved sentence.

Preparation covers scope, privacy and contracting, clinical review of every rule and sentence, response coverage, referral capacity and a baseline. Then enrollment in small batches, with each patient followed for twelve weeks. With rolling enrollment, a complete cohort generally takes longer than a single ninety-day project, and the timeline in the agreement says so.

A fixed pilot fee for a defined episode count, or a per-enrolled-episode price, each with a scope sheet that sets support limits: maximum staff-support minutes per episode, coverage hours, and episode count. Clinical services are arranged separately by the practice. The figures are in the pilot agreement, not on this page, because they depend on the scope you choose.

Minimal collection, no advertising trackers, and no model training on patient data by default. Retention, deletion, record access, and the sharing of mental-health information are written into the pilot agreement, and the legal obligations that follow from the operating relationship are reviewed with counsel as part of pilot preparation. We make no privacy claim on this site beyond that; the site itself sets no cookies and runs no trackers.