Live within large, complex health systems including BJC HealthCare, Washington University, and Siteman Cancer Center See results
Surgical Support
Patients who arrive prepared and recover as expected
Surgery is the moment a health system has the least contact and the most at stake. A surgical support orbit is designed backwards from cancellations, readmissions, and the call volume that lands on your nursing line before and after the procedure.
A trusted digital guide your patients keep, from consult through recovery at home.
Your protocol in your surgeons' own words, delivered when each instruction actually matters. Alongside the pre-op packet and the discharge folder, an orbit adds a consumer-grade digital mentor: engaging video, email, and text outreach that keeps patients prepared, reassured, and recovering as expected.
Built to each surgeon's protocol before launch. Nothing added to your team's day.
One orbit, issued once, working for three audiences at the same time.
For the patient
They know what to do
A clear understanding of the operation, the plan, and who is caring for them
Prep, clearance, fasting, and day-of instructions, on the day they apply
Wound care, activity limits, and what a normal recovery looks like at each stage
The same guide works for whoever drives them home and helps at home
For your team
Nothing added to the day
Ordered from the workflow you already run, no new FTEs
Fewer calls asking what the discharge folder already said
Each surgeon's protocol, not a generic recovery app
We build and maintain the content, including protocol updates
For the service line
You can finally see it
Who opened their orbit and who never did, by patient
Symptom check-ins routed back before the post-op visit
Cancellation, readmission, and PROM completion by procedure and by site
Optional: validated measures scored automatically
How to begin
Start with one, add the rest
Most service lines start with their highest-volume or highest-margin procedure.
Named procedure orbits. Your highest-volume operations, each with its own guide.
Prehab and optimization. The weeks before surgery, where cancellations are prevented.
Discharge and recovery. The window where readmissions and calls are decided.
Procedure template. Everything else, versioned with minor edits.
A patient’s orbit can evolve as their journey needs change
One orbit supports the full journey, adapting as needs change
The same orbit advances through three versions on its own, with no new app or login.
01
AcquisitionBefore they are a patient
Screening, seminar, and referral outreach that helps people choose your surgeons, plus when an operation is warranted.
02
Prep and procedure supportConsult through procedure week
Prehab, clearance, fasting, logistics, and day-of instructions, delivered week by week.
03
Recovery with PROMsDischarge through follow-up
Wound care, activity limits, pain step-down, warning signs, and validated measures collected on schedule.
How it deploys
Issued from the workflow you already run
From the CareOrbit app, a scheduled flat file from any EHR, a patient list, a QR code, or a text message.
No new FTEs. Nothing added to anyone's day.
White-label. Your brand, your voice.
Live in a quarter. From kickoff to first patient.
The understanding gap
The weeks either side of the operation.
The operation is the part you control completely. Whether the patient arrives prepared, and whether they recover without an avoidable readmission, is decided in the weeks before and after it, at home. That is the understanding gap, and the figures below are what it costs.
What the gap costs
None of this is decided in the OR. Each one turns on whether a patient completed the prep, followed the discharge instructions, and knew which symptom warranted a call instead of an ED visit.
2-4
Visits around the case
A consult, a pre-op visit, and one or two follow-ups.
Weeks
Of preparation at home
Where medication holds, fasting, and logistics either happen or do not.
30 days
The readmission window
Where the cost and the penalty both land.
−41%
Readmissions in the trial
Measured against usual care in a controlled clinical trial at Siteman.
Measurable ROI
How an orbit provides value.
Every orbit is built based on your target clinical and financial outcomes including revenue to protect, costs to lower, opportunities to expand and staff resources to support.
01
Fewer avoidable readmissions
The costliest post-discharge failure, and the one the trial reduced by 41%.
02
Fewer cancellations and delays
A case cancelled for a missed medication hold is unrecoverable OR time.
03
Fewer avoidable ED visits
The most expensive way to answer a question the patient could have had answered at home.
04
Fewer inbound calls per episode
Every repeat call is nursing time spent re-explaining what was already covered.
05
Better pre-operative compliance
Fasting, medication holds, and skin preparation are the most common reasons a case does not go ahead.
06
Higher PROM completion
Bundled and value-based programs pay on documented outcomes. Missing scores are unbilled work.
07
Higher patient satisfaction
Satisfaction rose 22% in the trial, and it is what referring physicians hear about.
08
A visible program differentiator
A branded surgical experience is something few competitors can show a referrer.
Surgical support care journeys currently supported.
Support your surgical service lines with a Surgical Support Bundle covering nine departments, each with its own procedure list and full-focus orbit versions for patients and families. You choose which departments launch, and which procedures get a named orbit rather than a template.
01
Oncology
17 procedures, 22 full-focus orbits with versioning
02
Orthopedics
24 procedures, 19 full-focus orbits
03
Cardiology
18 procedures, 9 full-focus orbits
04
Neurology
24 procedures, 8 full-focus orbits
05
Otolaryngology (ENT)
24 procedures, 7 full-focus orbits
06
Gastroenterology
14 procedures, 6 full-focus orbits
07
Urology
10 procedures, 5 full-focus orbits
08
General surgery
13 procedures, 3 full-focus orbits
09
Renal
4 procedures, 1 full-focus orbit
Clinical evidence
The trial behind the platform.
The platform's controlled trial was run in one surgical specialty. Every other procedure orbit is built on the same mechanism.
Controlled clinical trialSiteman Cancer Center, Washington University School of Medicine
Patients arrived better prepared, called less, and came back less
A controlled trial in hepatobiliary surgical oncology compared an orbit against usual care across the exact stages any surgical episode follows: preparation, the operation, discharge instructions, and recovery at home. Applying these percentages to another surgical population is a modeled transfer, not a measured result in that specialty.
From live oncology deployments. Surgical support orbits are built on the same platform.
Patients see it as incredibly easy to understand and use. We use it to open up dialogues so much faster. Families just run with it!
Chief of Section, Surgical Oncology
It's seen as incredibly easy to understand and use. They (patients and families) just run with it.
Nurse Navigator, Siteman Cancer Center Surgical Department
By the numbers
Measured in a controlled trial, not modeled.
Trial results, applied to your volume
Percentages are measured trial outcomes in surgical oncology. Case volume, rates, and unit costs are your figures.
These reductions were measured against usual care in a controlled clinical trial at Siteman Cancer Center. Surgical support is the pathway the trial ran on, so the percentages here are results rather than projections. The dollar figures apply them to your own volume and costs.
−41%
Readmissions, measured
Against usual care in a controlled clinical trial at Siteman Cancer Center. On 800 cases at a 10% readmission rate and $14,000 per readmission, that is roughly $459K a year.
CareOrbit controlled clinical trial, Siteman Cancer Center, hepatobiliary surgical oncology. Readmission rate and cost are your figures.
−53%
Calls to the nursing line
Preparedness and recovery questions the orbit answered first. At six calls per case and nine minutes each, that is roughly 382 nursing hours a year at 800 cases.
CareOrbit controlled clinical trial, Siteman Cancer Center. Call volume and staff cost are your figures.
+65%
Patient understanding
Of the procedure and what recovery involves. Understanding sits upstream of every other number here: the call not made, the case not cancelled, the warning sign caught early.
CareOrbit controlled clinical trial, Siteman Cancer Center.
9 in 10
Reported better navigation
Nine of ten patients said the orbit improved how they navigated recovery, and satisfaction rose 22%.
CareOrbit controlled clinical trial, Siteman Cancer Center.
Annual value at your volume
$678K
On 800 cases a year, at the rates shown below
382 hrs
Nursing time returned over the same year
Worked on 800 cases a year at a 10% readmission rate and $14,000 per readmission, six calls per patient at nine minutes each with a $45 loaded hourly staff cost, and 10% of cases cancelled or delayed for preparation gaps at $6,000 collected per case. The percentage reductions are the trial's measured outcomes. Substitute your own rates and costs and the totals move accordingly.
20 minutes. Your surgical support pain points, our platform.
No demo script, no obligation. We get introduced, hear which surgical support moments are costing your team the most, and give you a brief look at the platform. Then we decide together whether it is worth a second conversation.
