SCR-003 / SMART CITIES & RESILIENCE

SMART Rehab

Connected Rehabilitation for Better Recovery Beyond the Hospital

00 // Summary

SMART Rehab connects patients, hospitals, rehabilitation providers, and community care partners through remote monitoring, progress tracking, and coordinated recovery workflows designed to improve patient outcomes, reduce care gaps, and support hospital-to-home rehabilitation.

01 // Background & Problem

Background & Problem

Rehabilitation often becomes fragmented once patients leave the hospital or clinic. Limited follow-up visibility, inconsistent patient adherence, disconnected care teams, and delayed identification of complications can slow recovery and increase the risk of readmissions or poor long-term outcomes. Hospitals and rehabilitation providers need connected systems that support patients across the full recovery journey — from discharge planning and remote monitoring to care coordination, progress tracking, and community-based support.

02 // Solution & Approach

Solution & Approach

RRSP connects rehabilitation teams, hospitals, patients, EMS, and community care partners through one coordinated digital health ecosystem. SMART Rehab supports remote patient monitoring, progress tracking, clinical communication, care plan adherence, and early risk identification, helping providers deliver more personalized, proactive, and patient-centered rehabilitation.

03 // Core Architecture

Core Architecture

SYSTEM_MODULES: 05
01 / Module

Remote Rehabilitation Monitoring

02 / Module

Patient Progress Tracking

03 / Module

Care Team Coordination

04 / Module

Early Risk Identification

05 / Module

Hospital-to-Home Rehabilitation Workflows

04 // Tangible Benefits

Tangible Benefits

OUTCOMES: 06
+01

Improve Patient Recovery Outcomes

+02

Increase Rehabilitation Adherence

+03

Reduce Post-Discharge Care Gaps

+04

Strengthen Hospital-to-Home Recovery

+05

Support Value-Based Rehabilitation Care

+06

Improve Patient Retention and Continuity

05 // Impact across the ecosystem

Impact across the ecosystem

PILLAR_01

Health Systems

Improve post-discharge recovery, reduce avoidable readmissions, strengthen patient retention, and support quality performance goals.

PILLAR_02

Rehabilitation Providers

Monitor patient progress, improve therapy adherence, coordinate care plans, and deliver more connected rehabilitation services.

PILLAR_03

Payors

Improve member outcomes, reduce avoidable utilization, and support cost-effective recovery through coordinated rehabilitation care.

PILLAR_04

Community Care Partners

Connect patients with home-based support, follow-up services, and long-term recovery resources that reduce care gaps and improve outcomes.

Discuss

SMART Rehab

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