Prevent avoidable readmissions in the first 30 days after discharge.
Bridge30 is the operational workspace your CHWs, coaches, and supervisors use to follow up with high-risk older adults — every call, visit, and outcome tracked end to end.
No credit card required. HIPAA-oriented architecture. BAA available.
Everything your team needs to run a real readmission prevention program.
Configurable workflows, structured assessments, and outcome reporting — without spreadsheets, paper packets, or duct-taped tools.
Client & caseload management
Centralized client records with risk tier, episode timeline, caregiver, payer, and full activity history.
Standard assessments
Readmission risk, ED utilization, medication reconciliation, social needs, and self-management readiness.
Risk scoring & alerts
Configurable weighted scoring with Low / Medium / High tiers and supervisor escalations for high-risk cases.
Encounter logging
Phone outreach, home visits, care coordination, transportation, and caregiver coaching — all timestamped.
Outcome reporting
30-day readmission, ED revisit, PCP follow-up, and timely first-contact rates by staff and program.
HIPAA-oriented controls
Tenant isolation, role-based access, audit trail, and consent capture built in from day one.
A clear 30-day journey for every enrolled client.
Bridge30 ships with a strong default workflow that mirrors how high-performing AAAs already operate, then lets your administrators tune statuses, automation, and risk weights to match your program.
- Manual referral entry with discharge details
- Eligibility and consent capture in one flow
- Auto-opened 30-day episode with risk tier
- Tasks generated by risk and assessment results
- Encounters logged across every touchpoint
- Closure with outcome tracking for reporting
Built for every role on the team.
From intake to supervisor oversight, each role gets a focused, secure view of the work that matters.
CHWs & Coaches
Daily caseload, tasks due, quick encounter capture, and one-tap follow-up scheduling.
Supervisors
Productivity snapshots, high-risk monitoring, overdue queues, and review approvals.
Administrators
Branding, program length, risk weights, automation, user invitations, and exports.
Ready to run a tighter, more accountable program?
Spin up your organization in under five minutes. We'll seed your account with realistic demo data so your team can explore before going live.