Core Discharge
The Solution: TransformativeMed's Agentic AI Discharge Planning embeds autonomous intelligence directly into Oracle Health EHR, automating the entire discharge planning lifecycle. Specialized AI agents work 24/7 behind the scenes—continuously monitoring charts, extracting tasks, coordinating across services, and updating discharge plans in real-time without manual effort.
The Challenge: Hospital discharge coordination consumes 30-45 minutes per shift in manual chart review, cross-discipline coordination, and discharge plan updates - pulling case managers and social workers away from complex clinical cases. The result: delayed discharges, reduced bed capacity, and significant FTE costs for administrative work rather than patient care.
Product Highlights
Works Invisibly in the Background
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Eliminates Coordination Busywork
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Smart Mobile Integration
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One Central Source of Truth
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Shifts Clinical Time to What Matters
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Proactive Task Management
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Real-Time Plan Updates
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Streamlines Interdisciplinary Rounds
Autonomous Chart Review
​Multi-agent AI processes clinical documentation in real-time, automatically extracting discharge tasks, DME requirements, barriers, and readiness indicators. No manual review required.
Intelligent DC Plan Updates
Maintains comprehensive roadmaps with AI-estimated discharge dates, medical readiness summaries, consult status tracking, disposition planning, and task assignments—all updated automatically as information enters the chart.
Proactive Agent Coordination
Service-specific agents (Rehab, Primary Team, Disposition, Consults) autonomously reach out to clinicians via mobile app, asking targeted questions and updating plans in real-time—eliminating paging and phone tag.
Centralized Team Dashboard
Single unified view showing length of stay, insurance, real-time readiness, service sign-offs, and hoverable AI summaries with source documentation, keeping the entire care team synchronized.
Return on Investment
Increased Revenue & Throughput
Improvement in discharge-before-noon rates translates directly to improved bed capacity, patient flow, and hospital revenue.
Enhanced Clinical Quality
​Better coordination, proactive planning, and real-time intelligence improve care transitions while reducing clinician cognitive load.
Streamlined Operations
​Centralized discharge intelligence supplements interdisciplinary rounds and eliminates constant paging across services.
Why TransformativeMed?
The only Oracle Health partner delivering agentic AI directly embedded in the EHR workflow—not a standalone tool requiring workflow changes, but an intelligent layer that augments existing clinical processes with 24/7 autonomous monitoring and coordination.
Our solution builds on proven results: In 2018, UW Medicine improved discharge before noon rates from 12% to 17%, a 42% increase, demonstrating real-world impact. The new agentic AI-powered module amplifies these gains with autonomous coordination, real-time intelligence, and proactive care team engagement.
What Our Clients Say...
"I can't imagine working in a hospital without Core Work Manager."
- Provider & Assistant Professor
"We chose Core Work Manager because it was the only solution that was able to address the key problems we were trying to solve."
- Manager, Clinical Informatics
"When you can get time in observation from 26 hours to 24 hours, that is a big, big deal!"
- Regional Director, Medical Informatics