# Post-Discharge Follow-up Call — Healthcare AI agent | Mihu AI

Healthcare · Care Coordination

# Post-Discharge Follow-up Call

Catch post-discharge problems early and reduce avoidable readmissions.

Set up this outcome

## Apps this needs

EHR / Practice System Read availability and write appointments back to your clinic system. Connect during setup

SIP Trunk Route inbound & outbound calls through your phone system. Connect during setup

## How it works

Agent calls within 48-72 hours of discharge, pulling the discharge summary to follow the practice's standard script.

Escalates any red-flag symptom or confusion about instructions immediately to a nurse — never offering clinical guidance.

Confirms the follow-up appointment as scheduled, or books it on the spot if not.

Logs the call outcome to the patient's record for the care team .

## Data sources

EHR discharge summary Follow-up appointment schedule Escalation protocol

## What it targets

Discharged patients reached within 72 hours Target 85%

30-day readmission rate for contacted patients vs baseline Target -15%