Patient reached
The advocate confirms coverage, consent, and the work that still needs an owner.
For transition-of-care teams
Baba advocates handle the calls, coverage, equipment, and follow-up that start when a patient goes home.

Baba contacts the patient, works the coordination tasks, and returns a concise summary to your team.
Designed to sit alongside the referral systems your team already uses


The advocate confirms coverage, consent, and the work that still needs an owner.
Equipment, follow-up visits, transportation, and benefit questions move forward.
Your team sees what was completed and what still needs clinical review.
Your transitions team sets the clinical direction. Baba carries the coordination work that determines whether the plan actually reaches home.
The advocate tracks coverage requirements, gathers available documentation, follows the insurer or pharmacy, and routes clinical questions back to the treating team instead of interpreting the plan.
A discharge order only helps when the supplier accepts the plan, the documentation is complete, and delivery happens. The advocate works those handoffs and returns exceptions to the right owner.
Follow-up access, rides, food, benefits, and caregiver questions can derail a sound plan. An advocate makes the calls, documents what changed, and escalates anything that needs clinical review.
In this illustrative transition, his discharge plan is clinically sound. By the time he gets home, the walker, medication list, transportation, and follow-up still need owners.
Friday
The transitions team sends the referral. With his consent, an advocate reviews the discharge instructions and confirms the work that still needs an owner.
Monday
The advocate locates the order, checks the required documentation, and coordinates with a supplier that accepts his plan.
Tuesday
One instruction does not match the medication list. The advocate routes the discrepancy to the treating team without interpreting or changing the plan.
Thursday
The visit is confirmed, transportation is checked, and Mr. Alvarez has the questions he wants to bring to the appointment.
One week later
With consent, Baba returns a concise note: what was completed, what remains open, and the medication question waiting for clinical review.
Baba extends the transition plan into the home without stepping into diagnosis, treatment, or the relationship between the patient and their clinicians.
Advocates do not diagnose, prescribe, interpret symptoms, or change discharge instructions. Clinical questions return to the appropriate clinician.
Patients choose who Baba may contact and what information may be shared. Coordination follows that permission.
Consented updates can return by fax or portal with completed tasks, open barriers, and anything that needs clinical review.
The practical details behind a discharge referral, patient consent, and the update back.
Transitions-of-care nurses, discharge planners, care managers, social workers, physicians, and other authorized clinical team members can start a referral. The referral flow collects the information Baba needs to contact the patient and confirm next steps.
Share where post-discharge work is still falling through. We will follow up about fit, consent, referral timing, and how Baba can return updates to your workflow.
Refer a patient or talk with us about your transition workflow.