Clinical Infrastructure

Continuity of care infrastructure that cuts admissions and buys back staff time.

An AI clinical co-pilot that monitors high-risk chronic patients after discharge and between visits—reducing avoidable utilization for hospitals and unlocking scalable follow-up for clinics.

  • Early risk detection + escalation
  • Workflow automation + prioritization
  • Clear ROI: utilization ↓, capacity ↑, revenue capture ↑
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Continuous
Monitoring
Guideline-Aligned
Clinical Support
Early Risk
Prioritization
$35B+

Annual COPD costs in North America

1 in 5

Chronic patients readmitted within 30 days

20–30%

Readmission reduction with timely follow-up

72 hrs

Critical post-visit window with no structured care

The Gap

Chronic Disease Care Is Fragmented by Design

Healthcare systems are optimized for acute events, not continuous care. Patients are discharged, monitored intermittently, and re-engaged only when deterioration becomes visible.

The gap is not knowledge. The gap is continuity.
  • Preventable exacerbations driving avoidable costs
  • Clinician overload from reactive caseloads
  • Patient uncertainty between clinical encounters
For Hospitals

Cut avoidable readmissions by catching deterioration earlier.

PhoenixCare is a post-discharge co-pilot for COPD and complex chronic patients that standardizes follow-up, flags early risk, and escalates the right intervention—without adding staff.

  • Fewer ED visits + readmissions Early detection and escalation pathways that intervene before deterioration becomes acute
  • More bed-days + capacity Faster discharge confidence and smoother transitions free critical inpatient capacity
  • Less RN / coordinator burden Automation and prioritized worklists mean your team focuses only on patients who need them
Request a Pilot See ROI Model
Hospital Deployment
Integrated post-discharge pathway
30-day readmission rate ↓ 20–30%
Bed-days freed per quarter ↑ Measurable
Staff follow-up burden ↓ Automated
Time to deployment 4–8 weeks
Starting with COPD — expandable to CHF, multimorbidity, post-surgical
Clinic Deployment
Automated between-visit care layer
Revenue per patient ↑ RTM/RPM ready
Between-visit touchpoints Automated
Staff escalation load ↓ Flagged only
Time to go live 2–4 weeks
Designed for respiratory, primary care & specialist clinics
For Private Clinics

Scale chronic care follow-up—without hiring more staff.

PhoenixCare automates between-visit monitoring, check-ins, and escalation so your team can manage more COPD patients with a smaller workflow footprint.

  • Increase revenue per patient RTM/RPM-ready workflows with documented touchpoints for billing
  • Improve retention + outcomes Ongoing support between visits keeps patients engaged and on track
  • Reduce staff load Automation runs the routine—only escalations reach your team
Request a Clinic Pilot How clinics deploy in 2–4 weeks
The Platform

An AI Clinical Co-Pilot for Real-World Care Continuity

PhoenixCare follows patients longitudinally, reinforces care plans, detects early deterioration signals, and supports adherence while remaining aligned with clinical oversight.

Not a monitoring tool. A continuity layer embedded in the care pathway.
Longitudinal follow-up
Early risk detection
Guideline-aligned care
Human-in-the-loop
Interoperability
Adherence support

Patient Journey

Continuity Across the Entire Care Journey

Care should not stop at discharge. PhoenixCare ensures structured continuity between every clinical encounter.

Phase 1
Discharge

Structured handoff protocols and immediate engagement within the critical 72-hour post-discharge window.

Phase 2
Home Support

Continuous monitoring, education reinforcement, and early deterioration signal detection in the home environment.

Phase 3
Stabilization

Long-term adherence support, proactive care pathway alignment, and readmission prevention at scale.

150+

Countries reached through global COPD education

30+

Years of validated self-management research

GRADE A

Evidence-aligned care models

✦ AI

Clinical & AI leadership with deployment experience

Clinical Foundations

Built on Proven Clinical and Educational Foundations

PhoenixCare is grounded in validated self-management frameworks, global COPD education programs, and multidisciplinary expertise in clinical care, behavioral science, and AI.

Built on the legacy of evidence-based COPD programs and global patient education initiatives implemented across more than 150 countries.

  • Living Well with COPD legacy
  • Global educational reach — 150+ countries
  • Evidence-aligned care models
  • Clinical and AI leadership
Health Systems

Operational Impact for Health Systems and Clinics

PhoenixCare brings structure to chronic care complexity by prioritizing high-risk patients, reducing clinician burden, and enabling proactive intervention before deterioration becomes acute.

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Workforce Relief

Reduces clinician cognitive load and reactive burden through structured triage.

Risk Prioritization

AI-driven flags surface highest-risk patients before deterioration occurs.

Patient Confidence

Structured support improves adherence and self-management capability.

Proactive Pathways

Intervene earlier, reduce readmissions, and optimize care spend system-wide.

Our Team

A Team at the Intersection of Clinical Excellence and AI Innovation.

Dr. Jean Bourbeau
Dr. Jean Bourbeau, MD, MSc
Chief Medical Officer

Global COPD leader with 300+ publications and 20,000+ citations. Brings world-class expertise in respiratory care pathways and outcomes—helping PhoenixCare translate evidence-based follow-up into scalable clinical workflows.

Paolo Melgarejo
Paolo Melgarejo
Chief Executive Officer

Machine Learning engineer and product designer focused on deploying AI in real clinical workflows. Formerly Stanford Research, Endocrine Society, and McGill University—building scalable systems that improve outcomes and reduce operational waste.

Maria Sedeno
Maria Sedeno, BEng, MM, GCSRT
Chief Commercialization Officer

Engineer and healthcare operator. Executive Director of Respiplus and former Clinical Trial Director at RI-MUHC. Helped shape COPD standard of care and scaled clinical education to 35,000+ users across 150+ countries. Leads adoption, partnerships and commercialization for PhoenixCare.

Alex Peav
Alex Peav, CPA
Chief Financial Officer

Brings KPMG audit, hospital finance, startup, and compliance expertise to PhoenixCare. Prior experience scaling and managing $40M AUM and building an 11-person finance team as its first hire across 4 jurisdictions.

Built on the legacy of evidence-based COPD programs and global patient education initiatives implemented across 150+ countries.

Our Partners

Our partnerships combine decades of clinical expertise, AI research and healthcare innovation, working together to advance continuity of care.

  • Respiplus
  • Mila
  • NVIDIA Inception Program
  • CAN Health Network
  • Centech
Get In Touch

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