A nursing home staff member is unable to get physicians to order necessary diagnostic tests (urinalysis) for a patient who shows clear signs of a recurrent UTI, despite staff consensus, putting the patient at risk.

Workarounds Described

• verbally tells nurses about the problem, who then try to talk to physicians
• no formal mechanism for 3rd shift staff to communicate with doctors

Implied Software Gaps

• A mobile app for CNAs to document clinical concerns and escalate them to physicians with structured data
• A facility-wide system to track and resolve clinical escalations with accountability

CareEscalate

CareEscalate is a mobile app that empowers nursing home staff (CNAs, LPNs) to quickly document and escalate clinical concerns (like suspected recurrent UTI) to the on-call physician with structured data. It provides a standardized symptom tracker, facility protocol reminders, and an escalation log that creates a permanent record. Physicians receive actionable alerts with patient history and staff observations, reducing delays in care.