AMBIENT INTELLIGENCE FOR PACE
What if you knew a participant needed help — before anyone noticed?
Constant Caregiver gives PACE continuous understanding at home, so the PACE Coordinator and IDT can know who may need attention, what changed, and why.
Constant Caregiver
Today · 6:42 AM
Change from her normal overnight
Up 4 times last night. Bathroom visits well above her usual. Not yet up for her morning routine.
PURPOSE-BUILT FOR PACE
Earlier Understanding. Better Outcomes.
Most of a participant’s life happens at home, between center visits. Constant Caregiver closes that visibility gap, designed around outcomes that matter most to PACE.
Timely Intervention
Recognize meaningful change from each participant’s normal earlier, so your IDT has more time to assess, reach out and act.
Avoidable Acute Event Prevention
Surface rising risk, unexpected change and falls in time to prevent or reduce ED visits, hospitalizations and readmissions.
More Days at Home
Help participants stay safe and independent in the community — the heart of the PACE mission.
Focused IDT Action
Not another dashboard of sensor data. Know who needs attention, what changed and why.
Lower Total Cost
In a fully capitated model, preventing avoidable escalation is better care and better economics.
Family Confidence & Connection
Bring family, friends and community into a Trusted Circle of Care, without adding communication work for the IDT.
PACE ACTION CAN HAPPEN BEFORE AVOIDABLE ESCALATION
Most of daily life happens between visits. We help close the understanding gap, without adding work for your IDT.
When sleep, mobility, bathroom and/or other daily patterns shift from a participant’s normal routine, it could be an early signal of rising risk.
Prioritize
Who may need attention first?
Coordinate
Engage the right IDT response.
Intervene
Outreach, assessment or care-plan action.
Prevent Escalation
Act before avoidable acute events or higher-cost transitions.
PROTECT INDEPENDENCE BEFORE RISK ESCALATES
- Falls + injury
- Respiratory / cardiac decline
- Infection / dehydration
- Post-discharge decline
HOW IT WORKS
We extend your IDT into the home — 24x7
Our Continuous Ambient Intelligence understand what’s changing in a participant’s daily life between center visits — brought together into one continuous picture, not a pile of disconnected devices.
- 1Sleep QualitySleep patterns, bedtime and wake times, and overnight health context.
- 2Daily ActivitiesMobility and daily living: is the participant moving and functioning as expected?
- 3Home + EnvironmentConditions in the home that affect safety and independence.
- 4Transportation ReadinessKnow if a participant is up and ready before the van arrives.
- 5Falls & SafetyDetect falls and emerging safety concerns, and respond when it’s urgent.
- 6Health InsightsSleeping heart and respiratory rate, and other meaningful change.
- 7Family & Community ConnectionA wider circle of caring support around the participant.
IDT INTELLIGENCE
Signals that fit the way PACE already works.
Constant Caregiver brings prioritized, contextual signals into your IDT's day, so nurses, aides, social workers and the medical director can coordinate action where its needed most.
Prioritize at a glance
See who may need attention right now, and why. Each participant gets a simple status (home or away, asleep or awake, on routine, bathroom as expected, falls or safety events), ranked by what changed from their normal.
Who should I focus on right now — and why?
Understand what changed
Trends across mobility, bathroom routine, sleep, stability and social activity show whether a change is a one-off or a developing pattern. Weekly nurse reports summarize living patterns at home. Ambient signals become a durable picture for care planning and program documentation.
Trends and changes
in routine inform IDT action
Daily Participant Reports
Know how each participant is doing before they arrive at the center. A nurse-ready summary of the last 24 hours, compared with their normal and prioritized by who may need attention first.
Start the day knowing about any meaningful changes in participant’s wellbeing
PERSONALIZED SERVICE
Start where the need is.
Expand as it grows.
Three levels of continuous home intelligence, each building on the last.
Daily Check-In
Simple to start. Valuable on day one. Easy to expand over time.
- Know who may need attention before the day starts.
- Know when bedtime and morning routines break from the participant’s usual pattern.
- Start the day prioritized: who needs follow-up, why, and transportation readiness.
Daily Insights
Understand how the participant is functioning between touchpoints.
- See how the participant is functioning across the whole day.
- Connect changes across ADLs to bring emerging decline into focus.
- Receive intelligent alerts when expected patterns break: act now or monitor.
Daily Protect
Act on rising risk. Respond the moment it matters.
- Detect falls directly and escalate immediately when help is needed.
- Know position and movement in real time: bed, couch, bathroom and around the home.
- Understand real-time position and inactivity to identify rising safety risk.
IDT Intelligence and Social Connector are included at every level.
SOCIAL CONNECTOR
Trusted Circle of Care
Make it easy for the people who already care to stay connected, and to help when it matters.
Primary caregiver
App access, detailed visibility and optional device control.
Family, friends & neighbors
Simple text participation. No app required.
PACE / IDT
Configured escalation and clinical oversight.
Community outreach
A human and community support network.
Connection
Loved ones stay informed and engaged.
Shared support
Family, friends, care team and community work together.
Response
The same trusted circle can step in when something matters.
Research-informed by NIA-funded, peer-reviewed Care Daily / UC Berkeley studies of family caregiver support.
PERSONALIZED ESCALATION
The right response, in the right order.
Escalation policies are configurable by participant, event type, care setting and response policy. The same Trusted Circle that supports everyday connection becomes part of the response pathway.
Check with the Participant
Ask the person we’re caring for if they’re okay.
Trusted Circle Responds
A group text goes to the Trusted Circle. An intelligent agent listens for acknowledgment and escalates if no one responds.
Escalate to PACE / Care Team
If no one responds, or the event warrants it, PACE clinicians or a professional caregiver are notified to intervene.
Emergency Response
When needed, escalate to the emergency call center, which can dispatch emergency services.
The pathway can vary by alert severity and organization policy.
OUTCOMES AND ECONOMICS ARE ALIGNED
In PACE, prevention is the business model.
PACE holds the full risk for every participant. Every avoided ED visit, hospital admission and nursing-home day is better for the participant, and better for the program.
Fall-related ED visit
Acute treatment cost*
Fall-related hospitalization
Acute inpatient treatment cost*
30-day rehospitalization
Average readmission cost*
OPERATIONAL VALUE FOR PACE
Transportation
Fewer failed trips, delays and escalation calls.
Focused IDT time
Less time sorting alerts, more time with higher-risk participants.
More days at home
Earlier support and fewer higher-acuity transitions.
*Benchmarks: U.S. adults 65+ fall-related acute care costs; 30-day readmission meta-analysis. Values are benchmarks, not guaranteed Constant Caregiver savings.
WHY CONSTANT CAREGIVER
Designed for the way PACE works.
From the IDT's morning huddle to capitated economics, Constant Caregiver fits your model instead of asking you to fit ours.
Built with caregivers. For caregiving.
More insight with no added caregiver burden. Designed for senior care and refined in real homes.
Personalized ambient intelligence
Learns each participant and home, not one-size-fits-all. Combines signals so meaningful change comes into focus.
Start with the need. Expand as it grows.
One open platform for falls, sleep, nurse call, wander management, home safety and more. Insights flow into your EHR and workflows.
20+ years delivering senior-care technology, end to end
- Assess
- Deploy
- Integrate
- Train
- Support
PROVEN IN THE REAL WORLD
Backed by science. Refined in real homes.
of real-world refinement in homes and communities
peer-reviewed research with UC Berkeley
insights delivered into your EHR/EMR and workflows
RESEARCH & SCIENCE COLLABORATORS
See it working for your teams and participants — no cost to you.
We’ll show you what ambient signals look like between visits for a PACE population, and how they reach your IDT without adding another system to check.