Integrating Home Care with Hospital Systems

FOR IMMEDIATE RELEASE

Contact:                                   Steph Davidson
647-668-6369
steph.davidson@alayacare.com

Integrating Home Care with Hospital Systems

Health PEI becomes first province to integrate home care with hospital systems using AlayaCare

TORONTO, Sept. 24, 2025. Health PEI, Prince Edward Island’s single health authority, has successfully transformed its home care delivery system through a comprehensive digital modernization initiative powered by AlayaCare’s integrated platform. The implementation has delivered remarkable results, including an 18% increase in scheduling productivity, 216% growth in assessments, and a 50% reduction in administrative paperwork for nursing staff.

Digital transformation

This strategic transformation was driven by Health PEI’s commitment under the Pan-Canadian Health Accord to modernize home care services across the province. Previously, the organization faced significant operational challenges with outdated assessment tools, manual scheduling processes, and limited system integration that disrupted care coordination and diverted clinical staff from direct patient care.

By implementing AlayaCare in 2022, the organization replaced its legacy Seniors Assessment Screening Tool (SAST) with interRAI HC, adopted digital scheduling, and enabled mobile access for real-time charting. The solution also integrated directly with provincial systems, including Oracle Health (Cerner) and the Provincial Client Registry, enabling seamless client transitions and province-wide care coordination.

Integrating Home Care with Hospital Systems AlayaCare HealthPEI

“At first, we were just looking for software to help with interRAI-HC assessments. But with AlayaCare, we got so much more. It’s been a big leap forward in modernizing home care in our province. We’ve integrated with the provincial clinical information system and client registry, streamlined our operations, and scaled up client assessments. That’s helped us smooth client transition from hospital to home and strengthen care planning. Most importantly, it’s given us clear visibility into our metrics so we can scale more intentionally and efficiently into new programs.”

Mary Jane Callaghan

Former Project Lead, Health PEI

Outcomes

Since go-live, Health PEI has achieved significant outcomes:

  • Better care delivery: Annual assessments grew by 216% by replacing SAST with AlayaCare’s interRAI HC assessment tool and 100% of clients now have multidisciplinary care plans. Every individual receives integrated, person-centered care with a focus on care coordination across health and social services.
  • Greater system capacity: 15% increase in caseloads ensures more clients can access the support they need without long delays.
  • Enhanced workforce efficiency and staff experience: Scheduling productivity rose 18% and paperwork was cut in half, giving care teams more time with clients and improving work-life balance.
  • Improved data visibility: Health PEI became the first province to achieve 
Health PEI Growth Integrating home health with hospital systems

province-wide hospital integration for its home care system, enabling real-time updates, proactive system planning and real-time submissions to the Canadian Institute for Health Information (CIHI).

“With AlayaCare, everything I need is on my laptop or phone. I can document during the visit and submit forms on the spot. Having that flexibility is a game changer.”

-Deina Perry, Home Care Physiotherapist at Health PEI. 

The transformation also reduced scheduling delays and optimized staffing through direct integration with Oracle Health (Cerner). Admission, discharge, and transfer updates now automatically adjust home care schedules, ensuring continuity of care and reducing unnecessary travel. 

“The real-time schedule is incredibly helpful. Our whole team can quickly see if a client is in hospital or at a facility respite, thanks to the integration with Cerner. It saves us from making endless phone calls just to track clients down.”

-Joanne McLaughlin, RN interRAI Assessor at Health PEI. 

By adopting AlayaCare, Health PEI has set a benchmark for provincial-scale modernization of home care in Canada. The initiative has strengthened care coordination, supported evidence-based planning, and expanded access for older adults across Prince Edward Island. 

“Health PEI’s vision went far beyond simply replacing an assessment tool. Together, we’ve built an integrated, province-wide home care platform that connects directly with hospital systems, streamlines operations, and scales assessments at a level never before possible. This transformation is strengthening care transitions, improving planning, and giving leaders the data visibility they need to expand programs with confidence and efficiency. It’s a powerful example of how digital innovation can reshape home and community care.”

Adrian Schauer

CEO, AlayaCare

# # #

About Health PEI

Health PEI is the single health authority for Prince Edward Island, responsible for delivering publicly funded healthcare services across the province. Its mandate includes hospitals, primary care, long-term care, home and community care, mental health and addictions, and public health. By integrating services across the continuum of care, Health PEI is committed to providing safe, equitable, and high-quality healthcare that meets the needs of Islanders today and into the future. 

About AlayaCare

AlayaCare is an end-to-end platform designed to serve public, private, and non-profit home and community care organizations that manages the entire client lifecycle, including needs assessments, care plans, scheduling, visit and route optimization, and visit verification. Founded in 2014 and now with over 600 employees, AlayaCare combines traditional in-home and virtual care solutions that enable care providers to lower the cost of care and achieve better outcomes for their clients. For more information, visit: AlayaCare.com 

© 2025 This press release originally appeared on the AlayaCare website and is reprinted with permission. For more information or for permission, please see press contact above.

AlayaCare to Work With Multi-State Provider

FOR IMMEDIATE RELEASE

Contact:                                     Steph Davidson

steph.davidson@alayacare.com

AlayaCare Selected as Agency Management Platform of Record by Premier Home Health Care

NEW YORK, NY – August 14, 2024 – AlayaCare, a global technology platform for home and community-based care, announced today that it has been chosen as the end-to-end Electronic Health Record (EHR) of choice by Premier Home Health Care Services, Inc., a comprehensive Licensed Home Care Services Agency (LHCSA) and home health care provider based in New York and serving clients across multiple states, including New York, New Jersey, Connecticut, Massachusetts, Florida, Illinois, and North Carolina. 

Premier, which provides high-quality care to over 15,000 people under service weekly, will be migrating its legacy EHR software to AlayaCare’s modern, cloud-based home care platform. This partnership is founded on AlayaCare’s support for multiple service lines to fuel Premier’s growth across its Medicaid skilled and personal care businesses, with the caregiver experience at the heart of it all. 

AlayaCare’s commitment to leveraging data and technology to optimize care delivery for caregivers and clients aligns with Premier’s focus on the employee experience. “Engaging and retaining our workforce is not just about numbers; it’s about nurturing a supportive environment where every caregiver feels valued and empowered,” said Dr. Marshalina Ramos, President and COO at Premier.  

With AlayaCare as its EHR partner, Premier will be able to utilize a modern technology stack to handle scale and to drive better care coordination using best practices in Artificial Intelligence (AI), advanced workflow automation capabilities, and an industry-leading open-API architecture to streamline administrative operations. AlayaCare will transform everything from intake and care plans through to compliance, scheduling, and eligibility monitoring, driving growth and improving experiences for both the care team and the client.  

“At Premier Home Health Care Services, we are dedicated to continuous innovation in our care delivery,” said Dr. Ramos. “Partnering with AlayaCare represents a significant step forward in our mission to revolutionize home-based care through advanced technology. By leveraging cutting-edge solutions and fostering ease of partnerships, we are poised to disrupt the market and set new standards in the quality and efficiency of care. This collaboration underscores our commitment to enhancing the caregiver experience and ensuring exceptional outcomes for our clients.” 

“We are thrilled to partner with Premier Home Health Care Services as their EHR of choice,” said Adrian Schauer, CEO and Founder of AlayaCare. “This collaboration is a testament to our shared vision of harnessing cutting-edge technology to revolutionize home-based care. By digitizing and modernizing care delivery, we ensure that caregivers are equipped with the tools they need to provide exceptional care, and clients receive the highest quality of care in the comfort of their homes. Together, we are not only improving operational efficiency but also transforming the very experience of care for both caregivers and clients.” 

# # #

About AlayaCare

AlayaCare is an end-to-end software platform for public, private, non-profit, and community home-based care organizations that manages the entire client lifecycle, including needs assessments, care plans, scheduling, visit and route optimization, and visit verification. Founded in 2014 and now with over 500 employees, AlayaCare combines traditional in-home and virtual care solutions that enable care providers to lower the cost of care and achieve better outcomes for their clients. For more information, visit: AlayaCare.com

About Premier Home Health Care Services, Inc.

Premier Home Health Care Services, Inc. is a clinician-run organization and a leading provider of personalized home health care, dedicated to improving the quality of life for individuals and families across multiple states. With a focus on compassionate care and innovation, Premier delivers tailored health care solutions that enhance patient outcomes in the comfort of their homes. 

Our comprehensive care management approach ensures that each client receives coordinated and continuous care, designed to meet their unique needs and support their overall well-being. As an Article 49 Care Management organization, Premier also assists health plans, providers, and individuals in navigating the complexities of the health care system, ensuring seamless access to the necessary services and support. 

Operating in New York, New Jersey, Massachusetts, Florida, Illinois, North Carolina, and Connecticut, Premier fosters a family-like environment for both clients and staff, offering union representation in New York to support our team members. 

© 2024 AlayaCare All Rights Reserved

Generative AI Comes to AlayaCare

by Kristin Rowan, Editor

Generative AI and Artificial Intelligence are taking the world, and the care at home industry, by storm. Not surprisingly, there are only a few companies that are doing AI well. We’ve started reviewing the best of of them. So far, each company doing AI well has a unique solution to a pain point in home care. No two companies are approaching or using AI the same way. This week, we’d like to re-introduce you to a company we’ve reviewed before that has a new Generative AI app launching soon.

History

Practically a household name in home care, AlayaCare is a 10-year-old software company that started as a mobile workforce platform. Like many of us, once Adrian Schauer, Co-Founder and CEO, spend some time in the care at home world, he was hooked. He shifted the focus of AlayaCare to the care at home space. With parents in their 80s, Adrian found a lack of inspiring software in the industry in Canada and he felt like that was an important problem to solve.

“Care workers are doing God’s work, and they are not getting the support they deserve,” says Schauer. In Canada, where AlayaCare started, agencies combine home health and supportive care. Because of this, the largest patient base on the AlayaCare platform is on the supportive care at home side, but they now operate within home health as well.  Since 2021, AlayaCare has added hospice to their network with the acquisition of Delta Health. 

AI Comes to AlayaCare

Through many iterations of the software, AlayaCare has advanced with new technological capabilities. Now, AlayaCare is embracing artificial intelligence; more specifically, Generative AI. Schauer explains that the purpose of their new AI technology is “to enable the type of care we want our loved ones to receive at home.” 

The new GenAI app was demoed in September of 2023 and is still in Beta testing. AlayaCare is anticipating an end-of-summer launch of the product.

Introducing...Layla

Layla is an in-app digital assistant, built on top of GenAI. It’s large language model allows the user to conversationally interact with the data in the system. It also includes a constrained internet search component. From the conversation, it can determine whether the user is seeking internal or external information.

Layla’s data exploration does more than just extracting data. The GenAi platform allows Layla to provide operational support around key metrics for employee retention.

Layla Generative AI AlayaCare

Agency Support

AlayaCare has determined some key factors in employee retention:

  • Utilization
  • Quality shifts
  • Qualified Hours
  • Recurrent shifts
  • Average weekly clients
  • Weekday hours vs weekend hours

Focusing on these factors, Layla provides improvements in onboarding, scripting information, data migration, and scheduler use of time.

Features

Visit Optimizer

AI generated, automated scheduler that takes into account route management, skill matching, daily hours, and schedule optimization to optimize care and reduce time from referral to first appointment.

The scheduling automation includes push notification capabilities to send schedule updates to clinicians in real time. As each week’s schedule is created, Layla can send a push notification to each clinician. It asks them to verify their availability and confirm the next week’s schedule.

Additionally, Layla considers environmental factors such as pets, neighborhoods, and other family members in the home.  According to AlayaCare users, the Visit Optimizer offers up to a 98% decrease in time required to fill visits, 35% improvement in visit fulfillment, and 35% improvement in data quality.

Notable

Notable transforms notes from patient visits, forms, and client records. Then, it uses AI to review, compile, categorize, and tag all the notes. 

From this information, Notable compiles an activity of daily living (ADL) for each client, including whether and why a task was completed. This information is also moved to the risk dashboard. The risk dashboard shows the whole population, the risk of that population, identifiable trends, risk level, and whether the risk has remained stable over time. All of this information is compiled into a single risk dashboard with customizable reports. 

Additional security measures for Notable include a grounded model to reduce the risk of AI hallucination and ensuring no PHI leaves the dashboard.

Employee Retention Dashboard

Several factors impact employee retention.  Among the top reasons for employee dissatisfaction are pay and benefits, inconsistent hours, and safety concerns. The current workforce shortage means keeping your best employees is more important than ever. With a quick snapshot of your employee satisfaction and engagement, you can address concerns earlier and improve turnover rates.

The employee retention dashboard highlights satisfaction scores, client capacity, scheduled hours, number of unique clients, overall turnover rates, turnovers by location, and more.

“Having a tool to predict employees who may be disengaged or dissatisfied prior to this happening is invaluable,” said Lee Grunberg, President & CEO, Integracare. “With the dashboard and algorithm behind it, we can see a caregivers’ satisfaction or engagement trend over time, and deploy preventative measures to reduce the likelihood that they’ll resign. It has empowered our coordinators to be much more retention-driven.”

On Deck for Layla

I spoke with Adrian Schauer, Co-founder and CEO of AlayaCare, during the online demo. “My passion project is…Layla. The people in your agency should be building relationships and making decisions. Anything else should be done by automation.” 

AlayaCare is currently in a high growth mode to build marketshare across the personal care and skilled sides of the marketing. Schauer’s goal is to elevate a level above their existing capabilities with home based care providers. This includes how payers are set up, how EVV is operating, lobbying, and advocacy. 

For Layla, AlayaCare is working on the GenAI capacity for chart completion by voice. Layla would use the conversational language model it already has to recognize and understand the conversation during a home visit and transcribe the conversation into notes, visit documentation, care plans, and codes.

Final Thoughts

As AI becomes more commonplace across care at home, we are scrutinizing AI platforms for safety, identity protection, accuracy, and ethical use. If you are looking for an AI solution for your business operations, we caution you to use discretion in your use of AI and thorougly vet the AI platform prior to adoption. We will continue to provide updates when Layla launches later this year. But, for now, it looks like we’ve found one more technology platform that is using AI the right way.

Kristin Rowan, Editor
Kristin Rowan, Editor

Kristin Rowan has been working at Healthcare at Home: The Rowan Report since 2008. She has a master’s degree in business administration and marketing and runs Girard Marketing Group, a multi-faceted boutique marketing firm specializing in event planning, sales, and marketing strategy. She has recently taken on the role of Editor of The Rowan Report and will add her voice to current Home Care topics as well as marketing tips for home care agencies. Connect with Kristin directly kristin@girardmarketinggroup.com or www.girardmarketinggroup.com

©2024 by The Rowan Report, Peoria, AZ. All rights reserved. This article originally appeared in Healthcare at Home: The Rowan Report. One copy may be printed for personal use: further reproduction by permission only. editor@therowanreport.com