Home Companion · Hospital Pilot Framework

A structured 30-day pilot for continuity of care

Home Companion is Patient Experience Intelligence for Hospital-at-Home, post-discharge and specialist pathways — helping patients prepare for, understand and follow through on care between encounters. This framework defines exactly how a pilot is scoped, governed and measured. We measure; we do not promise clinical outcomes.

Pilot Objective

A pilot exists to answer one question with evidence: does runtime-governed Patient Experience Intelligence improve how patients prepare for, understand and follow through on care — safely, transparently, and under human authority?

What we are testing

Feasibility, acceptability and governance integrity of Home Companion within a defined patient population over 30 days. The pilot produces an evidence pack: engagement data, governance event logs, escalation handling records, and structured patient and clinician feedback.

What a pilot is not

It is not a clinical trial, a medical device deployment, or a claim of reduced admissions or improved clinical outcomes. Home Companion is non-diagnostic and performs no autonomous diagnosis, treatment, or clinical decision-making, in line with the EU AI Act.

Target Populations

Home Companion is designed for patients navigating care between encounters — where continuity, preparation and follow-through carry the highest burden. A pilot focuses on one population to keep the evidence clean.

Oncology

Cancer patients and survivors managing complex appointment schedules, side-effect tracking, and information overload between specialist visits.

Chronic disease

Long-term conditions (e.g. cardiac, respiratory, diabetes) where daily routine, medication adherence reminders and self-management support reduce avoidable friction.

Post-discharge

The fragile window after a hospital stay, where understanding discharge instructions and following through on next steps matters most.

Hospital-at-Home

Patients receiving acute or sub-acute care at home, where structured preparation and a clear escalation path support the care team.

What Home Companion Does

Non-clinical, consent-gated patient support that sits alongside — never replaces — the care team.

Governance: Safety OS™

Every pilot runs on Runtime Governance Infrastructure. Human authority stays at the centre; the AI executes delegated, bounded tasks — and the system enforces those boundaries at runtime.

ConsentConsent-gated by design. Nothing happens without explicit, recorded patient consent.
AuthorityThe Human Authority Envelope defines what the system may and may not do — clinicians stay in command.
EscalationOut-of-boundary events route to the right human through defined escalation pathways.
AuditComplete, tamper-evident audit trails — the evidence regulators will require for higher-risk AI.

Aligned with the EU AI Act. Non-diagnostic scope keeps the pilot outside SaMD classification while generating the governance evidence that supports future regulated expansion.

Outcomes Measured

Measure, not promise. We report what the pilot observes — we make no claim of reduced admissions or improved clinical outcomes. Targets are pending probe-based instrumentation.
Patient
  • Self-reported preparedness for appointments
  • Perceived understanding of care instructions
  • Sense of connection / reduced isolation
  • Acceptability and ease of use
Engagement
  • Daily check-in completion
  • Interaction volume and retention
  • Language-switching usage
  • Feature adoption over 30 days
Operational
  • Escalations raised and handled
  • Governance events logged
  • System uptime and reliability
  • Care-team time and integration effort
Exploratory
  • Signals worth a larger study
  • Workflow-fit observations
  • Hypotheses for Phase II design
  • Qualitative clinician feedback

Implementation Approach

Lightweight by design. Home Companion operates with its own governance layer and requires minimal IT integration to start a pilot.

  1. Scoping (Week 0)Define the patient population, consent flow, escalation contacts, and the outcome set. Sign a simple pilot agreement.
  2. Onboarding (Week 1)Enrol consenting patients, configure language and preferences, brief the care team on the escalation path.
  3. Live run (Weeks 1–4)Patients use Home Companion daily. Governance metadata and engagement data accrue. Care team receives summaries.
  4. Evidence pack (Week 5)We deliver a structured readout: engagement, governance, escalation handling, and patient / clinician feedback — with recommendations.

Evidence Roadmap

Capability expansion is earned through governance maturity — never the reverse. Evidence from each stage supports the authorization of the next.

Stage I · Now

Non-clinical patient experience support. Feasibility, acceptability and governance evidence.

Stage II · Next

Structured wellbeing monitoring within expanded, still non-diagnostic boundaries — subject to review.

Stage III · Future

Clinical-grade integration with EHR and escalation pathways — subject to regulatory authorization.

Bring Home Companion to your patients

We are selecting a small number of pilot partners for 2026 — regional hospitals, care homes and health insurers. A 30-day pilot is the fastest way to generate evidence that fits your setting.

Apply for a 30-Day Pilot