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A Protocol-Driven, Digital Conversational Agent at the Hospital Bedside to Support Nurse Teams and to Mitigate Delirium and Falls Risk

Award Number: R44NR017842
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

Group Awards By Issue Date FY or Funding FY:

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Abstract About 700,000 to 1 million falls per year occur during hospital stays in the US, costing hospitals $3 billion to $7 billion each year to treat. These costs are not reimbursed by the Centers of Medicare and Medicaid, resulting in significant financial losses for hospitals. Delirium, a major cause of falls, is highly prevalent (29%-64%) among hospitalized elders. Even without causing a fall, the average case of delirium increases the length of stay by 7.78 days, disrupting throughput and significantly reducing net hospital revenues. Including the common sequelae of post-discharge functional decline, delirium costs the national healthcare system over $130 billion per year. Due to the high cost and significant psychosocial needs of certain hospitalized patients, a widely-used intervention to mitigate risk is to assign hospital staff & nurses to serve as “patient sitters” at the bedside, at a cost of $1 million/year for a typical hospital. However, despite the workforce burden and expense, patient sitters often do not reliably execute risk-mitigating protocols, and the literature does not support their efficacy in preventing adverse events. In this SBIR Fast-Track proposal, we seek to develop an advanced, human-in-the-loop artificial intelligence (AI) avatar system to enhance the wellbeing of hospitalized patients, avoid adverse events including delirium and falls, and improve workforce efficiency by supporting nursing staff to work at the top of their license, potentially generating savings of $2,000,000 each year for a typical 300-bed hospital. This proposal aligns with NINR’s cross-cutting focus areas of Promoting Innovation and 21st Century Nurse Scientists, while applying the principles of patient self-management and wellness to the acute care environment, where the outcomes driven by our patient engagement and support platform will have an outsized, immediate cost benefit to enable rapid scaling and dissemination.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = $0 )
2023	2020	CARE.COACH CORPORATION	199 CALIFORNIA DR	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	000	3	5/30/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2022 ( Subtotal = $0 )
2022	2020	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	000	3	1/5/2022	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2020	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	001	3	3/19/2021	NON-COMPETING CONTINUATION	$0
2021	2018	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	000	1	2/11/2021	NEW	$0
														Subtotal = $0

Issue Date FY: 2020 ( Subtotal = $555,611 )
2020	2020	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	000	3	12/20/2019	NON-COMPETING CONTINUATION	$555,611
2020	2019	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	001	2	12/31/2019	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $555,611

Issue Date FY: 2019 ( Subtotal = $546,049 )
2019	2019	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	000	2	11/27/2018	EXTENSION WITH OR WITHOUT FUNDS	$546,049
														Subtotal = $546,049

Issue Date FY: 2018 ( Subtotal = $202,032 )
2018	2018	CARE.COACH CORPORATION	660 EL CAMINO REAL STE 210	MILLBRAE	CA	94030	SAN MATEO	USA	Nursing Research	000	1	4/24/2018	NEW	$202,032
														Subtotal = $202,032

Grand Total All Awards = $1,303,692

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A Protocol-Driven, Digital Conversational Agent at the Hospital Bedside to Support Nurse Teams and to Mitigate Delirium and Falls Risk

Award Number: R44NR017842

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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