Built for structured family caregiving

Structured family caregiving records, ready before the first home visit.

A daughter called about her mother: three chronic conditions, a hospital stay in the spring, a primary care physician who has not seen her since. The nurse's home visit is next week, and the diagnosis documentation, the history and physical and the medication list are at four offices that have not answered.

The decision

A patient is transitioning.

Structured family caregiving providers: the intake coordinators, enrollment nurses and care coaches who take a family's referral, assess the care recipient at home and stand up the caregiver's plan of care.

Structured family caregiving is a transition into care that happens at home, under a family member’s hands, with a provider agency’s nurse behind them. A family calls, or a hospital discharge planner does. The agency’s nurse visits the home to assess the care recipient, the care coach builds the caregiver’s plan and training, and none of it starts well without the history: the diagnosis, the most recent physical, the medications, what happened in the hospital in the spring. That history was written at four or five offices, and the caregiver is the person least able to spend the week chasing it.

The list below is what Georgia’s Elderly and Disabled Waiver Program review lists as the clinical record for its programs, and it is the same list an enrollment nurse wants in hand before the first visit. It is deliberately short: it covers what has been diagnosed and prescribed and what happened recently, not who helps with dressing or bathing. That half is the nurse’s own assessment, and no retrieved chart can stand in for it.

Vivlio retrieves the outside record from providers, hospitals and health systems in minutes and organizes it for that first visit: what has arrived, from where, what is new, and who said it.

Before the decision

What the structured family caregiving record has to contain.

Not a generic records list. What has to be on the table before this decision can be made well.

  1. Diagnosis documentation

    Chart notes that name the chronic or progressive condition: severe osteoarthritis, advanced cardiovascular disease, diabetes, Alzheimer's disease or another dementia. The plan of care starts from what has been diagnosed, not from what the family describes.

  2. The history and physical

    The most recent comprehensive examination from the care recipient's own physician, with its date, because how recent it is decides whether the nurse is working from the current picture.

  3. The current medication list

    Every prescription and dose from every prescriber, because the complexity of daily medical management is what the caregiver is being trained to carry.

  4. Therapy notes and cognitive assessments

    Physical and occupational therapy evaluations covering mobility restrictions, fall risk and assistive devices, and any formal cognitive assessment or neurologist evaluation where the care recipient has cognitive decline.

  5. Discharge summaries, the last three to six months

    Any recent hospitalization, with the discharge medications and the follow-up plan, because a care recipient coming home from a stay is the case the first visit has to get right.

  6. Skilled nursing facility records, where the care recipient is coming from one

    Current care logs from a short-term rehabilitation or nursing stay, which establish the baseline of need the home plan of care picks up from.

The distinction

Hundreds of pages, or one record.

The files a structured family caregiving intake actually receives, before and after Vivlio organizes them: one record per event, duplicates folded into their originals, and every line carrying its source and date.

Illustration · synthetic

What arrives today: eight files, three of them duplicates, in no order. What a home visit needs: five sections, duplicates removed, a source and a date on every line.

What arrives

Organized for this decision, not just retrieved.

Retrieval is the commodity. What arrives has already been sorted for the decision above, and each line says where it came from.

Sorted by the review's own windows
The most recent history and physical is marked as such, and discharges from the last three to six months come first, so the nurse reads what is current before what is historical.
One record per event
A discharge summary released by the hospital and again by the health system arrives once, with both sources named.
Which sources have returned, and when
Every entry names the organization that released it and the date it arrived, so a source that has not returned anything is visible before the home visit is scheduled.
A source and a date on every line
Each line carries which organization it came from and when it arrived, so the plan of care can say where every fact came from.

The record

This is what arrives.

The portal itself, rendered from the product's own source over a synthetic patient. Every line carries the organization that released it and the date it arrived.

Vivlio portal, release 5.30.0, rendered from source · Synthetic patient, no PHI

Rivera, Elena

Date of birth03/18/1958
Viewing records from facility:
LabsDiagnostic TestsMedicationsNotesPlan of CareHospitalizationsSurgeries

Showing 1–10 of 27 records

Date of ServiceRecord TitleFacilityDepartment/LocationProviderTransaction Date
08/27/2026Progress NoteNorthside Regional Medical CenterInternal MedicinePriya Natarajan, MD09/02/2026
08/14/2026Consult NoteAtlanta Cardiology AssociatesCardiologyMarcus Bell, MD09/02/2026
07/30/2026Admission DischargeNorthside Regional Medical CenterInpatientHannah Okafor, DO09/02/2026
07/22/2026Clinical DocumentPeachtree Family MedicinePrimary CareDaniel Reyes, MD09/02/2026
06/09/2026Image DocumentLakeview Imaging PartnersRadiologySunil Mehta, MD09/02/2026
05/12/2026Operative NoteNorthside Regional Medical CenterSurgeryGrace Lindqvist, MD09/02/2026
03/03/2026Patient HistoryPeachtree Family MedicinePrimary CareDaniel Reyes, MD09/02/2026
01/15/2026Progress NoteAtlanta Cardiology AssociatesCardiologyMarcus Bell, MD09/02/2026
12/02/2025Clinical DocumentLakeview Imaging PartnersRadiologySunil Mehta, MD09/02/2026
10/21/2025Consult NoteNorthside Regional Medical CenterEndocrinologyRina Adeyemi, MD09/02/2026

Demographics

DOB: 03/18/1958
Age: 68 years old
Gender: Female
Email: N/A
Phone: (404) 555-0134
Address:
1420 Willow Creek Dr
Decatur, GA 30030

Data Summary

Encounters: 14 records
Labs: 22 records
Diagnostic Tests: 6 records
Medications: 11 records
Notes: 9 records
Plan of Care: 3 records
Hospitalizations: 1 record
Surgeries: 2 records

Encounters

Go to Encounters
Office visit
Follow-up, atrial fibrillation
Marcus Bell, MD
08/14/2026
Hospital
Chest pain, observation
Hannah Okafor, DO
07/30/2026
Office visit
Diabetes management
Daniel Reyes, MD
07/22/2026
Telephone
Medication question
Daniel Reyes, MD
06/18/2026

Vitals

Go to Vitals
Blood Pressure128/82 mmHg
08/27/2026
Heart Rate72 bpm
08/27/2026
Weight164 lb
08/27/2026
BMI27.3
08/27/2026

Allergies

Penicillin- Hives
03/03/2026
Sulfonamides- Rash
03/03/2026

Immunizations

Influenza, seasonal
10/02/2025
COVID-19, mRNA
10/02/2025
Tdap
05/11/2022

Problem List

Type 2 diabetes mellitus
Daniel Reyes, MD
07/22/2026
Atrial fibrillation
Marcus Bell, MD
08/14/2026
Essential hypertension
Daniel Reyes, MD
07/22/2026
Hyperlipidemia
Daniel Reyes, MD
07/22/2026

Care Team

Daniel Reyes, MD
Primary care
Peachtree Family Medicine
Marcus Bell, MD
Cardiology
Atlanta Cardiology Associates
Rina Adeyemi, MD
Endocrinology
Northside Regional Medical Center
The Vivlio portal, release 5.30.0, rendered from its own source: a patient's Electronic Records, with the Full Records grid and the Highlights cards. The patient, the facilities, the providers and every record shown are synthetic.

See the full record view

In minutes

The manual way isn't the only way anymore.

Vivlio retrieves and organizes the outside record in minutes. The manual way is structured family caregiving staff on the phone chasing records, and a decision that waits for them.

Questions

Questions structured family caregiving teams ask first.

Answered here in the same words as the structured data behind the page, so what a search engine shows is what a reader gets.

Does this cover the documentation the level-of-care review looks for?
The record is organized around the clinical items Georgia's EDWP review lists: diagnosis documentation naming the chronic or progressive condition, the most recent history and physical, the current medication list, therapy notes, cognitive assessments, and discharge summaries or facility records from the last three to six months. The functional half of that review, who helps the care recipient with which activities of daily living, comes from the nurse's own in-home assessment. A retrieved chart does not record it, and the view does not infer it.
Can the nurse see the records before the first home visit?
Yes. Records arrive in minutes once requested, and every entry names the organization that released it and when. The intake coordinator can see which sources have returned and which have not before the visit is scheduled, so the nurse walks in with the history rather than collecting it at the kitchen table.
Is the demo run on real patient data?
No. Every walkthrough runs on synthetic records that say so on the screen. Production access to real records requires an NPI, a declared purpose of use and a signed BAA.

Handling

What we do with records, stated plainly.

Built for real-world workflows, Vivlio supports the needs of both clinical and administrative teams while meeting strict privacy, security, and interoperability standards.

  • Production access is gated, by design

    Real records require an NPI, a declared purpose of use, and a signed BAA. Nobody swipes a card onto live PHI.

  • HITRUST certification underway

    Vivlio's HITRUST assessment is underway and on track to complete in November 2026: the certification healthcare security teams ask for by name.

  • Provenance travels with the record

    Each line carries the source it came from and when it arrived, because a clinical decision needs to know who said it.

  • Built to WCAG 2.1 AA

    Contrast, focus order and heading structure are requirements here, not a remediation project after procurement asks.

Talk to us

Walk a family's referral through the view

Thirty minutes over a synthetic structured family caregiving referral: diagnosis documentation, the H&P, medications, therapy notes and discharge summaries, organized the way they would arrive before the first home visit. Send your details and the calendar opens here.

  1. Send your detailsTwo minutes. Your organization, name, email and phone, and the time records cost you; the rest is optional and helps us reply with something specific.
  2. Pick a timeThirty minutes, live, over synthetic records in the shape your team works in. No slides, and no discovery call before the demo.

Who this is for, and who it is not

  • Coverage comes firstVivlio retrieves from providers, hospitals and health systems it can reach through national exchange networks and direct connections. Name the facilities your patients come from on the form and we check coverage before anyone spends thirty minutes on a demo.
  • You can say what the chasing costsThe form asks how many hours a week your team loses to chasing records. If nobody can put a number near it, the case for Vivlio is not there yet, and we would rather say so than sell you a demo.
  • Patients and files at volumeThis is built for intake that runs every day. For one record, once, your patient can request it from the provider directly, and that will be faster than going through us.
  • Treatment, with the paperwork doneProduction access needs an NPI, a declared purpose of use and a signed BAA. Nobody swipes a card onto live PHI.

If none of those describe you, say so in the last field and we will come back in writing instead of booking a call.

Or call sales directly at 404-777-5772

Step 1 of 2

Send us your details

Three to five is plenty. We check coverage for them before the call, so nobody finds out afterwards.