Click any category to explore condition-specific protocols, escalation rules, and how Florence manages each condition.

Cardiovascular

5 conditions
  • Congestive Heart Failure (CHF)

    Florence automates daily weight and symptom monitoring per ACC/AHA guidelines, escalating to the care team when weight gain exceeds 3 lbs in 24 hours or 5 lbs in a week. Ensures medication adherence for beta-blockers, ACE inhibitors, and diuretics while tracking fluid restriction compliance.

  • Hypertension

    Florence conducts protocol-driven blood pressure monitoring, medication adherence checks, and lifestyle coaching on diet and exercise. Automatically escalates when BP readings fall outside patient-specific target ranges, reducing ED visits and stroke risk.

  • Atrial Fibrillation

    Florence monitors anticoagulation adherence (warfarin, DOACs), tracks heart rate control, and screens for stroke symptoms using validated protocols. Coordinates INR lab scheduling and escalates when patients report palpitations, dizziness, or medication side effects.

  • Coronary Artery Disease

    Florence supports cardiac rehabilitation engagement, medication reconciliation (statins, antiplatelets), and lifestyle modification counseling. Tracks chest pain episodes and activity tolerance, escalating when anginal symptoms change or worsen.

  • Post-MI Care

    Florence guides patients through the critical 30-day post-discharge window with daily check-ins on chest pain, shortness of breath, and medication adherence. Automates cardiac rehab referral follow-up and ensures completion of post-MI quality measures.

Respiratory

4 conditions
  • COPD

    Florence monitors symptom exacerbations using COPD Assessment Test (CAT) scores, tracks rescue inhaler usage, and ensures maintenance therapy adherence. Escalates when patients report increased dyspnea, sputum production, or fever—preventing costly hospitalizations.

  • Asthma

    Florence conducts asthma control assessments per NHLBI guidelines, tracks peak flow readings, and monitors controller medication adherence. Identifies trigger exposures and escalates when patients require frequent rescue inhaler use or nocturnal symptoms increase.

  • Pulmonary Fibrosis

    Florence monitors oxygen saturation, dyspnea scores, and functional status while coordinating pulmonary rehabilitation and antifibrotic medication adherence. Escalates when O2 sats drop below prescribed thresholds or patients report worsening breathlessness.

  • Sleep Apnea

    Florence ensures CPAP adherence by tracking nightly usage hours, troubleshooting mask fit issues, and monitoring daytime fatigue symptoms. Coordinates DME vendor communication and escalates when compliance falls below the 4-hour nightly threshold.

Metabolic

4 conditions
  • Diabetes Type 1 & 2

    Florence automates blood glucose tracking, medication adherence monitoring (insulin, metformin, GLP-1s), and A1C lab coordination. Screens for hypo/hyperglycemia symptoms, tracks diabetic foot care, retinal exam completion, and nephropathy monitoring—closing gaps in HEDIS CDC-H9 measures.

  • Pre-Diabetes

    Florence delivers evidence-based lifestyle coaching on nutrition, physical activity, and weight loss (targeting 5-7% body weight reduction). Tracks A1C and fasting glucose trends, ensuring timely progression to DPP referrals when appropriate.

  • Obesity Management

    Florence supports patients in GLP-1 or bariatric surgery programs with weekly weight tracking, dietary adherence, physical activity goals, and side effect monitoring. Coordinates nutritionist visits and escalates when weight loss plateaus or adverse effects occur.

  • Thyroid Disorders

    Florence monitors thyroid medication adherence (levothyroxine), tracks symptom resolution (fatigue, weight changes, mood), and coordinates TSH lab draws per protocol. Escalates when patients report persistent symptoms or lab values fall outside therapeutic ranges.

Renal

3 conditions
  • Chronic Kidney Disease

    Florence tracks GFR trends, monitors blood pressure control, ensures medication adherence (ACE/ARBs, phosphate binders), and coordinates nephrology follow-up. Screens for fluid overload, anemia symptoms, and metabolic bone disease complications.

  • End-Stage Renal Disease

    Florence supports dialysis patients with interdialytic weight gain monitoring, fluid restriction adherence, and vascular access site surveillance. Coordinates dialysis center communication and escalates when patients report missed treatments or access complications.

  • Dialysis Support

    Florence conducts pre- and post-dialysis check-ins, monitors for hypotension, cramping, and infection symptoms while tracking dietary phosphorus and potassium intake. Ensures transportation barriers are addressed and medication reconciliation post-dialysis is complete.

Neurological

4 conditions
  • Stroke Recovery

    Florence guides post-stroke rehabilitation with daily functional assessments, medication adherence (anticoagulants, antiplatelets), and fall risk monitoring. Screens for new neurological symptoms, depression, and ensures completion of PT/OT/speech therapy appointments.

  • Parkinson's Disease

    Florence monitors motor symptom progression (tremor, rigidity, gait), medication timing adherence (levodopa schedules), and fall risk. Tracks non-motor symptoms (sleep, constipation, mood) and escalates when dyskinesias or "off" periods worsen.

  • Multiple Sclerosis

    Florence monitors symptom flares (vision changes, weakness, numbness), disease-modifying therapy adherence, and functional status. Coordinates MRI scheduling, tracks fatigue management, and escalates when relapse symptoms emerge.

  • Dementia Care

    Florence conducts cognitive screenings, monitors behavioral symptoms (agitation, wandering), and supports caregiver burden assessment with validated scales. Ensures medication adherence, coordinates memory clinic visits, and escalates safety concerns to care teams immediately.

Behavioral Health

3 conditions
  • Depression

    Florence administers PHQ-9 screenings at protocol-defined intervals, monitors antidepressant adherence, and tracks therapy engagement. Escalates immediately when suicidal ideation is detected (PHQ-9 Q9 positive) or symptoms worsen despite treatment.

  • Anxiety Disorders

    Florence conducts GAD-7 assessments, monitors anxiolytic medication adherence, and supports CBT homework completion. Tracks panic attack frequency, avoidance behaviors, and escalates when symptoms interfere with daily functioning.

  • Substance Use Disorder

    Florence supports patients in MAT programs (buprenorphine, naltrexone, methadone) with daily check-ins, craving assessments, and relapse prevention coaching. Coordinates counseling appointments and escalates immediately when relapse occurs or suicidal ideation emerges.

Musculoskeletal

3 conditions
  • Osteoarthritis

    Florence monitors pain levels, functional status, and medication adherence (NSAIDs, intra-articular injections, DMARDs). Supports physical therapy engagement, weight management, and escalates when pain control is inadequate or surgical referral criteria are met.

  • Rheumatoid Arthritis

    Florence tracks DMARD adherence (methotrexate, biologics), monitors for disease flares (morning stiffness, joint swelling), and coordinates rheumatology lab work (CRP, ESR). Escalates when patients report new joint involvement or medication side effects.

  • Osteoporosis

    Florence ensures bisphosphonate or RANK ligand inhibitor adherence, tracks calcium and vitamin D supplementation, and coordinates DEXA scan scheduling. Monitors for fracture risk factors (falls, height loss) and escalates when patients report bone pain or fracture.

Post-Acute

3 conditions
  • Post-Surgical Care

    Florence conducts daily post-operative assessments monitoring surgical site infection signs, pain control, mobility progression, and medication adherence. Ensures wound care instructions are followed and escalates when fever, drainage, or dehiscence occurs.

  • Wound Management

    Florence tracks wound healing progression, monitors for infection signs (erythema, purulent drainage, odor), and ensures dressing change compliance. Coordinates wound care nurse visits and escalates when healing stalls or worsens.

  • Transitional Care (TCM)

    Florence executes TCM protocols within 48 hours of discharge, conducting medication reconciliation, reviewing red flag symptoms, and ensuring follow-up appointments are scheduled — giving your nurses time to focus on the highest-acuity patients. Early programs show meaningful reductions in 30-day readmissions.

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