Prescription adherence up 38%. Hospital readmissions down 22%.
Post-discharge calls in Tamil, Telugu, and Hindi — catching complications before they become emergencies.
The challenge
A Chennai hospital chain with 6 campuses was seeing a 19% 30-day readmission rate — above the national average. Post-discharge care was limited to a paper discharge summary. Patients — many elderly, Tamil or Telugu-speaking — were not following prescriptions, missing follow-up appointments, or ignoring early warning symptoms. The hospital had no capacity to manually call 1.2 lakh discharged patients per month.
The solution
Agni calls every discharged patient at day 1, day 3, day 7, and day 14 post-discharge. Calls are in the patient's language — Tamil, Telugu, or Hindi — based on their hospital record.
Day-1 call: medication confirmation, questions about prescription, follow-up appointment booking.
Day-3 call: symptom check using a structured clinical questionnaire. Flag responses above threshold to the ward nurse in real time.
Day-7 and Day-14 calls: adherence check, appointment reminder, escalation if symptoms indicate deterioration.
All conversations are transcribed and added to the patient's EHR.
“Our Tamil Nadu patients — especially the elderly — respond to a warm voice in their own language. Agni sounds like someone who genuinely cares. Our readmission numbers reflect that.”
— Chief Medical Officer, Hospital Chain (Chennai)
The results
30-day readmission rate dropped from 19% to 15% — a 22% reduction. Prescription adherence improved 38% (measured by pharmacist follow-up survey). Patient satisfaction on the post-call survey: 4.6/5.
The hospital estimates ₹2.4 crore annually in avoided readmission costs.
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