Verified Care Professionals
Every nurse, MBBS doctor, physiotherapist, and specialist in our network is credentialled and verified before they ever enter a patient's home.
PARTNERSHIPS • BHAVNAGAR
A trusted home care partner for your patients, employees, and policyholders.
Upchar Setu works with hospitals, clinicians, corporates, and insurers to extend high-quality, coordinated care beyond your walls — into the home.
Why partner with Upchar Setu
What we bring to a partnership.
End-to-End Coordination
We manage the complete care cycle — scheduling, professional assignment, family communication, and progress tracking — so your team doesn't have to.
Centralised Patient Records — Shared Across the Care Team
One of the biggest gaps in home care is that each professional arrives without knowing what the last one found. Upchar Setu maintains a centralised health record for every patient — accessible to every verified professional assigned to that patient. No repeated assessments. No conflicting advice from professionals working in silos. Every professional sees the full picture.
Prevention-First Philosophy
Upchar Setu supports corrective care — post-discharge recovery, condition management, oncology support. But we're equally committed to prevention. Our annual packages and ongoing care programs are designed to help patients live better through the year, not just recover from what already happened. For your patients and policyholders, this means fewer readmissions, fewer acute events, and a better long-term health trajectory.
Family Visibility & Reporting
Patients' families stay informed through the Upchar Setu dashboard. Care records, visit logs, and health updates — all in one place.
YOUR ORGANISATION. YOUR CARE MODEL.
Who we work with.
Upchar Setu supports four types of institutional partners — each with a tailored model that fits how your organisation works.
Choose your organisation to explore the partnership.
Hospitals & Discharge Planners
Structured post-acute care pathways — from your ward to the patient's home.
The post-discharge care transition is one of the highest-risk periods in a patient's care continuum. Upchar Setu gives your discharge planning team a trusted, clinically aligned home care partner — so every patient leaves the hospital with a structured care pathway already in place.
Common referral scenarios
Post-cancer treatment or hospital discharge
Support recovery at home after cancer treatment or hospitalisation — with coordinated nursing, nutrition, physiotherapy, monitoring, and doctor follow-up. We also provide ongoing home monitoring between oncology visits.
Post-surgery recovery
Structured recovery at home after hospital discharge — physiotherapy, wound care, vital signs monitoring, and MBBS doctor follow-up visits, all coordinated through a single care team.
Frail or elderly patients
Regular health monitoring and coordinated care at home — so your most vulnerable patients are never left without supervision between clinical encounters.
What the partnership looks like
- Your discharge team identifies patients requiring post-acute home care support (complex nursing needs, physiotherapy-led rehabilitation, or ADL assistance)
- You initiate a care transition referral to Upchar Setu at the point of discharge planning
- We conduct a rapid care needs assessment and assign a verified, multidisciplinary care team
- Clinical handover documentation is collected from the hospital at the time of discharge and integrated into the patient’s Upchar Setu health record
- Care begins on day one at home — with structured protocols, visit logging, and family communication
- When your patient goes home, we provide a structured post-discharge monitoring and multidisciplinary support pathway — and keep you informed of relevant clinical observations and escalate as required
- Your team receives confirmation of care initiation and can request status updates at any point
Explore the details
Clinical context
Unplanned readmissions within 30 days represent one of the most significant quality and cost challenges in acute care. The evidence is clear: structured, supervised home care in the post-acute period reduces readmission rates, improves patient outcomes, and supports earlier, safer discharge for clinically appropriate patients.
Upchar Setu provides the post-acute care infrastructure that bridges the gap between clinical discharge and stable home recovery — across nursing, physiotherapy, physician follow-up, medication reconciliation, and ADL support.
Post-discharge care available
Skilled Nursing (wound care, IV management, catheter care, vital signs monitoring) · Physiotherapy (rehabilitation, gait training, strength restoration) · MBBS Doctor Follow-Up Visits · Patient Attendant (ADL support, 12-hour shifts) · Dietitian · Psychologist · Care Coordinator · Social Worker · Palliative & End-of-Life Care
Why hospital discharge teams choose Upchar Setu
- Reduce 30-day unplanned readmission rates through structured, supervised post-acute home care
- Facilitate earlier, safer discharge for clinically appropriate patients — freeing up beds and reducing pressure on your ward
- Eliminate the information gap at care transitions: Upchar Setu’s centralised patient health record is shared across all home care professionals, reducing the clinical risk of fragmented post-discharge management
- Provide discharge planners with a single verified referral pathway for complex cases — not an ad-hoc arrangement with individual home care providers
- Improve patient satisfaction scores at discharge through confident, supported care transition
- Align with clinical governance and quality improvement goals around care continuity
CONTINUITY OF CARE
Post-discharge care pathway
Explore each stage of the journey from hospital to home.
Stage 1 / 7
Assessment
can be planned at hospital before discharge
How a partnership begins
Starting a partnership is simple.
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Initial Conversation
We discuss your organisation's care context, patient profile, and partnership model preference.
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Model Alignment
We agree on referral pathways, clinical handover protocols, communication channels, and reporting formats.
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Care Initiation
Partnership begins — your team can refer patients immediately, with full care tracking and reporting from day one.
Our commitment to partners
What you can expect from us.
Partner questions.
Answers to common questions from hospital discharge planners, clinicians, and corporate leaders about partnering with Upchar Setu.
Let's talk about how we can work together.
Whether you're a hospital discharge team, a clinician, an HR leader, or an insurer — we'd love to explore a partnership that works for your organisation and your patients.