The Platform

Your care presence. Built from your playbooks.

Gravity Rail is the platform that lets you automate care journeys in a natural way that meets patients where they are — using your SOPs, your protocols, through conversations that feel human.

Across SMS, voice, and web. At the scale your team can't reach manually.

The Opportunity

The gap between touchpoints is where the relationship actually lives.

A patient asked about a program, shared information, and came back three weeks later to enroll. Another had a question at 11pm that would have gone unanswered until Monday. These moments have always existed — you just couldn't do anything with them.

Gravity Rail gives you the infrastructure to finally build protocols around this space. The conversation between touchpoints is no longer dead air — it's where engagement happens.

40-50%
of patients non-adherent within 3 months of discharge
1 in 5
Medicare patients readmitted within 30 days
60%
of care gaps result from failed patient outreach
< 15%
of inbound patient calls answered live
50+
client protocols across a shared agent pool — training and compliance become the bottleneck
Platform Capabilities

Here's what you get.

Five core capabilities that power every care journey built on Gravity Rail.

01

Channels

Meet patients wherever they are.

SMS, voice, web chat, and email — all managed from a single platform. Every inbound message gets a response in under 5 seconds. No voicemail, no void, no dropped thread.

SMSVoiceWeb ChatEmail
02

Memory & Context

Nothing starts from zero.

Conversation history, clinical signals, and patient preferences persist across every interaction. When a patient mentioned a barrier three weeks ago, Gravity Rail still knows. Context compounds — the relationship deepens over time.

Conversation historySignal detectionPreference tracking
03

SOPs & Workflows

Your playbook, running automatically.

Define your care protocols and Gravity Rail executes them at scale — check-ins, reminders, scheduling, follow-ups. You write the logic once; it runs across every patient, every time, without manual effort.

Protocol builderAutomated check-insFollow-up sequences
04

Integrations

Data flows in. Signals flow out.

Native connectors to eClinicalWorks, Athena, and major care management platforms. Patient data syncs in; engagement signals, barriers, and escalations route back to your team in the tools they already use.

eClinicalWorksAthenaFHIRCare platformsCustom API
05

Escalation & Handoff

No cold transfers.

When a human needs to step in, they receive a full context packet — conversation history, detected signals, patient preferences, care plan notes. Configurable rules determine who gets what and when.

Context packetsConfigurable routingTeam notifications
Scheduling

Booking built into the conversation.

Gravity Rail handles appointment scheduling directly within the care conversation — no redirect, no portal login, no phone tag. Patients confirm, reschedule, or cancel in the same thread where they receive their care check-ins.

Availability is managed against your real-time calendar. Confirmation and reminders go out automatically. No-show rates drop. Your front desk handles exceptions, not routine bookings.

Real-time availability
Syncs with your scheduling system. Patients only see open slots.
In-conversation booking
Scheduling happens inside the care thread — SMS, voice, or web.
Automated reminders
Confirmations and reminders sent at configurable intervals before the appointment.
Exception handling
Edge cases route to your staff. Routine bookings are fully automated.

Ready to see Care Presence for your organization?

Every care journey is different. Let's map yours.