CareBridge equips healthcare providers and caregivers with information on the patient’s functional status and cognitive abilities through the continuum of care. CareBridge is structured around three key pillars: 1) the Development of an integrated system, to enable seamless patient monitoring in the home following hospital discharge, 2) Real-world testing and experimentation to evaluate the effectiveness of the solution, and 3) Delivery of essential, user-friendly, and intuitive information to healthcare professionals and caregivers, ensuring that they have access to the critical insights they need for creating personalized plans for transitions.