From Hospital to Home: Scaling Remote Specialty Care to Close Gaps and Reduce Readmissions

In this Bright Spots in Healthcare episode, host Eric Glazer brings together health system leaders transforming how care continues beyond the hospital stay—using digital coordination, subspecialization, and AI-enabled virtual care to reduce readmissions and improve patient experience.

Our guests include:

• Matthew Sakumoto, MD, Medical Director, Connected Care Clinic, and Regional Chief Medical Informatics Officer, Sutter Health

• Sean O’Grady, President of Acute and Ambulatory Operations, Endeavor Health

• Sarah Schenck, MD, Executive Director, Center for Virtual Health, ChristianaCare

• Tina Nelson, Strategic Partnership Manager, TytoCare

Together, they explore:

• How Sutter Health virtualized Transition-of-Care Management visits to improve post-discharge follow-up, eliminate transportation barriers, and connect hospitalists directly with patients at home.
  
  

• How Endeavor Health is scaling a subspecialized hospital model—combining orthopedics, spine, and cardiovascular centers of excellence with Epic-driven coordination to deliver big-system outcomes in community settings.
  
  

• How ChristianaCare’s Center for Virtual Health delivers “high-frequency, low-intensity” primary care—83% asynchronously—supported by Patient Digital Ambassadors who create human-centered, always-on engagement.
  
  

• How TytoCare and Sanford Health are expanding specialty access across rural communities with FDA-cleared diagnostic technology that brings high-quality remote exams to local clinics.
  
  

• How digital tools and aligned incentives are building a new care ecosystem—one that integrates human connection, data, and technology to keep patients home, healthy, and connected.

Panelist Bios:
https://www.brightspotsinhealthcare.com/events/from-hospital-to-home-scaling-remote-specialty-care-to-close-gaps-and-reduce-readmissions/

Download the Episode Guide:
Get key takeaways and expert highlights to help you apply lessons from the episode.
https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/11/EpisodeGuideFromHospitaltoHome.pdf 

Key Insights Summary:
Find key insights from the discussion, guest takeaways, and detailed moderator notes captured by Eric during the conversation.
https://www.brightspotsinhealthcare.com/wp-content/uploads/2025/11/Key-Insights-Summary-and-Erics-Notes-From-Hospital-to-Home_-Scaling-Remote-Specialty-Care-to-Close-Gaps-and-Reduce-Readmissions.docx.pdf 

Resources: 

Case Studies: Scaling remote exams to improve access, reduce costs, and enhance the patient experience

These companion resources explore how digital care coordination, subspecialization, and virtual specialty models are reshaping transitions of care. It includes data and stories from Baptist Health and Sanford Health on how to reduce readmissions, enhance clinician satisfaction, and expand access.

To request your copy, email [e-mail].

Podcast Recommendation:

Check out Access Amplified, brought to you by TytoCare and hosted by Joanna Braunold - a podcast about how digital health is helping increase access to care and equity, one innovation at a time. We’ll shine a light on what’s actually working to make care more accessible and 

inclusive.

If you’re a healthcare leader, an innovator, a policy shaper, or anyone passionate about health equity, this podcast is for you. New episodes drop every two weeks. Follow or subscribe wherever you get your podcasts.

https://www.tytocare.com/resources/access-amplified/

Thank You to Our Episode Partner, TytoCare.

TytoCare enables health systems and plans to deliver high-quality remote exams anytime, anywhere. Their FDA-cleared devices and AI-powered diagnostic platform support virtual specialty care, school-based programs, and home health models—reducing unnecessary ED visits and improving patient experience.

To learn more, visit tytocare.com.

Schedule a Meeting with a Senior Leader at TytoCare:

To explore how TytoCare can help your organization expand virtual specialty access and improve care coordination, reach out to [e-mail]  to schedule a meeting.

About Bright Spots Ventures:

Bright Spots Ventures is a healthcare strategy and engagement company that creates content, communities, and connections to accelerate innovation.

 

We help healthcare leaders discover what’s working, and how to scale it. By bringing together health plan, hospital, and solution leaders, we facilitate the exchange of ideas that lead to measurable impact. Through our podcast, executive councils, private events, and go-to-market strategy work, we surface and amplify the “bright spots” in healthcare, proven innovations others can learn from and replicate. At our core, we exist to create trusted relationships that make real progress possible. Visit our website at www.brightspotsinhealthcare.com.