NOT A CLASSROOM

HOSPITALS AND HEALTH SYSTEMS

They understood you in the room. They did not understand you at home.

Not A Classroom turns discharge information your hospital has already approved into short patient education — about a minute each, on every medication and on the recovery itself, read on screen or heard aloud in the language they speak at home — and ends each one with two questions that confirm it landed.

A printed code on the discharge packet opens it. One photo of the paperwork they are already holding finds their lessons and puts their follow-up visits in their calendar, and the photo never leaves the phone.

No app. No account. No integration with any clinical system.

PATENT PENDING

  • Discharge education PATIENTS AND FAMILIES
  • Staff training RESIDENTS · NURSING · TECHS
  • No patient data ONE CODE PER HOSPITAL · THE PHOTO DOES THE REST
  • Read aloud in 4 LANGUAGES · MORE IN BUILD

See a Live Example Request a Demo

SEE IT BEFORE WE MEET

Open the example on your own phone.

The discharge menu at notaclassroom.com/dc/sample/ is the working thing, not a film of it. Pick a sheet, read it or have it read aloud, change the language, and answer the two questions at the end.

  1. Pick a discharge sheet

    Two are published: knee replacement recovery, and the discharge medication furosemide.

  2. Read it, or listen to it

    About a minute of plain language, with a play control for anyone who would rather hear it than read it.

  3. Change the language

    Four are live in this example: English, Spanish, Haitian Creole and Hebrew. The lesson and the questions all switch.

  4. Answer the two questions

    The comprehension check at the end, with the explanation shown after you choose.

Both published sheets are example content, built to show the engine. Neither sets a dose, a limit or a schedule for anyone.

See a Live Example

HOW IT WORKS

Four steps, and none of them are yours to build.

The standard deployment is designed so that there is no integration project: no interface engine, no feed, no portal, no new screen for nursing, and nothing for informatics to build.

  1. You send approved material

    A blank discharge template, or the approved template library your floors already print from.

  2. We build the education from it

    Generated only from material the institution supplies or approves, in your words, and reviewed before it is published.

  3. A printed code opens it

    The code goes on the discharge materials you already print, and opens the education that belongs to that sheet.

  4. They read or listen, then answer

    About a minute in their own language, ending with the two questions that confirm it landed.

The dose, the schedule, the limits, the follow-up instructions and the number to call stay exactly as your approved discharge material states them. The education repeats them. It does not invent them and it does not change them.

A patient going home with four or five prescriptions can photograph the discharge sheet instead of opening one code at a time. That second way in is described in full further down this page.

WHAT WE NEED FROM YOUR HOSPITAL

Three things, and none of them are engineering.

All three already exist inside your building. Nothing here asks you to write software, stand up an interface, or move patient data.

THE DOCUMENT

One blank template

A blank discharge template, or the approved template library your floors print from. Blank or template material — not a completed patient document.

THE REVIEWER

One clinical reviewer

Somebody on your side who can read what was built from your material and say yes to it. Every lesson is reviewed before it is published.

IF A PILOT PROCEEDS

One unit named

The floor and the discharge workflow the pilot runs on, and the one sentence staff say at the door. That is the whole implementation ask.

Send us one blank discharge template. We’ll build the demo from your document.

No app. No account. No integration with any clinical system. No interface for informatics to build, no patient accounts to create, and no patient data to transfer.

90-DAY PILOT

One unit. Ninety days. No pilot fee.

That is the current proposal in full. Deliberately small enough for a director to approve without a committee, and structured so the thing you would want to know is the thing it sets out to find out.

SCOPE

One unit

A floor with a high proportion of new cardiometabolic or anticoagulant starts, because those carry the effects patients most often misread as harm.

COST

No pilot fee

The ninety days carry no fee. What happens afterwards is a conversation to have once there is evidence to have it about, and not before.

THE ASK OF STAFF

One sentence

Scan this before you go, it explains your medicines in about a minute in your language — that is the entire implementation.

WHAT WE REPORT

Weekly

Aggregate product measures only — opens by medication and by language, completion, and the two comprehension questions answered. No patient is identified. Yours whether or not you continue.

WHAT YOU REPORT

Your own figure

Any clinical or operational outcome you choose to look at, measured with your own data and your own instruments, against whatever comparison you approve. We need no patient-level data at any point.

What the pilot is for. It exists to find out whether there is a measurable improvement, and what it is. We are not presenting a proven readmission, adherence, savings or clinical-outcome claim, and we are not promising that ninety days on one unit will produce a statistically significant result. We supply the education and the comprehension layer and report what the product itself can see; whatever clinical or operational question you decide to answer, you answer with your own data, your own instruments and your own comparison.

READMISSIONS

The number you are graded on.

SEVEN DAYS

A seven-day readmission is rarely new disease. It is the medicine never picked up, the inhaler used wrong, the weight nobody watched, the follow-up visit missed — discharge-process failures, and the process that fails most is understanding. Every lesson here ends with the patient proving they understood, before the gap has a chance to open.

THIRTY DAYS

Thirty-day readmissions carry the weight of everything outside the hospital, and cost sits at the top. So the lessons route patients to the safety net you already fund, in their language: your financial-assistance line, the generic cash price to ask for at the counter, the number to call before a prescription gets abandoned over a few dollars. A script left at the pharmacy is a readmission nobody logged.

THE FOLLOW-UP, KEPT

Follow-up appointments are already printed on the discharge paperwork. One photo of that paperwork, taken on the patient's phone, puts every visit into their calendar with a reminder the day before — and the photo never leaves the phone. Nothing is uploaded, nothing is stored, nobody enrolls in anything.

We do not claim to move your readmission number. We propose you measure it — heart failure and COPD discharges, seven-day and thirty-day, your instrument against your own prior period.

First measurement free with the pilot.

THE QUESTION EVERY VENDOR FAILS

It does not talk to your EHR.

Not because we could not build it, because it does not need to — it is a printed code on a packet you already print, with no interface engine, no feed, no portal, no new screen for nursing, and nothing for informatics to build.

There is no protected health information to protect, because none of it reaches us. The code carries the medication. Never the person.

BEFORE ANY OF THE SCORES

What discharge actually costs you today.

Not penalties, not surveys — the ordinary Tuesday-afternoon version, the one every nurse manager on your floors already knows about and nobody has been able to fix.

  • THE BED

    Discharge takes as long as the teaching takes.

    Twenty minutes of medication education is twenty minutes off the floor, and it is often the last thing standing between a patient and the door.

    AFTER The teaching happens in the car park. The nurse confirms and moves on.

  • THE TIMING

    You are teaching at the worst possible moment.

    Medicated, exhausted, family arriving, transport waiting. Everyone in the building knows how much of that conversation is retained.

    AFTER They hear it again at home, at eleven at night, as many times as they need.

  • THE LANGUAGE

    Right now, another language means waiting.

    An interpreter line, a scheduled call, or a family member translating clinical instructions — which is its own documented hazard.

    AFTER Four languages, instantly, without anybody having to ask for one.

  • THE CALLS

    The questions come back to you anyway.

    The nurse line, the on-call, the message that starts with “I was not sure, so I stopped taking it.” Every one of those was answerable in under two minutes at the bedside.

    AFTER The calls that still come are the ones that genuinely need a clinician.

  • THE RECORD

    You taught it. You cannot show it.

    The note says education provided. It does not say in what language, how much landed, or whether the patient could repeat any of it back.

    AFTER Delivered, timestamped, answered — on a record you can produce.

None of this needs a policy change, a committee or a line of code. It is a printed code on a packet you already print.

WHY IT MATTERS HERE

You are already measured on whether they keep taking it.

Nothing on this page is a new obligation — every one of these is something the institution is already scored on, already penalised for, or already required to provide.

READMISSIONS

Up to 3% withheld

The Hospital Readmissions Reduction Program withholds up to three percent of base operating DRG payments, and medication non-adherence is among the leading drivers of the readmissions being counted.

HCAHPS

The lowest-scoring domain

Communication About Medicines asks whether staff explained what a new medicine was for and described its side effects; it is historically among the lowest-scoring domains nationally and feeds Value-Based Purchasing.

LANGUAGE ACCESS

Four languages, no wait

Built for thirteen languages. Four are live today — English, Spanish, Haitian Creole and Hebrew. Section 1557 obligations delivered without an interpreter line, without scheduling and without a coordinator, to every patient rather than the ones who ask.

DOCUMENTATION

Delivered, timestamped, answered

Offer-to-counsel is an obligation you already carry; this one is evidenced rather than assumed, on a record you can produce.

FOUR MODULES

Take one. Or take all four.

One engine, four payloads; most systems start with the first and add the others once it is working, and nothing here requires anything else here.

  • START HERE

    Discharge medication education

    FOR PATIENTS AND FAMILIES

    The code on the packet, about a minute on the medication they are going home with, in their own language, with comprehension confirmed.

    • Four languages, read aloud
    • Normal, amber and call-today side by side
    • Reminders on their own phone
    • A record of what was delivered

  • SEPARATE

    Resident and fellow materials

    FOR YOUR TRAINING PROGRAM

    Teaching material built on the same engine, for your program to use as it sees fit — we supply the education, your accredited program decides what it satisfies.

    • Pharmacology and board preparation
    • Built from material you approve
    • Progress and comprehension per learner
    • We award no credit of any kind

  • SEPARATE

    Nursing education

    FOR YOUR WORKFORCE

    Competency material and continuing education across every unit and every site, said the same way in each of them.

    • Your protocols, your policies
    • Same content across every campus
    • Completion and understanding tracked
    • Update once, everyone updates

  • SEPARATE

    Pharmacy technician preparation

    FOR CERTIFICATION

    PTCB preparation on the same engine, tracked per technician and per site — a shelf that already exists rather than one we built for this.

    • Practice, drills and mastery
    • Per technician, per location
    • Runs alongside the rest or alone
    • The certifying body certifies, not us

Pick what you need. Ignore the rest.

Most systems start with discharge, because it is the one with a penalty attached and the one that needs nothing from IT; the others wait until somebody asks for them.

  • Discharge
  • Residents
  • Nursing
  • Technicians

FIVE MEDICATIONS, ONE PHOTOGRAPH

Nobody scans five codes.

A patient going home from a medical floor carries four or five prescriptions and a discharge sheet listing all of them. One code is one medication — so let them photograph the sheet they are already holding.

  1. They photograph it

    The discharge sheet, or the bottles lined up at home. Whatever they are already holding.

    STAYS ON THE PHONE

  2. The phone reads it

    Medication names and strengths are picked out in the browser, on the device. The image is never uploaded.

    STAYS ON THE PHONE

  3. Everything else is discarded

    Name, record number, prescriber, diagnoses, dates. Read past and thrown away before anything leaves.

    STAYS ON THE PHONE

  4. Only the drug names travel

    A list of medication names goes out — exactly what a scanned code sends, just five at once. Five lessons come back.

    LEAVES THE PHONE

DISCHARGE INSTRUCTIONS photographed, not uploaded

FOUND FIVE — CHECK THEM

  • Apixaban 5 mgtwice daily
  • Metoprolol 25 mgtwice daily
  • Furosemide 40 mgmornings
  • Atorvastatin 40 mgat night
  • Potassium chloride 20 mEqmornings

WHAT WE THREW AWAY

Your name, your record number, your doctor, your diagnoses and every date on the sheet. None of it left this phone.

TEACH ME ALL FIVE

Five lines read off a photograph is five chances to be wrong. Check every one against your own label.

WHY IT IS BUILT THIS WAY AND NOT THE EASY WAY

Sending the photograph to a server would take an afternoon. It would also mean we hold a document carrying somebody's name, their record number and their diagnoses — and every claim on this site rests on the opposite of that.

The image never leaves the device. The only thing that travels is a list of medication names, which is exactly what a scanned code already sends. The photograph is a faster way to type five drug names, and nothing more than that.

TRY THE ENGINE

One medication, all the way through.

EXAMPLE CONTENT · This lesson was built to show the engine. A licensee's own approved content would replace it. The engine reads lessons aloud in English, Spanish, Haitian Creole and Hebrew; this example is in English.

Furosemide

What it is

Furosemide is a water pill. It tells your kidneys to move extra salt and water out of your blood and into your urine, so there is less fluid for your heart to move around. Most people urinate more than usual for a few hours after a dose. Your discharge instructions say which dose you were sent home on and what time of day to take it.

Why it matters

Moving fluid out changes two things a hospital watches: your weight and how you feel when you stand up. The paperwork you were given says how often to weigh yourself, what change in weight to report, and who to call. This lesson repeats what is in that paperwork. It does not change it, and it cannot tell you whether anything you are feeling is expected for you. That is a question for the clinician who discharged you.

On clinical information. Every lesson is generated only from labeling or material the institution supplies or approves, and is reviewed before publication. It explains a medication and repeats the discharge instructions the institution has already given, then hands the decision back to a person. It is not medical advice, it never diagnoses, never interprets any individual's results, symptoms or circumstances, never recommends, compares or ranks treatments, clinicians or products, and never replaces clinical judgment or any instruction a clinician gives a patient. No representation is made that this platform, on its own, satisfies any legal, regulatory or accreditation requirement; each institution determines what qualifies for its own obligations.

WHAT LANDS ON A DIRECTOR'S SCREEN

Where your patients are not understanding you.

No patient is identified and no clinical data appears — this is operational intelligence: which units, which medications, which languages, and where comprehension is lowest.

EXAMPLE DASHBOARD · ILLUSTRATIVE DATA

DISCHARGE EDUCATION

MEDICAL-SURGICAL · LAST 30 DAYS

ILLUSTRATIVE DATA

Discharges with education delivered

1,847

up 6.4%

Completion

81%

up 3.0 points

Comprehension

67%

up 4.1 points

Non-English delivery

38%

up 5.2 points

Median time to complete

2:14

at home, not at the bedside

LANGUAGE DELIVERED IN

  • English64%
  • Español27%
  • Kreyòl9%

MOST REPLAYED CONCEPTS

  • apixaban, what to do about a missed dose3.1×
  • metformin, why the stomach settles2.7×
  • furosemide, why the weight matters2.5×
  • insulin, what a low feels like2.2×

LOWEST COMPREHENSION BY UNIT

  • Example Medical A44%
  • Example Cardiology B51%
  • Example Surgical C56%
  • Example Observation D61%

THE ROW ONLY YOU CAN FILL

  • 30-day readmission, educated —
  • 30-day readmission, not educated —
  • Difference —

We never see this. You already measure it. Putting a number in these three boxes, against the same unit's prior period, is the point — not predicting one in advance.

aggregate only, no patient, prescription, diagnosis or identifier appears anywhere in this view, and none is transmitted to us at any point.

One unit where patients understand least, and the medications they had to replay three times. That is a teaching conversation, and nobody has ever been able to have it.

THE SECOND STEP

The medication is half of it. The condition is the other half.

Most systems start with medication because it needs nothing from anyone; condition education is the step after, and it runs on the instruction sets you have already written, reviewed and approved.

  • Heart failure
  • COPD
  • Post-surgical care
  • Diabetes
  • Anticoagulation
  • Stroke recovery
  • Wound care
  • New diagnosis

What it does

It takes the discharge instruction set your clinicians already wrote and turns it into something the patient plays, hears in their own language, and can repeat back. Same engine, same comprehension check, same record.

What it never does

It does not diagnose. It does not interpret anyone's own results or situation. It does not generate clinical guidance, and it does not replace a single word of what you are required to give them. Every lesson ends by naming who to call.

Why this is the one that moves the number.

A heart-failure patient goes home understanding their medication perfectly and still arrives in the emergency department on day nine — because nobody explained that two pounds overnight matters, or what to do about it, or who to ring before it becomes an admission.

Your instructions already say all of that. They say it on a sheet of paper handed to somebody who has just been discharged.

Every illustration above is a medical patient. This one is surgical: the first two weeks after a knee replacement, built the same way, from a practice's own post-operative sheet.

EXAMPLE CONTENT · This lesson was built to show the engine. A licensee's own approved content would replace it. The engine reads lessons aloud in English, Spanish, Haitian Creole and Hebrew; this example is in English.

Swelling is the recovery. Not a setback.

What the first two weeks look like

For the first weeks after a knee replacement the knee is swollen, warm and bruised. That is the repair work going on underneath, and it is the most common reason people call the office worried something has gone wrong. Swelling that worsens after walking and settles overnight is expected, and so is bruising that spreads down toward the ankle.

Why it matters

Ice and elevation are not comfort measures. They are part of the treatment. Most people are told this once, on the day they leave, and remember about half of it.

  • EXPECTEDSwelling, warmth and bruising for several weeks.
  • EXPECTEDSwelling that worsens after activity and settles overnight.
  • CALL TODAYCalf pain or tightness, especially in one leg.
  • CALL TODAYA wound that opens, drains, or smells.

Your dose, your weight-bearing limit, your therapy schedule and the number to call all come from your own discharge paperwork — not from this lesson.

WHERE EVERY WORD OF THIS WOULD COME FROM

A surgical practice sends the post-operative instruction sheet its patients already go home with, and the lesson is built from it — their words, their thresholds, their weight-bearing limits, their phone number.

It does not diagnose, it does not interpret any individual's recovery, and it does not replace a single instruction given at discharge.

AFTER THEY LEAVE

The lesson does not end at the door.

Discharge education that stops when the patient reaches the car park has solved the smaller half of the problem; nothing here needs an app, an account, or anything from your systems.

  • THE SCHEDULE

    What to take, and when

    Built from what they went home with, editable by them, landing in whatever calendar they already use. No account to make.

  • BEFORE THEY RUN OUT

    A prompt a week ahead

    Quietly stopping is rarely a decision. It is a Tuesday when the bottle is empty and nobody noticed.

  • THE ONE WHO REMEMBERS

    Send it to their daughter

    Somebody else is often doing the remembering. The lesson and the schedule go to them too, in their own language — English, Spanish, Haitian Creole or Hebrew.

WHY THIS IS ON A HOSPITAL PAGE AT ALL

Because the readmission does not happen at discharge — it happens on day nine, when somebody has stopped taking something and nobody knows yet.

Everything above runs after the patient has left your building, without a single thing being asked of your staff.

The full patient-facing version, including how a pharmacy uses the same engine at the counter, is at notaclassroom.com/pharmacy.

See it exactly as a patient does — the working discharge menu, four languages, one photo — at notaclassroom.com/dc/sample/.

THE ASK

Bring one discharge packet. We will build the lesson in front of you.

Thirty minutes with whoever owns readmissions and whoever owns patient experience, in the same room; name a medication your floors actually send home and we will show it in English and in Spanish before you decide anything.

Request a Demo See a Live Example

Send us one blank discharge template. We’ll build the demo from your document.