The gap in healthcare delivery is maintaining engagement and clinical support once the patient leaves the hospital setting.  Reasons for lack of patient engagement are many and span economic, cognitive, and psychosocial issues.  However, one consistent factor is the patient’s inability to manage the complexities of day-to-day therapeutic plan.  Patients forget to fill prescriptions or take medications; they fail to measure key vital signs or track symptoms; and most importantly, patients fail to communicate or under report complications when speaking to their medical team.