Each hospitalized patient has a follow-up plan. We want to make sure all is well after each hospital visit.so we can make sure patients get the care they need wherever they are. Through use of technology the primary patient Nephrologist and care coordinator receive alerts for every hospital admission and discharge. Discharge summaries are obtained and medication reconciliations are performed and patients are contacted regarding their follow-up plans. The aim is easy access to the right information for optimal care coordination.