The Patient Engagement Layer - PEL
AI-Powered Cardiac Rehabilitation. Built Around Behavior Change.
Best for
Post-acute heart disease patients, health plans, and cardiac care providers
What Is PEL?
A digital health platform built specifically for post-acute cardiovascular patients
The Patient Engagement Layer (PEL) is an AI-powered behavior change application delivered via SMS – no app, no downloads required. PEL works by continuously learning each patient's health data, activity level, and lifestyle to deliver personalized guidance that adapts as they recover
Large language models generate and adapt each patient's program in real time – no two patients receive the same plan
AI-Powered Personalization
SMS Delivery – Zero Friction
Reaches patients where they already are. No app downloads or logins – just simple, accessible daily coaching via text
Behavior Change Focus
Targets the root causes of readmissions: physical inactivity, poor diet, unmanaged stress, and disrupted sleep
Continuous Adaptation
Program messaging, intensity, and duration evolve with each patient – responding to vitals, behavior data, and feedback
The Four Pillars of Cardiac Behavior Change
PEL addresses every dimension of post-acute recovery – with exercise as the cornerstone
Primary Focus
Exercise & Physical Activity
Daily, personalized activity goals calibrated to each patient's cardiac condition and current fitness level
Diet & Nutrition
Heart-healthy eating guidance adapted to the patient's culture, preferences, and clinical needs
Sleep Quality
Sleep hygiene coaching that supports cardiovascular recovery and reduces inflammation risk
Stress Management
Evidence-based stress reduction techniques to lower BP and support sustained recovery
How PEL Works
A continuous, adaptive engagement loop – not a fixed program
1
Connect
A brief onboarding survey collects the patient's lifestyle, goals, and cardiac background
2
Personalize
3
Engage
4
Adapt
AI generates an individualized behavior change plan – no fixed length, adapts continuously
Daily SMS coaching: exercise goals, education, encouragement, gamification, and check-ins
Vital data and patient responses feed back into the AI – the plan evolves as the patient does
Needed Layer to Remoter Patient Monitoring (RPM)
RPM continuously captures patient vitals from home. PEL layers on top – turning that raw data into personalized coaching, behavior change, and measurable outcomes.
Already have an RPM platform? PEL integrates as a seamless engagement layer.
Need devices? We support full setup.
Patient Vitals
RPM Platform
PEL
SMS to patient
Reports
RPM collects. PEL acts. Outcomes improve.
SMS Engagement
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Dynamic reminders, encouragement, and gamification delivered daily
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Messages adapt in real time base on patient behavior and health data
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Bio-adaptive to each individual​
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Reporting for Providers & Patients
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Patients receive personalized weekly progress summaries
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Providers receive behavioral insights & vitals trends across patient population
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Without added staff burden​
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Our Impact
Clinical evidence from a randomized study with UC San Diego Health
3.68
METs
Avg. increase in exercise capacity
1 MET increase = 38% reduction in HF hospitalizations
11.4mmHg
Systolic BP reduction
Among post-acute cardiac patients
Clinically significant reduction in cardiovascular risk
2X
Steps / day
Average daily step count increase
Sustained improvement in physical activity levels
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Why Choose PEL
What sets PEL apart from standard cardiac programs
Seamless Integration
SMS-based with no app required – layers onto any existing RPM platform or clinical workflow without disrupting operations
Built for High-Risk Patients
Designed for the complexity of post-acute heart disease – PEL meets patients at any tech skill level and adapts to cultural & personal preferences
From Data to Action
Every vital reading and lifestyle response is analyzed – turning raw data into actionable insights for providers and meaningful feedback for patients
US & Japan Market Presence
Active in two healthcare ecosystems – bringing proven cardiac behavior change expertise across diverse patient populations
Who PEL Is For
PEL is a B2B2C solution – delivered to patients through their care organizations
PROVIDERS & HEALTH PLANS
Reduce Readmissions. Improve Outcomes. Lower Costs.
PEL gives your clinical team a scalable way to keep post-acute cardiac patients engaged between visits – driving adherence without adding staff burden.
Reduce 30-day readmission rates for cardiac patients​
Automated patient engagement – minimal staff time required
Weekly provider reports with behavioral and vital insights
Layered onto existing RPM workflows or deployed end-to-end
Clinically validated in partnership with UCSD Health & AHA
PATIENTS
Get Back to the Life You Had – On Your Own Terms.
PEL helps cardiac patients rebuild their health through daily, personalized guidance – focused on regaining independence, energy, and quality of life.
Personalized exercise goals – not too hard, not too easy
Daily SMS coaching – no app, no logins, no complexity
Support for diet, sleep, stress, and physical activity
Accountability and encouragement built in every day
Program adapts to your recovery – at your own pace
Summary
AI-Powered Behavior Change. Turning Care into Cure.
KURA Care exists to help high-risk cardiac patients regain their health through sustainable, personalized behavior change – guided by AI, grounded in clinical evidence, and delivered at scale.
Personalized Report
Inputs
Vital Data
Pt. Behavior
Surveys
