For Providers, Health Systems & Partners

Young children have 6–8 respiratory illnesses a year — and the full pattern is easy to miss.

The child may look well by the time of the visit, while the parent’s observations arrive as fragments across messages and encounters. That makes recurrent patterns harder to recognize. MamaBear captures symptoms, context, and a short video at home. Parents can complete the eCheck in a supported preferred language, and MamaBear automatically provides the clinician-facing report in English. The secure eCheck can then be delivered through an EHR patient portal with medical messaging, secure email, or secure text messaging. A USDA-developed, store-and-forward platform designed for pediatric care across settings — including independent practices, primary care, specialty care, hospitals, health systems, FQHCs, rural clinics, and Tribal health organizations.

Developed under USDA SBIR Phase I & II  ·  Multilingual parent entry with English clinician reports  ·  Designed for providers across care settings
6–8
respiratory illnesses per year in young children
AAP / pediatric primary care literature
~⅔
of children with repeated symptoms face a delayed asthma diagnosis
Mayo Clinic birth-cohort studies
3.3yr
median delay between symptom onset and asthma diagnosis
Wi et al., JACI Global, 2025
up to 75%
of the time the child is asymptomatic at the clinic visit
MamaBear clinician survey, 2022
Without a way to capture the pattern

The signal is lost between visits

  • The parent is often the only continuous witness — and important details may be lost between encounters
  • The child is usually well by the visit, so the clinician sees a fragment, not the arc
  • Recurring episodes may be documented across separate visits and messages without a clear longitudinal view
  • Patterns that warrant follow-up may remain difficult to recognize
  • Live video telehealth may be unreliable or impractical because of bandwidth, scheduling, transportation, or access barriers
  • Well-visit gaps widen — no structured follow-up pathway
With MamaBear

The pattern reaches the clinician

  • The parent captures what is happening at home — symptoms, exposures, activity, medication response, and a short video when relevant
  • A structured English clinician report can be delivered through patient-portal medical messaging, secure email, or secure text messaging for remote review or a follow-up visit
  • The longitudinal pattern is visible — the clinician sees what a single visit misses
  • The clinician interprets and decides — MamaBear presents the evidence, it does not diagnose
  • Designed for ordinary cell service; the eCheck can be completed offline and uploaded when connectivity returns
  • Condition-specific parent education and well-visit reminders delivered automatically

Captured at home. Delivered through existing clinical channels.

MamaBear is asynchronous, store-and-forward telemedicine. A clinician can request an eCheck after a visit or without a visit, and parents can also start one themselves. MamaBear prepares the structured report, secure link, access code, subject line, and message. Delivery can occur through an EHR patient portal with medical messaging, secure email, or secure text messaging. When the patient portal is used, the parent signs in, opens medical messaging, pastes the prepared content, and sends it to the care team.

Delivery options include EHR patient portals with medical messaging, secure email, and secure text messaging. No direct EHR integration is required for the patient-portal workflow. The eCheck can be completed offline and uploaded when connectivity returns.
1
Requested by the care team — or started by the parent
A clinician can request an eCheck after a visit or without a visit. Parents can also start an eCheck when they need to document symptoms occurring at home.
2
Parent captures what is happening at home
The parent records symptoms, main concern, level of concern, exposures, sleep, feeding, activity, medication response, and a short video when relevant in a supported preferred language. MamaBear automatically generates the structured clinician report in English.
3
MamaBear prepares the eCheck for sharing
The app assembles a clean, readable English clinician report and generates a secure link, access code, subject line, and message for the parent to send.
Structured for rapid clinician review
4
Delivered through the selected secure channel
The eCheck can be delivered through secure email or secure text messaging. When patient-portal medical messaging is selected, the parent signs in or activates an account, opens a new medical message, pastes the prepared subject and message, and taps Send.
Portal, secure email, or secure text
5
The clinician reviews and decides
The care team can review the eCheck remotely or use it during a follow-up visit. The clinician interprets the information, determines what it may mean, and decides the next step; MamaBear never diagnoses.
Recognition, not diagnosis by software

What your team gains

The pattern, made visible

Across eChecks, MamaBear assembles a longitudinal record of symptoms, exposures, timing, activity, medication response, and short video when relevant — giving the clinician context a single visit may miss.

Multiple secure delivery options

The secure link and access information can be delivered through an EHR patient portal with medical messaging, secure email, or secure text messaging. No direct EHR integration is required for the patient-portal workflow.

Structured follow-up data

Standardized eChecks can support continuity, quality-improvement work, and value-based care evaluation without requiring a live monitoring queue.

Multilingual parent entry

Parents complete the eCheck in a supported preferred language. MamaBear automatically translates the structured information into English for the clinician report, reducing language barriers without adding a separate manual translation step.

Present, don’t interpret

MamaBear captures and presents structured history. The clinician makes every clinical judgment — no scoring, no flagging, no autonomous decisions. Provider-led by design.

Low IT lift

No direct EHR integration is required. Organizations can use patient-portal medical messaging, secure email, or secure text messaging based on their existing workflow.

Provider-led workflow

The care team determines who receives an eCheck, how it is routed, when it is reviewed, and what happens next. MamaBear does not make autonomous clinical decisions.

MamaBear reduces subjectivity and recall bias. It supports earlier treatment decisions and helps prevent unnecessary testing and hospitalizations.

Paolo Pianosi, MD Pediatric Pulmonologist

A practical way to get started

Organizations can begin at the scale that fits their needs. An individual practice may implement MamaBear within its existing clinical workflow. A larger health system may begin with one clinic, specialty service, or defined patient population before expanding. Grant-funded partners may choose a formal demonstration or evaluation.

Together, we define who will use MamaBear, when eChecks will be requested, how they will be delivered, who will review them, how follow-up will occur, and how the workflow will be documented and reimbursed. Where store-and-forward review is independently furnished, established CMS codes may apply at provider discretion.

Store-and-forward billing context

G2010 / G2250
Remote evaluation of patient-submitted images/video, where independently furnished and documented.
99421–99423
Online digital evaluation (e-visit), patient-initiated, where applicable.

Many state Medicaid programs reimburse store-and-forward services. Billing is at provider discretion and subject to payer rules; MamaBear does not bill on a provider’s behalf.

Built for broad clinical use. Aligned with RHTP.

MamaBear is a consumer-facing, provider-led digital health tool for practices and health systems of all sizes. It supports patients between visits, reinforces clinician-led care, and also aligns with state RHTP and other digital-health priorities.

Consumer-facing & provider-led

Supports engagement and chronic-disease recognition between visits. Does not diagnose, score, or operate independently of clinician oversight.

Accessible asynchronous care

Store-and-forward capture works across urban, suburban, rural, and frontier settings, including when live video is difficult because of connectivity, scheduling, or access barriers.

Chronic disease recognition

Surfaces the pattern that helps clinicians recognize asthma, allergy, and reflux earlier — supporting RHTP chronic-disease goals.

Provider-led workflow, flexible delivery

The organization controls the clinical workflow and can use patient-portal medical messaging, secure email, or secure text messaging without requiring a direct EHR build.

Grant-funded implementation and evaluation

RHTP and other grant funding can support implementation, workflow evaluation, and outcomes measurement without drawing on the organization’s operating margin. Long-term sustainability may come from provider, health-system, payer, grant, or value-based care arrangements rather than a fee paid by the family. Practices, health systems, program officers, FQHCs, rural clinics, and Tribal health organizations can request our implementation plan.

Let’s plan the right implementation for your organization

Whether you are ready for direct implementation, a focused rollout, or a grant-funded evaluation, we can help define the clinical workflow and next steps.

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