The Premium Coaching Playbook for Patient Adherence

Struggling with high patient churn? Chronic condition management platforms often fail to keep users engaged long-term, leading to poor adherence, negative health outcomes, and a difficult-to-prove ROI for your healthcare partners. This erodes trust and makes it impossible to succeed in a value-based care landscape.


This playbook outlines a best-in-class solution to dramatically improve patient engagement and adherence. By integrating dedicated, high-quality tools for video coaching, community support, and seamless scheduling, you create a supportive, 'high-touch' digital ecosystem. This fosters strong patient-coach relationships and a peer support network, directly addressing the root causes of non-adherence and user churn.

Expected Outcomes

  • Significant reduction in patient churn rates.
  • Improved adherence to medication, diet, and exercise plans.
  • Higher patient satisfaction and Net Promoter Scores (NPS).
  • A clear, demonstrable ROI for healthcare partners through reduced readmission rates.
  • Strengthened position in the value-based care market.

Core Tools in This Stack

Twilio Video

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A programmable platform that allows developers to build and embed scalable, real-time video and audio experiences directly into their web, iOS, and Android applications.

Key Features
  • SDKs for JavaScript, iOS, and Android
  • Global cloud infrastructure for low latency
  • Peer-to-Peer (P2P) and Group Rooms (up to 50 participants)
  • Video recording and composition
  • Live streaming capabilities
  • Network Quality API for diagnostics
  • End-to-end encryption
  • HIPAA eligibility for healthcare applications
Ideal For

Company Size: Micro, Small, Medium, Large

Industries: Technology & Software, Health & Wellness, Education & Non-Profit, Business & Professional Services, Retail & E-commerce

Pricing

Model: Pay-as-you-go, Free Tier, Volume Discounts

Tier: Pay-as-you-go

Ease of Use

Requires coding


Discourse

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Discourse is a 100% open-source discussion platform built for modern online communities. It can be used as a forum, mailing list, or long-form chat room, fostering civilized conversation with features like a built-in trust system, moderation tools, and extensive integrations.

Key Features
  • Trust System: A user leveling system that grants more privileges to trusted members to help self-moderate the community.
  • Dynamic Notifications: Real-time updates for replies, mentions, and other activities, available in-app and via email.
  • Single Sign-On (SSO): Integrates with existing authentication systems like Google, Facebook, GitHub, or custom OAuth2/SAML providers.
  • Comprehensive API: A full-featured API to integrate Discourse with other applications and services.
  • Extensive Plugin Architecture: Ability to extend functionality with a wide range of official and third-party plugins.
  • Spam Blocking: Integrated Akismet support and other heuristics to effectively fight spam.
  • Mobile-First Design: A fully responsive interface that works seamlessly on desktops, tablets, and smartphones.
  • Gamification and Badges: Encourage positive community participation through customizable badges and user stats.
Ideal For

Company Size: Micro, Small, Medium, Large

Industries: Technology & Software, Creative & Media, Education & Non-Profit, Business & Professional Services, Retail & E-commerce

Pricing

Model: Subscription, Free, Open Source

Tier: Mid-Range

Ease of Use

Medium


Calendly

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Calendly is an intuitive scheduling platform that simplifies connecting with others by eliminating the back-and-forth emails for finding the perfect meeting time. It automates meeting workflows and integrates with your existing calendar and business tools.

Key Features
  • Calendar Connections
  • Team Scheduling
  • Automated Workflows
  • Routing Forms
  • Customization & Branding
  • Extensive Integrations
  • Analytics and Reporting
  • Embed Options
Ideal For

Company Size: Micro, Small, Medium, Large

Industries: Technology & Software, Business & Professional Services, Creative & Media, Education & Non-Profit, Health & Wellness, Retail & E-commerce

Pricing

Model: Free, Subscription, Enterprise

Tier: Freemium

Ease of Use

Very Easy

The Workflow

graph TD subgraph "Premium Coaching & Community Suite" direction LR N0["Twilio Video"] N1["Discourse"] N2["Calendly"] N2 -- "On 'invitee.created', creates unique video room" --> N0 N2 -- "Checks for community member and invites if new" --> N1 N0 -- "Triggers creation of private topic post-session" --> N1 end classDef blue fill:#3498db,stroke:#2980b9,stroke-width:2px,color:#fff; classDef green fill:#2ecc71,stroke:#27ae60,stroke-width:2px,color:#fff; classDef orange fill:#f39c12,stroke:#d35400,stroke-width:2px,color:#fff; class N0 blue; class N1 blue; class N2 blue;

Integration Logic

  • CoachConnect Hub

    The workflow begins when a client books a session via a Calendly event. A Calendly webhook for the 'invitee.created' event triggers a custom server endpoint. This server-side logic then uses the Twilio API to programmatically create a unique, time-limited video room for that specific session. The server generates unique access tokens for both the coach and the client. It then sends calendar invites or emails to both parties containing the unique link to the Twilio Video room. Concurrently, the server uses the Discourse API to check if the client is a member of the community. If not, it can send an invite. After the session, a separate trigger or manual action can create a private, dedicated topic in Discourse for the coach and client to continue the conversation, share notes, and access resources.

Unlock Your Patient Adherence Playbook

Discover proven coaching strategies to reduce churn and prove your ROI in a value-based care model.