CareBridgeBox — Continuity of Care for Medically Complex Children
Northwest Ohio Pilot · Active

Bridging care when
children need it most.

CareBridgeBox maintains continuity of care for medically complex children during emergencies — integrating directly into existing disaster response systems to fill the gap no one else is designed to fill.

Program at a Glance

< 60 sec
Intake request time via QR — no forms, no friction
Active intake system
10–25
Units targeted for initial pilot deployment
Northwest Ohio
2-Tier
Pre-staged boxes + triggered follow-on support
Deployment model

Disaster response systems are optimized for scale, not individualized medical needs.

When a disaster strikes, emergency systems mobilize quickly — but they're built for speed and volume, not for the child who depends on a specific medication schedule, a particular device, or a care routine that falls apart the moment a family is displaced.

Medically complex children are among the most vulnerable in any emergency. They lose continuity of care not because no one cares, but because the systems designed to help them simply weren't built for their level of need.

CareBridgeBox exists to bridge exactly that gap — working within existing infrastructure to provide rapid, structured support without adding burden to already-strained responders.

02 — Program Model

How CareBridgeBox works

A structured, two-tier deployment model designed to activate fast, integrate cleanly, and support every family through a critical window.

⚡
Disruption
Emergency event
→
📦
CareBridgeBox
Deployed to site
→
📋
Intake
QR request, <60 sec
→
🤝
Support
Tier 2 triggered
→
🔗
Continuity
Care maintained
1

Tier 1 — Immediate Box

Pre-staged · Deploys on day one

Core stabilization and medical communication tools ready at shelters and response sites before families arrive
Designed for rapid deployment — no intake required to access initial resources
Distributed through EMA, VOAD, and hospital partners at pre-identified sites
Caregiver-guided navigation tools included to help families communicate needs to responders
2

Tier 2 — Triggered Support

Intake-activated · Hours, not days

Activated through QR-enabled intake — caregiver submits a request in under 60 seconds, triggering coordination and follow-up
Additional individualized resources, referrals, and medical communication support delivered within hours
Integrates with hospital, public health, and emergency management systems for seamless handoff
Tracks outcomes and generates real-world feedback for program improvement

03 — Intake System

Fast. Simple. Frictionless.

Our QR-enabled intake system is designed for the chaos of a real emergency — one scan, one request, under 60 seconds.

Scan to Request Support

Available at all Tier 1 deployment sites

⏱ Average intake time: under 60 seconds
1

Caregiver or responder scans QR code

A code is displayed prominently at every CareBridgeBox deployment site. No app download or account required.

2

Brief intake form — under 60 seconds

Minimal, plain-language questions identify the child's primary needs and connect them to the right resources — no clinical knowledge required to complete it.

3

Tier 2 support is automatically triggered

Coordination begins immediately. The right resources, referrals, and follow-up are dispatched — within hours, not days.

4

Continuity is maintained through the crisis

CareBridgeBox stays connected with the family through the acute phase, bridging communication between caregivers, responders, and healthcare providers.

04 — System Integration

Built to work within existing systems

CareBridgeBox doesn't create a parallel system. It integrates with the infrastructure that's already there — reducing burden, not adding to it.

🏛️
EMA
Emergency Management Agency coordination and deployment pathways
🤝
VOAD
Voluntary Organizations Active in Disaster integration and distribution
🏥
Hospitals
Community benefit programs and pediatric care coordination partners
🩺
Public Health
State and county public health system alignment and referral pathways

Aligned with established frameworks

CMIST Framework Pediatric Preparedness Standards FEMA Integration ICS-Compatible Community Benefit Eligible

05 — Northwest Ohio Pilot

Starting where it matters.

The pilot is designed to prove the model in a real-world environment — with real partners, real deployments, and real feedback — before scaling.

🏥

Hospital Partner

Securing one hospital partner to serve as the anchor for community benefit funding and care coordination pathways.

🗺️

EMA / VOAD Pathway

Establishing one verified EMA and VOAD referral pathway with clear deployment protocols and points of contact.

📦

10–25 Unit Deployment

Producing and pre-staging 10–25 CareBridgeBox units across identified shelter and response sites in Northwest Ohio.

📋

Live Intake System

Deploying the QR intake system in the field and capturing real-world intake data and caregiver feedback.

💰

Funding Pathway

Primary funding through EMA and hospital community benefit programs, with state and public health channels as expansion targets.

📊

Validated Outcomes

Collecting partner validation, intake functionality data, and real-world operational feedback to inform the next phase.

06 — Design Philosophy

Built on three non-negotiables

Every decision in CareBridgeBox's design traces back to a simple commitment: build something that actually works when things go wrong.

⚡

Be Fast First

In a disaster, speed is care. Every element of CareBridgeBox — from intake to deployment — is designed to reduce time-to-support, not add steps to it.

🧩

Keep Systems Simple

Complexity fails in the field. CareBridgeBox is deployable, understandable, and operable by caregivers and responders without specialist training.

🔗

Support, Don't Replace

Existing emergency infrastructure is essential. CareBridgeBox integrates with EMA, VOAD, and hospital systems — filling gaps, never creating new ones.

07 — Success Metrics

What success looks like.

The pilot will be evaluated against four concrete indicators — all grounded in operational reality, not projections.

✓
Operational deployment across at least one partner site
✓
Partner validation from EMA, VOAD, or hospital
<60
Seconds for intake completion in live field conditions
↑
Caregiver and responder feedback driving iteration

08 — Program Leadership

Built by someone who has seen the gap.

CareBridgeBox wasn't designed from a desk. It was designed by someone who has worked in disaster environments and watched medically complex children fall through the cracks in real time.

👤
Matthew Ayres
Program Architect & Founding Leader
American Red Cross
FEMA-aligned IT Specialist
The Avalon Foundation
Hurricane Response
Nonprofit Architect

Firsthand experience. Practical design.

Matthew Ayres is a nonprofit program architect and disaster response volunteer specializing in practical, system-integrated solutions for vulnerable populations. As a founding leader of The Avalon Foundation, he developed the CareBox and #PainBox programs — both centered on children with complex medical needs.

Through deployments with the American Red Cross during hurricane responses in North Carolina and Florida, Matthew contributed to logistics and distribution of critical resources in active response settings. His FEMA-aligned deployments as an IT Specialist gave him direct experience supporting multi-site emergency communications and operational infrastructure.

These combined experiences revealed a consistent, critical gap: medically complex children lose continuity of care during emergencies — not from neglect, but because standard response systems aren't built for their needs. CareBridgeBox is his direct response to that gap.

His design philosophy is simple: build solutions that are simple, scalable, and aligned with existing infrastructure — because they need to work when everything else is going wrong.

Parent Organization

A program of The Avalon Foundation

CareBridgeBox is developed under the umbrella of The Avalon Foundation — a children's charity built on the belief that kids can and should care for kids. The Foundation's programs share a commitment to practical, inclusive support for children facing complex challenges.

The AVALON
Foundation
kids caring for kids

Ready to help bridge the gap?

CareBridgeBox is actively seeking hospital, EMA, and VOAD partners for the Northwest Ohio pilot. If you work in emergency management, pediatric care, or community benefit programs, we'd like to talk.

CareBridgeBox  ·  A program of The Avalon Foundation  ·  Northwest Ohio Pilot 2026

For partnership enquiries: info@theavalonfoundation.org

CareBridgeBox is not a medical treatment system. It is not a replacement for emergency services. It is not a general donation program.