About
Care that stays close to home
AIRI is a community-focused intestinal rehabilitation program for children and adults with intestinal failure and complex nutrition-support needs.
Mission
To provide accessible, high-quality intestinal rehabilitation for children and adults in our communities by bringing expert care, education, and home-based support as close to the patient as possible. AIRI partners with families, community clinicians, and home-health providers to safely manage parenteral and enteral nutrition, prevent avoidable hospitalizations, and help patients live full lives at home, work, and school.
Vision
A community where every person living with intestinal failure or complex intestinal disease — regardless of geography, background, or resources — can receive timely, coordinated, and compassionate care without leaving their home region. AIRI strives to be the trusted hub for intestinal rehabilitation in the region, connecting hospitals, clinics, home-infusion services, and social resources so that patients and families experience seamless care, fewer disruptions, and better long-term outcomes.
Core values
Seven commitments
Access for all
Reduce travel, financial, language, and system barriers so that families from diverse communities can obtain specialized intestinal rehabilitation and home-nutrition support.
Community partnership
Collaborate closely with local hospitals, primary-care teams, home-health agencies, schools, and community organizations to keep care rooted in the patient's own community.
Patient- and family-centered care
Involve patients and caregivers in every major decision, tailoring care plans to their goals, culture, and daily realities at home.
Safety at home
Apply hospital-grade standards for parenteral-nutrition prescribing, central-line care, and monitoring in the home setting to protect venous access and prevent complications.
Education and empowerment
Provide practical, ongoing training and easy-to-reach support so families, community nurses, and local providers feel confident managing complex nutrition and line care.
Equity and respect
Recognize and address disparities in access to specialty nutrition care, treating every patient and family with dignity, cultural humility, and respect.
Stewardship and accountability
Use resources wisely, minimize avoidable hospitalizations, and track outcomes such as infection rates, readmissions, and parenteral-nutrition dependence to drive improvement.
Leadership
Medical direction
AIRI operates under the leadership of Rajesh Kunadharaju, MD, FACP, FCCP, Medical Director. Dr. Kunadharaju is board certified in Internal Medicine, Pulmonary Medicine, and Critical Care Medicine, holds an active California medical license, and has leadership experience in medical directorship, utilization management, pulmonary rehabilitation, critical care operations, and infusion-related oversight.
The Medical Director is responsible for clinical governance, approval of policies and protocols, multidisciplinary conference oversight, quality improvement review, referral pathway development, patient safety monitoring, and clinical integration with home-infusion, hospital, and specialty services.
From the founder
Why AIRI exists
Through years of caring for medically complex patients across hospital, critical-care, rehabilitation, and post-acute settings, one pattern kept repeating: patients with intestinal failure, short bowel syndrome, high-output ostomies, complex nutritional needs, and dependence on total parenteral nutrition face fragmented care — especially during the difficult transition from hospital to home.
Successful care for these patients requires more than writing a TPN prescription. It requires thoughtful coordination among physicians, surgeons, gastroenterologists, dietitians, pharmacists, home-infusion teams, nurses, case managers, patients, and caregivers. It also requires reliable monitoring, clear communication, education, and rapid attention to preventable complications.
AIRI was founded to create a more organized, patient-centered pathway for people living with complex intestinal and nutrition-support needs — one that helps patients move beyond crisis-based care toward stability, recovery, and a better quality of life.
Care philosophy
Four principles
Individualized care
Every patient's anatomy, diagnosis, nutritional needs, treatment goals, home environment, and support system are different. Care plans reflect that reality.
Coordinated transitions
Discharge on TPN should not mean discharge into uncertainty. AIRI improves communication among inpatient teams, infusion providers, home-health clinicians, patients, caregivers, and outpatient specialists.
Education and empowerment
Patients and caregivers deserve practical, understandable information about TPN, central-line safety, hydration, monitoring, warning signs, and when to seek help.
Collaboration
AIRI works alongside — not in place of — the patient's gastroenterologist, surgeon, primary care clinician, hospital team, dietitian, pharmacist, and infusion provider.
Quality and accountability
AIRI functions as a quality-driven program with continuous measurement and review. Program metrics include catheter-related infection rates, readmissions for dehydration or electrolyte abnormalities, timeliness of referral evaluation, intensity of parenteral support over time, liver complications, severe micronutrient deficiencies, and completion of home training before discharge.
Major safety events — including bloodstream infections, severe electrolyte events, preventable readmissions, loss of access, compounding errors, or unexpected ICU transfer — undergo structured case review with documented corrective actions. The policy manual and standard operating procedure are reviewed at least annually.