Intelligent Transitions

Real-time data and intelligence to guide clinical decisions and actions through care transitions.

Intelligent Transitions provides hospital case managers the tools and real-time data they need to improve transitions of care and patient outcomes by enabling insights and collaboration with broader care teams, wherever they are.

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Identify and Manage High-Risk Patients


  • Receive real-time alerts about acute and post-acute encounters after discharge.
  • Configure notifications for inpatient, emergency department, or observation encounters.
  • Monitor readmission risk with our predictive readmission scores.
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Coordinate Care Across the Health Ecosystem


  • Remain actively engaged in patient care following hospital discharge.
  • Share patient information and care recommendations with other providers.
  • Proactively collaborate and intervene to address changing patient needs.
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Optimize Care, Performance, and Outcomes


  • Reduce inefficiencies and duplicative care.
  • Network leakage alerts offer direct visibility into patients presenting for care outside your facility.
  • Improve care transitions workflow to reduce readmissions, penalties, and length of stay.

Interested in Learning More About Intelligent Transitions?