Intelligent Transitions
Real-time data and intelligence to guide clinical decisions and actions through care transitions.
![Female skilled nursing provider sitting with an elderly male patient and smiling as she reviews data on a tablet device with him](https://pointclickcare.com/wp-content/uploads/2022/11/Care-Manager-GettyImages-1032209872-4.jpg)
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.
![Team of physicians sitting in a meeting room having a discussion with their notes and laptops out](https://pointclickcare.com/wp-content/uploads/2022/11/identify-and-manage-high-risk-patients.jpg)
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.
![Close up of a mobile phone being held in one hand with the person's other hand on the laptop in the background](https://pointclickcare.com/wp-content/uploads/2022/11/coordinate-care-across-health-ecosystems.jpg)
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.
![Female skilled nursing executive focused on her laptop screen while holding her eye glasses under her chin](https://pointclickcare.com/wp-content/uploads/2022/11/optimize-care-performance-outcomes.jpg)
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?