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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

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

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

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

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?