Hospital → SNF Transition
A two-way bridge that moves discharge data, medications, and care plans into the SNF operating record — without faxing.
Capabilities
- Universal data bridge — Two-way interop between hospital EHRs and SNF systems with webhook endpoints.
- Medication reconciliation — eMAR Sync detects and reconciles medication changes across providers.
- Discharge auto-import — Summaries, med lists, and lab results imported into the operating record.
- Vitals & notes sync — Real-time vital signs and clinical notes synced between settings.
- Transfer queue — Live status updates on every hospital transfer, end-to-end.
- Audit & evidence — Immutable trail on every transition event for survey readiness.
- Care team alerts — Notify the right clinician the moment a transition event lands.
How it works
- Connect the hospitals — HL7/FHIR endpoints established with each hospital partner.
- Map the workflow — Discharge, med rec, and care plan handoff mapped to SNF roles.
- Pilot one community — Validate the loop with a single hospital-SNF pair.
- Scale across the portfolio — Roll out region by region with shared playbook.
Integration facts
- Module — Hospital → SNF Transition
- Tier — Tier 3 · Integration Dependent
- Standards — HL7 v2 · FHIR R4
- Hospitals — Epic · Cerner · Meditech
https://seniorcre.com/features/hospital-snf-transition