Post-Acute & SNF Solutions
Care transitions that keep skilled nursing facilities, home health agencies, and post-acute providers aligned with the acute episode — reducing readmissions and improving outcomes.

Seamless transitions from hospital to home
Home Care Outreach
Automated check-ins with home health patients surface symptoms, medication issues, and social needs before they escalate.
Transition Management
Coordinate handoffs between acute, SNF, and home care settings with structured communication workflows.
Medication Adherence
Timely reminders and two-way conversations help patients stick to their medication regimen after discharge.
Fall Prevention
Proactive outreach assesses fall risk factors and connects at-risk patients with resources before an incident occurs.
Staff Management
Monitor aide and nurse satisfaction, track compliance, and streamline scheduling across distributed care teams.
Family Communication
Keep families informed with automated status updates and secure messaging that reduces anxious call-backs.
Bridge the Gap Between Discharge and Recovery
The first 72 hours after discharge are critical. CipherHealth automates outreach to catch red flags early, coordinate with post-acute providers, and give patients confidence that someone is watching over their recovery.
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Meet Quality Measures Without the Paperwork
Automated documentation, structured rounding, and real-time reporting keep your facility compliant with CMS requirements and ready for surveys — without burying staff in manual data entry.
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Quality evidence, already organized
Real-time reporting turns daily workflows into the documentation teams need for quality reviews and audits.
Prove the Value of Post-Acute Care
Track readmission rates, patient-reported outcomes, and cost savings with analytics designed for post-acute providers. Share results with referral partners to strengthen your network position.
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“Since implementing CipherHealth, our 30-day readmission rate dropped by more than half. The automated outreach catches issues we would have missed entirely with phone calls alone.”
Strengthen every care transition.
See how CipherHealth helps post-acute and SNF providers reduce readmissions, improve outcomes, and build stronger referral partnerships.

