Care coordination across healthcare settings remains one of the industry’s most persistent challenges. Patients, particularly older adults and individuals with complex medical needs, frequently transition between hospitals, skilled nursing facilities (SNF), rehabilitation settings, specialists, and home-based care. Yet critical information about those transitions is frequently fragmented across separate systems. 

CyncHealth is pleased to announce that SNF encounter information is now available in the Clinical Viewer, providing participants with greater visibility into a patient’s care journey and supporting more informed decision-making across transitions of care. 

 

“Historically, post-acute and long-term care settings have existed outside many interoperability workflows,” says CyncHealth Product Manager, Tamara Stepanek. “This created visibility gaps that could impact care transitions, discharge planning, rehabilitation management, and readmission reduction efforts.”

 

With SNF encounter information in the Clinical Viewer, participants can: 

• Identify where patients received care after hospitalization and how they progressed through recovery; 

• Track admissions, discharges, and transfers across settings;  

• Support medically complex patients across multiple transitions in care; and  

• Contact patients, as needed, about follow-up care to ensure healthcare engagement.  

 

“Our participants expressed a need for better visibility into higher risk care transitions” says Larra Petersen-Lukenda, CEO of CyncHealth. “This enhancement is a direct response to that feedback, helping providers see more of the patient journey and make more informed care decisions.” 

 

The addition of SNF information in the longitudinal health records represents an important step toward more connected healthcare and the stronger interoperability Nebraskans deserve.

Note: Users should expect visibility into new SNF encounters moving forward. Residents who entered SNF settings before implementation of this enhancement may not immediately appear until qualifying clinical events occur. This is expected and does not indicate missing functionality.