Seamless transitions. Trusted coverage. Better outcomes.
Empower your discharge planners, care managers, and PCP partners with a secure digital passport that travels with every patient. Coordinate in real time, reduce redundant outreach, and keep patients on the road to recovery.
Already part of the care team? Access the dashboard with your existing credentials.
Built to protect patients and providers
- Security without compromise
- Encrypted records, role-based access, and full audit trails keep protected health information safe.
- Care teams stay connected
- Shared visibility across SNFs, hospitals, and primary care drives coordinated decisions for every patient.
- Fewer readmissions
- Automated reminders and real-time updates close care gaps that typically lead to avoidable returns.
From discharge planning to confident follow up
The Digital Care Passport Portal makes every hand-off deliberate and actionable. Follow the patient journey and see how teams stay aligned at each milestone.
- 1
Patient Discharge at SNFs
Capture medications, rehab goals, and discharge summaries in minutes with guided fields built for skilled nursing workflows.
- 2
Portable Transition of Care Record
Share a secure, patient-ready passport that updates automatically as new documentation, labs, or communications occur.
- 3
Hand-off to PCP
Ensure primary care receives complete context, reducing duplicative visits and accelerating proactive follow-up.