In today’s complex healthcare landscape, the transition from acute to post-acute care is a critical juncture—one that can make or break patient outcomes. Fragmented communication, inconsistent documentation, and time-consuming manual processes can disrupt continuity of care and increase the risk of poor outcomes including avoidable readmissions.

Strata Health’s digital care transition platform addresses these issues head-on—delivering real-time connectivity, intelligent automation, and seamless EHR integration that supports better patient outcomes while reducing staff burden and clerical tasks.

Here’s how technology is transforming care transitions—and why integration with your existing systems is key to success.

1. Real-Time Communication Across the Care Continuum

Nearly 80% of serious medical errors involve miscommunication during transitions of care (Joint Commission). Strata Health enables secure, real-time communication between acute and post-acute providers—ensuring discharge instructions, patient updates, and referrals are shared instantly.

With integrated messaging and alerting, your care teams spend less time chasing down phone calls and faxes—and more time focusing on the patient.

2. Seamless Integration with Your Existing EHR

A major barrier to adopting new technology is interoperability—but Strata Health is designed to work with, not around, your existing infrastructure. Our platform integrates directly with leading EHRs like Epic, Cerner, and MEDITECH, using standardized protocols like HL7 and FHIR.

That means:

  • No double documentation
  • Referrals and discharge data auto-populated from the EHR
  • Bidirectional updates between systems in real time
  • A single source of truth for patient information

The result? Faster onboarding, higher staff adoption, and minimal disruption to existing workflows.

3. Improved Coordination Reduces Risk of Readmission

Hospital readmissions cost the U.S. healthcare system an estimated $52.4 billion annually (JAMA, 2021). A major contributor is poor coordination at discharge.

By automating the matching of patients to appropriate post-acute care options and enabling digital referrals with full clinical context, Strata Health reduces care gaps and ensures safe handoffs—supporting your hospital’s goals around readmission reduction, HEDIS performance, and value-based care.

4. Continuity of Care That Supports the Whole Patient

Post-discharge success requires visibility into a patient’s medical history, treatment plan, and care preferences. Strata Health consolidates this data into a digital care plan that travels with the patient—whether they’re headed to skilled nursing, rehab, or home care.

This ensures receiving providers can personalize care from day one, and your team can track outcomes beyond the hospital walls.

5. Engaged Patients, Empowered Teams

Research shows that engaged patients are 30% less likely to be readmitted (Agency for Healthcare Research and Quality). Through digital notifications, mobile-friendly instructions, and optional caregiver access, Strata Health helps patients and families stay informed and in control of the post-discharge process.

At the same time, your care team benefits from fewer manual follow-ups, improved patient adherence, and more efficient transitions.

6. Measurable Gains in Efficiency and Cost Control

In a typical hospital, discharge planners spend 25–35% of their time on administrative tasks (Advisory Board). Strata Health automates referral workflows, documentation, and eligibility checks—cutting down on time-consuming manual steps.

Hospitals using Strata Health have reported:

  • 35% faster discharge processing
  • 20% fewer missed or delayed referrals
  • Significant reductions in length of stay for patients awaiting placement

These gains not only improve operational efficiency but also free up beds and staff time—critical in today’s resource-constrained environment.

7. Real-Time Outcome Monitoring and Analytics

Strata Health offers embedded analytics dashboards that track discharge performance, referral patterns, post-acute provider responsiveness, and patient outcomes. These insights help care coordination leaders make data-driven decisions and demonstrate performance for internal KPIs and regulatory reporting.

Ready to Take Your Discharge Process Digital?

At Strata Health, we don’t just offer technology—we deliver a fully integrated solution that aligns with your hospital’s goals, systems, and workflows. Whether you’re seeking to reduce readmissions, streamline discharge planning, or enhance your hospital’s coordination across the continuum, we’re here to help.

Discover how Strata Health can help your team simplify care transitions and improve patient outcomes.

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