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SNF Care Transitions Vendor Selection Checklist

A Practical Guide for Choosing the Right Care-Transitions Partner — Built for Skilled Nursing Priorities

Selecting a care-transitions technology partner is no longer about features — it’s about choosing a solution that accelerates admissions, strengthens census, improves quality, and builds lasting trust with hospital and payer partners.

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Driving Smarter Admissions, Staffing, and Quality Outcomes
AI-powered intelligence that turns SNF intake into a growth engine.

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Clarity

Extracts and structures referral data delivering complete, context -rich clinical information in minutes; accelerating admission decisions.

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Continuity

Flags risks at transition points, tracks follow-ups and care alerts, and connects PCPs, care managers, specialists, and SNFs in one shared workflow.

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Copilot

Tracks referral volume, conversion, and bottlenecks; projects readmission likelihood and high-cost risk; and quantifies outcomes, reimbursement opportunities, and avoided costs.

Use this guide to identify the capabilities every SNF should require when selecting a care-transitions partner—ensuring the solution you choose can meaningfully improve admissions, care coordination, and financial performance.

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Clinical Criteria Validation & Admission Readiness

Cascala synthesizes clinical data to confirm when a patient meets your facility’s intake criteria, reducing uncertainty for DONs and intake teams and helping SNFs make confident, consistent, and clinically responsible admission decisions.

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Confirms whether clinical criteria are met based on extracted hospital documentation

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Flags missing, inconsistent, or contradictory information that may impact admission decisions

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Provides a clear readiness signal for intake, nursing leadership, and administrators

Clinical Intelligence & Risk Identification

Cascala’s clinician-authored intelligence highlights the risks that matter most, helping SNFs prepare safely for new admissions and improving stability in the critical first days of a resident’s stay.

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Clinically responsible, explainable AI with transparent reasoning

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Early identification of infection risk, wound needs, dialysis requirements, behavioral concerns, and other high-acuity factors

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Predictive insight into equipment, therapy, and monitoring needs

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Intake & Referral Management Capabilities

Intake & Referral Management Capabilities

Clarity™ transforms fragmented referral packets into complete, contextual, and clinically aligned admission insights—giving SNFs faster, more confident decisions and strengthening referral partner trust.

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Extracts and structures patient data from incoming referrals to speed admissions

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AI-generated clinical summaries tailored for SNF intake decision-making

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Standardized readiness reports that reduce delays and clarify next steps

Staffing & Resource Optimization 

Cascala gives teams early clarity on patient complexity, enabling smoother preparation, better coordination across departments, and improved documentation that supports accurate reimbursement.

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Role-specific visibility that ensures the right stakeholders receive the right information at each transition point

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Clear handoff information for nursing, therapy, pharmacy, social services, and ancillary departments

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Tools that support operational readiness without claiming to control staffing levels or labor costs


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Care Continuity & Quality Measure Performance

Continuity™ enables SNFs to anticipate high-impact needs, strengthen follow-up workflows, and support compliance—helping improve outcomes tied to QRP, VBP, and CMS quality measures.

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Longitudinal visibility into patient history across hospital, SNF, and community transitions

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Identification of risks tied to readmissions and early-stay complications


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Support for TCM workflows, follow-up tasks, and regulatory expectations

Workflow Integration & Ease of Use

Cascala’s universal browser extension brings intelligence directly into daily workflows, enabling rapid adoption and ensuring teams receive the right information at the exact moment they need it.

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Seamless integration with existing EHRs and portals

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Role-specific insights delivered at the point of action

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 User-friendly workflows that reduce toggling and minimize administrative burden


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Network Strength & Hospital Alignment

Cascala elevates communication with hospitals—providing readiness insights that reinforce trust and position your facility as a preferred referral destination.

Financial Impact & Measurable Value

Cascala strengthens referral responsiveness and documentation quality—supporting a healthier census mix and more precise.

Vendor Stability, Support & Clinical Rigor

Cascala delivers clinically grounded intelligence supported by a team that understands SNF workflows—providing ongoing partnership, not just a tool.

✔ Ability to ingest ADT feeds, discharge summaries, and HIE-connected clinical data


✔ Consistent, transparent communication back to hospital partners


✔ Readiness signals that demonstrate professionalism and reliability

✔ Analytics that help identify operational improvement opportunities


✔ Improved referral conversion supported by complete clinical information


✔ Enhanced documentation accuracy supporting reimbursement integrity


✔ Faster, more confident admission decision-making

 

✔ Clinician-led product development and oversight


✔ Strong governance around safety, documentation, and AI transparency


✔ Dedicated post-acute onboarding, optimization, and support


✔ A partner focused on long-term alignment—not just software deployment

 

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Turning Care Transitions Into a Strategic Advantage

Selecting the right care-transitions vendor is more than a technology decision—it’s a strategic investment in safer admissions, stronger census performance, better quality outcomes, and deeper trust with hospital and payer partners. The right partner should enhance your workflows, elevate clinical readiness, and deliver intelligence your teams can rely on in every moment that matters.

Cascala was built to do exactly that.

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