Continuum of care

Support holistic patient care

Coordinate, manage, and deliver high-quality patient care across settings—from rehabilitation and home health to long-term care and behavioral health. Facilitate seamless information exchange during care transitions, helping patients receive optimal care across the care continuum.

Continuum of care solutions

Coordinate and manage high-quality care across rehabilitation, home health, long-term care, and behavioral health settings, enabling seamless information exchange and smooth care transitions to help enhance patient care.

Deliver connected care

Integrate near real-time clinical data from mental health, primary care, inpatient, outpatient, residential, and community-based settings into a single, comprehensive record, enabling clinicians to deliver connected, whole-person care that helps address both physical and behavioral health needs at every stage of the care journey.

Inpatient and outpatient behavioral health

Our solutions equip care teams—including psychiatrists, psychologists, social workers, and counselors—with powerful capabilities embedded in our EHR that help:

  • Connect behavioral and primary care data to facilitate informed decision-making
  • Streamline treatment planning, group therapy documentation, and medication management
  • Provide interactive charts that aggregate data from diverse care settings
  • Support care across inpatient, outpatient, residential, and community venues—even in complex, multistate organizations

With embedded tools and intelligent workflows, clinicians can efficiently collect, view, and document patient information, enabling them to focus on what matters most: helping patients recover.

Explore our behavioral health solutions

Our solutions enable clinicians to:

  • Create and manage individualized, goal-based care plans that incorporate clinical conditions and social determinants of health to provide care for the whole person—mind and body
  • Leverage more than 300 behavioral health–specific screening and assessment tools and forms for accurate, automated documentation
  • Document shared group session notes with personalized details for each patient, limiting duplication
  • Assign behavioral health charges to group session notes automatically, streamlining billing
  • Execute mobile rounding and documentation with acuity-based alerts, promoting patient safety
  • Review drug interactions, electronically route prescriptions, and access complete medication histories directly within our EHR to enable automated medication reconciliation

Support connectivity for care anywhere, anytime

Extend our EHR to mobile devices with a web-based solution, giving clinicians access to up-to-date patient charts wherever they are, even without network connectivity. Download and update patient information offline, maintaining care continuity when reconnected.

Oracle Health Community Care helps clinicians meet patients where they are, fostering trust, safety, and comfort by:

  • Offering the entire community care team near real-time access to critical patient information
  • Syncing patient notes with our EHR in near real time
  • Providing secure, role-based access for caregivers—including physicians, nurses, therapists, and social workers—to update the same patient chart

Seamless, connected care for home health

Empower home health, home medical equipment (HME), pharmacy, and infusion providers with near real-time data sharing, efficient workflows, and advanced analytics—helping optimize care, support compliance, and enhance business performance.

Home health care coordination

Oracle Health, in collaboration with MatrixCare, helps streamline home health operations by providing mobile point-of-care tools for efficient and accurate documentation—even offline. Advanced scheduling and referral management capabilities enable care teams to match patient needs, while near real-time analytics support informed decisions, regulatory compliance, and opportunities for improvements in both care quality and operational efficiencies.

HME and infusion management

Oracle Health, in collaboration with Brightree, helps automate key workflows for HME, pharmacy, and infusion providers. The solution delivers near real-time billing and insurance verification, advanced inventory management, robust analytics, and secure care coordination tools—helping you drive operational efficiencies, optimize financial performance, and enhance patient care.

Optimize long-term care management

Support long-term care organizations in delivering high-quality, continuous care by connecting systems and enabling seamless access to health data—no matter where it originates. Empower providers to access and share critical patient information across care settings, promoting coordination and continuity throughout the resident journey.

Oracle Health Long-Term Care provides a comprehensive EHR that supports your entire care team—from direct caregivers to MDS assessment coordinators. Our solution helps providers of all sizes unify resident health information in one place while promoting interdisciplinary collaboration.

MDS Intelligence provides decision support to enhance file accuracy and completeness and uncover insights that may help optimize reimbursement. Our solution is built to align with federal regulations and the Resident Assessment Instrument process, so your team can have confidence that their documentation supports compliance standards and optimal resident care.

Care tracking and documentation

Oracle Health Care Tracker simplifies documentation by giving caregivers mobile-friendly access through wall-mounted kiosks, handheld devices, or workstations. With intuitive visual cues that highlight required tasks, caregivers can efficiently record essential information—such as daily activities, meal intake, mood, and behavior—at the point of care. This streamlined process helps caregivers focus their time on resident interactions while supporting comprehensive, up-to-date records.

Enhance team communications with near real-time visibility into residents’ progress toward individualized care goals, including restorative care plans, behavioral support programs, and repositioning schedules. Integrated clinical intelligence analyzes caregiver-entered data to detect trends and flag potential issues, enabling early interventions and informed care decisions.

Transform rehabilitation care

Provide a single source of truth for the entire care delivery team, offering near real-time access to consistent patient data across roles, venues, and conditions. Support the full scope of practice for clinicians, with automated protocols, optimized hand-offs between clinicians and care venues, and the seamless capture of quality and regulatory requirements as part of routine documentation for both adult and pediatric populations.

Inpatient physical rehabilitation

Oracle Health Inpatient Physical Rehabilitation offers specialized workflows for physical, occupational, and speech-language therapy and connects directly with our EHR. This integration helps streamline care coordination, manage assessments, and support regulatory compliance, enabling clinicians to focus on patient care rather than administrative tasks.

Tailored documentation and rehabilitation-specific workflows adapt to the needs of the entire care team. Clinicians can access near real-time patient data, document care using iPads or wall-mounted kiosks with Oracle Health Care Tracker, and collaborate efficiently across disciplines. Integration with UDSMR and eRehabData helps simplify regulatory reporting and limit manual effort. With Oracle Health Patient Flow, you can monitor bed status and patient progression in near real time, helping optimize throughput and promote operational efficiencies.

Outpatient physical rehabilitation

Oracle Health Outpatient Physical Rehabilitation integrates directly with our EHR to streamline therapy services in nonacute care settings, including physical, occupational, and speech-language therapy. The integration supports near real-time access to patient data, seamless transfers, and enhanced communication across the care team, empowering clinicians to deliver high-quality, coordinated care. Tailored workflows alleviate documentation burden, enabling clinicians to focus on patient care.

Integrated scheduling and registration management align teams, and built-in organizers alert therapists when additional authorizations are required, helping support compliance and maximize reimbursement opportunities. Our solution tracks insurance approvals and Medicare therapy cap amounts automatically, alleviating administrative burden.

We see patients with severe mental illness at the worst, darkest moments of their lives, and the EHR has been a tremendous help in understanding the story of the patient when they are not capable of providing their story.
Tania Tajirian Chief Medical Informatics Officer, Centre for Addiction and Mental Health

Continuum of care resources

  • Provide the Right Care When It Matters Most

    Join our panel of experts as they discuss Oracle Health Foundation EHR and its strong impact on the behavioral health venue of care.

  • Redefining Minds: Technology's Dual Role in Mental Health

    Examine technology's paradoxical role in mental well-being with our panel of experts.

  • Advancing Mental Health Through Innovation and Social Justice

    Explore innovation and equity in mental health with experts from CAMH and Oracle Health.

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