Post-Acute Care Solutions, Engineered for Your Ecosystem
Every discharge triggers a chain of hand-offs. Cabot builds custom post-acute care technology that unites hospitals, PAC providers, and payers—helping you reduce hospital readmissions while meeting HIPAA & HITRUST mandates
Overview –
The PAC Reality
Post-acute care (PAC) covers the critical weeks after a patient leaves the hospital. Skilled-nursing facilities, rehab centers, home-health nurses, and payers must share labs, medications, vitals, and authorizations in real time, yet many still rely on fax, phone calls, or siloed HL7 files.
These communication gaps contribute to a national 20% readmission rate that impacts value-based reimbursement negatively. Cabot bridges these divides by delivering tailored PAC software development projects—including HL7-to-FHIR conversion, AI-powered referral portals, remote patient monitoring, and predictive analytics dashboards—that integrate seamlessly with your existing technology stack.
As a trusted PointClickCare Marketplace partner, we ensure your solutions work smoothly within the PAC ecosystem. As your solution partner, we ensure you own the code, control the roadmap, and avoid costly per-seat license fees. Partner with Cabot and transform your post-acute care into a connected, proactive system that truly supports patients and providers every step of the way.
Why Invest in Custom PAC Solutions?
Financial Impact
Operational Flexibility
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Regulatory Confidence
Solution Architecture for Post-Acute Care
Interoperability Layer
We implement HL7 listeners, X12 parsers, and SMART-on-FHIR APIs that translate, deduplicate, and secure data in flight. Epic, Cerner, MEDITECH, and athena stay exactly where they are; information simply flows between them. Validation rules catch missing MRNs or diagnosis codes before they reach billing. AES-256 encryption and OAuth 2.0 protect PHI end-to-end. The result is a real-time longitudinal record every stakeholder can trust.
AI-Guided Referral & Capacity Portal
Discharge planners enter clinical criteria once and see live PAC capacity, insurance eligibility, and transport options. The portal auto-generates a digital hand-off packet and captures e-consent, cutting phone calls by 80 %. Dashboards show referral status at a glance, preventing lost paperwork. Bed turnaround accelerates, and patient families stay informed.
Remote Monitoring Workbench
FDA-cleared wearables and in-home devices stream vitals to a nurse console tuned to your escalation rules. Smart thresholds reduce false alarms by 40 %, while serious deviations trigger two-tap video visits. Data flows back to the EMR and payer portals to prove quality measures. This remote patient monitoring in PAC keeps small issues from becoming readmissions.
Patient Engagement Suite
A white-label mobile app and SMS bot deliver multilingual reminders, medication trackers, and educational micro-videos. Patients self-report pain scores and wound images that route to the right clinician automatically. Interactive checklists confirm adherence in real time. Engagement rises, and satisfaction scores follow.
Predictive & Financial Dashboards
Machine-learning models score readmission risk, staffing load, and avoidable utilization daily. KPIs export to Power BI, Tableau, or payer XML feeds without manual spreadsheet work. Executives see margin impact in real time, and quality teams receive auto-formatted CMS reports. Decisions shift from retrospective to predictive.
Key Technologies Powering Your PAC Solution
HL7-to-FHIR Conversion Engines
Enable real-time translation and normalization of legacy clinical and administrative data across disparate systems.
SMART on FHIR APIs
Facilitate secure, standards-based data exchange with EHR platforms such as Epic, Cerner, and athenahealth.
AI & Machine Learning Pipelines
Develop predictive models for readmission risk, patient engagement, and staff workload optimization using Python and cloud services like AWS or Azure.
Remote Patient Monitoring Platforms
Integrate FDA-cleared wearable devices and mobile health apps with custom nurse triage consoles and automated alert systems.
Secure DevOps & Compliance Toolchains
Implement infrastructure-as-code, continuous integration/deployment pipelines, static code analysis, and audit logging to maintain HIPAA, HITRUST, and GDPR standards.
From Blueprint to Rollout: Our Approach
Our delivery process is designed to ensure your custom post-acute care solution fits perfectly with your workflows and drives measurable outcomes quickly.
Discovery & Blueprint
We begin with collaborative workshops involving clinical, IT, and operational leaders to map your current PAC workflows, define key performance indicators, and identify integration points. This phase produces a clear, fixed-scope roadmap tailored to your unique environment and compliance requirements.
Prototype & Validation
Using interactive prototypes and sandbox APIs, frontline users test real-world scenarios, providing valuable feedback. This iterative process refines the solution, maximizes adoption, and minimizes risk before full development begins.
Agile Build & Rollout
We deliver working modules in two-week sprints, incorporating user acceptance testing, comprehensive training, and 24/7 support. Throughout, your team retains full ownership of all code and intellectual property, ensuring flexibility and control.
Ready to map out your ideal PAC workflow?
Integrations — Connecting the Entire PAC Ecosystem
EHR / EMR
Epic, Cerner, MEDITECH, athenahealth, Allscripts—HL7 v2 feeds convert to FHIR R4 for real-time longitudinal records.
Telehealth & Communication
AWS Chime, Zoom SDK, Doxy.me APIs embed two-tap video visits and secure messaging into PAC workflows.
Diagnostics & Lab
HL7 ORU/ORM and LIS interfaces push results straight to SNF or home-health dashboards, eliminating fax delays.
e-Prescribing & Pharmacies
Add video consultation and chat to your care servicSurescripts, Sure-Med, and eMAR sync ensure one shared medication list, curbing ADRs and duplicate fills.
Payment & Claims
X12 835/837, Change Healthcare, Waystar connectors auto-validate codes, reducing first-pass denials.
Devices & IoMT
FDA-cleared wearables (Withings, Dexcom, iHealth) stream vitals to a rules engine that surfaces actionable alerts.
Analytics & BI
Power BI, Tableau, Looker connectors let leadership track KPI deltas without CSV exports.
Care Management & CRM
Salesforce Health Cloud, Microsoft Dynamics, and custom CRMs sync tasks and outreach for payer case managers.
Use Cases & Solutions Matrix
Discharge Planning
Common Challenges
Handling complex HL7 data flows often causes delays and errors. Discharge instructions can be unclear, confusing patients and caregivers.
Cabot’s Custom Solutions
We build HL7-to-FHIR conversion tools and data mapping engines that clean and normalize data. Smart discharge summary tools improve clarity, while patient education portals empower recovery at home.
Referral to PAC Providers
Common Challenges
Manual referral processes cause inefficiency and delays. Limited visibility into real-time bed and service availability complicates placements.
Cabot’s Custom Solutions
AI-powered referral management systems automate intake and eligibility checks. Real-time PAC availability dashboards and automated scheduling tools optimize placement speed and accuracy.
Transition of Care
Common Challenges
Patient data is scattered across systems; medication histories are often incomplete or unavailable.
Cabot’s Custom Solutions
FHIR-based data integration consolidates patient records into centralized platforms. Integrated medication tracking and e-prescription sync improve safety and continuity.
Recovery at Home or Facility
Common Challenges
Lack of real-time patient monitoring and inadequate support for transportation or social needs hinders timely intervention.
Cabot’s Custom Solutions
Remote Patient Monitoring (RPM) with wearables and mobile health apps provide continuous vital signs tracking. Care navigation tools and Social Determinants of Health (SDOH) screening address support gaps.
Ongoing Care & Patient Engagement
Common Challenges
Limited engagement and education reduce adherence. Care teams and caregivers often lack a unified communication platform.
Cabot’s Custom Solutions
Patient portals, AI-powered chatbots, and interactive education tools increase engagement. Shared care coordination platforms unify messaging and task management across teams.
Outcome Tracking & Reporting
Common Challenges
High readmission rates often stem from missed symptoms. Reporting to payers and CMS is often delayed or inaccurate.
Cabot’s Custom Solutions
Predictive analytics identify patients at risk of readmission and automate timely follow-ups. Real-time KPI dashboards and automated reporting streamline compliance and quality measurement.
Cross-Stage Challenges
Common Challenges
Staff shortages and burnout limit capacity. Fragmented billing and claims data lead to denials and revenue loss.
Cabot’s Custom Solutions
Clinical automation tools and voice-to-text documentation reduce administrative burden. Integrated billing and claims processing platforms improve accuracy and payment timeliness.
PAC Capability Modules
Referral Management Solutions
Cabot designs AI-powered referral portals that automate intake, verify eligibility, and provide real-time visibility into bed availability—significantly reducing delays and improving coordination across care teams.
Care Coordination Platform
Our custom portals streamline workflow automation, task management, and secure messaging, helping clinical teams manage transitions smoothly and efficiently.
Remote Patient Monitoring (RPM)
Integrate FDA-approved wearable devices and mobile health applications to monitor vital signs remotely, enabling early intervention and reducing readmissions.
Patient Engagement Tools
Multi-language mobile apps and SMS bots facilitate medication adherence, symptom reporting, and educational outreach, keeping patients connected to their care team.
Interoperability & Integration Services
Seamlessly connect diverse systems—EHRs, labs, pharmacies, and payers—using HL7, FHIR, and X12 standards to create a unified patient record.
Predictive Analytics & Reporting
Leverage machine learning models and real-time dashboards to identify at-risk patients, optimize staffing, and streamline compliance reporting.
Who Benefits from Our PAC Solutions
Hospital & Health System Executives
Reduce costly readmissions, improve care quality scores, and streamline transitions of care through scalable and interoperable solutions.
Primary and Skilled Nursing Facilities (SNFs) & Rehabilitation CentersSpecialty Clinics
Automate referrals, increase visibility into patient status, and reduce staff burnout with workflow and remote monitoring tools.
Home Health Agencies
Monitor patient vitals remotely, engage patients effectively, and coordinate care without increasing travel or administrative burden.
Behavioral Health Providers Payers & Accountable Care Organizations (ACOs)
Use predictive analytics and AI-powered risk scoring to identify high-risk members and reduce avoidable healthcare utilization.
Clinical Case Managers & Transition Nurses
Gain real-time access to patient information, automate documentation, and improve coordination across care teams.
Health IT & Integration Teams
Implement secure, standards-based interfaces and maintain compliance while accelerating digital transformation initiatives.
Why Choose Cabot as Your PAC Partner
Our hybrid U.S./India model trims total cost of ownership by roughly 40 % while offering 24 × 7 delivery.
Projects pair clinicians, HL7/FHIR engineers, and UX researchers to marry clinical accuracy with high adoption.
Clients own every line of code, avoid recurring license fees, and rate us an NPS 68—double the industry benchmark for health-tech.
Healthcare-Only DNA
No retail or finance distractions—every architect knows PHI, HIPAA, and clinical workflows.
Clinician-Led Teams
RNs and MDs co-author requirements, ensuring the build solves frontline pain, not just IT tickets.
Transparent Pricing & IP Ownership
Fixed-scope sprints, open repositories, and full IP transfer protect budgets and strategic control.
Proven Outcomes
30 % readmission reduction, 22 % faster bed placement, $1.2 M CMS penalties avoided—backed by case studies.
How We Protect Patient Data
Ready to cut readmissions and reclaim clinical time?
Frequently Asked Questions
Post-Acute Care Software Solutions are custom-built applications and integrations designed specifically for your workflows, tech stack, and compliance needs. Unlike a packaged PAC product that forces one way of working, Cabot tailors every module—referral management, HL7-to-FHIR conversion, and remote monitoring—to fit your existing EHR, staff roles, and payer rules. You own the code and roadmap, so future enhancements stay in your control.
No. Cabot’s interoperability layer connects with Epic, Cerner, MEDITECH, athenahealth, and PointClickCare via HL7 v2, FHIR R4, and marketplace-certified APIs. By augmenting—not replacing—your core systems, we deliver value fast while preserving clinician workflows.
Clients typically achieve a 25–30 % reduction in readmissions within two fiscal quarters of go-live. Automated referrals and voice-to-text charting reclaim about three nurse hours per shift, producing immediate labor savings. Because there are no per-seat licenses, financial gains compound over time. v
A standard engagement spans three phases: one week of discovery and blueprinting, two to four weeks of prototype validation, and six to twelve weeks of agile build and rollout. Each two-week sprint delivers working features, ensuring incremental value and continuous clinician feedback.
Security and compliance are embedded from day one: AES-256 encryption at rest, TLS 1.3 in transit, and strict role-based access controls. Cabot maps every control to HIPAA, HITRUST, GDPR, and PIPEDA, and provides SOC 2-ready audit logs. Quarterly penetration tests and 24 × 7 SIEM monitoring maintain a hardened production environment.
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