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Skilled Nursing Facility

Transitions from skilled nursing to home can feel fragile. This journal tracks strength, daily activities, symptoms, and support needs helping your care team catch issues early and keep your recovery moving forward. 

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Skilled Nursing Facility (SNF) 


Journal Track Strength, Safety, and Support After Returning Home 


Patient Benefits

  • ADL Tracking

  • Support Check-Ins

  • Symptom Monitoring

  • Medication Adherence

  • Emotional State

  • Additional Feedback


Why This Helps After SNF

  • Monitor Stability

  • Prevent Readmissions

  • Tailor Support


Provider Benefits

  • Spot fall or frailty risk

  • Guide home health planning

  • Surface chronic condition risks

  • Support transitions of care

💡 Why This Works for Transitional Care Management


Each year, nearly 1 in 5 Medicare patients is readmitted to the hospital within 30 days of discharge. Many of these readmissions are preventable—with better communication, symptom monitoring, and follow-through. Transitional Care Management (TCM) exists to close those gaps. 


PulseGen enhances TCM by delivering daily, structured check-ins using SMS, voice, and video—helping patients stay connected while giving providers real-time insights. What the Data Shows: A 2022 JAMA Network Open study found that a 30-day automated text message follow-up program led to a 41% reduction in ER visits and hospital readmissions.¹ 


CMS data shows that effective TCM services can lower total cost of care by up to 17% for high-risk patients.² Structured patient-reported data helps surface early complications, improves adherence, and enhances risk adjustment.³ 


Why This Approach Works: 

  • It’s low friction. No apps, logins, or complex portals. 

  • It’s personalized. Content adapts to the patient’s type of stay, needs, and symptoms. 

  • It’s clinically relevant. Providers receive summaries, alerts, and trendlines that support proactive care. 

  • It’s proven. Backed by evidence and already in use across leading health systems. 


PulseGen keeps the focus where it belongs: recovery, communication, and prevention—without adding burden to the patient or care team.

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