Who We Serve / Post-Acute, LTC & Home-Based Care
LTPAC · Home Health · Hospice · EMS
Skilled nursing, long-term acute care, acute and subacute rehab, hospice, palliative care, home health, community paramedicine, and EMS partners use SCeHA to see the hospital record on admission, receive real-time ADT alerts, and hand off cleanly on discharge — the transitions where medication errors and readmissions concentrate.
Who this is for
If your organization takes responsibility for a patient after a hospital stay, or delivers care in their home or community, you need the record that lives across every other setting.
The value case
Federal research (ASPE) and Civitas both identify LTPAC as one of the highest-value HIE-participant segments because of the density of transitions and medication changes.
See the discharging hospital's medication list and CCD on admission — the single highest-impact patient-safety opportunity in post-acute care.
Real-time ADT alerts when your residents or home-care patients hit an ED or are readmitted — before you get the fax.
Direct Secure Messaging closes the loop to the receiving provider with a standards-based summary of care.
See MindMyHealth and other advance care planning documents at the moment the clinical decision is being made.
EMS partners can see the patient's history, medications, and directives before they reach the destination facility.
Civitas HDU Framework →Federal research documents concrete quality and efficiency gains from LTPAC-HIE integration.
ASPE LTPAC-HIE report →What you use
Bi-directional participation supplies your admitting clinicians with the record they need and contributes your ADT, CCDs, and labs so the next provider sees your care.
| SCeHA service | How you use it |
|---|---|
| Provider Portal | Secure web-based access for admitting clinicians, DONs, and case managers — no EHR integration required. |
| Encounter Notification Service | Templated ADT alerts (near-real-time or SFTP-batched) when your residents or home-care patients present at any SCeHA participant. |
| InContext | For LTPAC facilities on integrated EHRs, launches the SCeHA record from inside the EHR workflow. |
| Direct Secure Messaging | Encrypted, DirectTrust-accredited messaging for cross-setting transitions of care. |
| Query & Retrieve | On-demand pull of hospital records to support medication reconciliation and admission planning. |
"Long-term and post-acute care providers engaged in health information exchange report meaningful improvements in transitions of care, medication reconciliation, and reduced readmissions."
Adapted from ASPE / HHS: LTPAC Providers Engaged in HIEParticipation & pricing
Under the 2026 SCeHA HIE Fee Schedule, LTPAC facilities are priced per staffed bed as reported to AHD.com. Multi-site organizations qualify for negotiated rates.
Fees shown are 2026 rates. Larger organizations qualify for tiered discounts. Full detail in the current SCeHA HIE Fee Schedule.
| Participant type | 2026 subscription |
|---|---|
| SNF, LTAC, acute rehab, subacute rehab, hospice facility | $84 per staffed bed / year |
| Multi-site LTPAC operator | Negotiated rate |
| Home health, hospice at-home, EMS | Negotiated fee (Other Organizations) |
| Optional: ADT Alert Feed | One-time build fee plus annual maintenance |
Evidence base
Federal HHS research documents LTPAC-HIE engagement patterns, benefits, and financing considerations — the definitive federal reference.
ASPE report →LTPAC settings are explicitly identified as HDU stakeholders across syndromic surveillance, care coordination, and quality-improvement use cases.
Civitas HDU Framework →HIE research documents improved transitions and medication reconciliation as core LTPAC benefits.
AMIA / NIH review →Ready to participate?
Tell us about your organization and a SCeHA representative will walk you through the participation agreement, technical onboarding, and go-live plan. Standard onboarding activates within 60–90 days.
Start the sign-up process →Prefer to talk first? Contact SCeHA directly.