PointClickCare
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CCN Health

EHR Integration Partnership

Remote Monitoring for Post-Acute & Senior Living

CCN Health integrates directly with PointClickCare — the leading EHR for skilled nursing and senior living — to power RPM, CCM, PCM, BHI, and RTM programs. Bidirectional API sync means vitals flow into resident charts automatically, ADT events trigger protocol changes, and billing documentation generates in real time.

Integration Overview

The largest post-acute EHR, connected.

A single API connection between PointClickCare and CCN Health unlocks every Medicare remote care program — across skilled nursing, assisted living, and long-term care facilities.

5
Medicare Programs
RPM, CCM, PCM, BHI, RTM
27K+
Facilities
PointClickCare's network
70%
SNF Market
US skilled nursing coverage
4 wk
Deployment
Configuration to go-live

Platform Integration

The CCN Health platform.

Clinical data flows bidirectionally between PointClickCare and CCN Health — vitals, alerts, and billing documentation sync automatically without leaving the EHR.

PointClickCare

PointClickCare

Demographics & ADT
Medications & Allergies
Vitals & Readings
Clinical Alerts
Billing Documentation
Compliance Records
CCN Health
Live
Margaret Chen
RPM • Day 18 of 30
Blood Pressure
128/82
mmHg • 2m ago
SpO₂
97%
Pulse Ox • 2m ago
Weight
168 lbs
Scale • 8:12am
Glucose
112 mg/dL
CGM • 5m ago
BP elevated — alert sent to care team

CCN Health Platform

Bidirectional Sync

Data flows both ways.

This isn't a one-way data dump. PointClickCare shares clinical context with CCN Health to inform monitoring protocols, and CCN Health writes vitals, alerts, and billing documentation back — so caregivers never leave the EHR.

PointClickCare
CCN Health

From PointClickCare to CCN Health

Resident Demographics

Census data, ADT events, insurance, contacts, room assignments

Care Plans & Assessments

MDS assessments, care plans, clinical goals, risk scores

Clinical Documentation

Progress notes, physician orders, diagnosis codes

Medication Records

Active medications, allergies, eMAR documentation

From CCN Health to PointClickCare

Vital Sign Readings

BP, weight, glucose, SpO2, temperature — posted to resident charts

Clinical Alerts

Threshold breaches, trending changes, escalation notifications

Billing Documentation

CPT-coded time logs, device transmission records, compliance audit trails

Program Status

Enrollment status, compliance metrics, program performance data

Programs Powered

Five programs, every care setting.

The PointClickCare integration powers every Medicare-reimbursable remote care program CCN Health offers — from RPM device monitoring to behavioral health integration — across the full continuum of post-acute care.

01
RPM

Remote Patient Monitoring

Continuous vital sign collection from connected devices, trended in CCN Health and synced to PointClickCare resident charts.

CPT Codes

99453, 99454, 99457, 99458

02
CCM

Chronic Care Management

Non-face-to-face care coordination for residents with 2+ chronic conditions. Care plans documented in both platforms.

CPT Codes

99490, 99491, 99437

03
PCM

Principal Care Management

Specialist-level management for a single high-complexity condition. Coordination notes sync to PointClickCare care plans.

CPT Codes

99424, 99425, 99426, 99427

04
BHI

Behavioral Health Integration

Psychiatric collaborative care model for residents with behavioral health conditions. Assessment scores posted to clinical profiles.

CPT Codes

99484, 99492, 99493

05
RTM

Remote Therapeutic Monitoring

Non-physiological data monitoring — therapy adherence, respiratory device usage, medication compliance tracking.

CPT Codes

98975, 98976, 98977, 98980, 98981

Care Settings Powered

Across every supported environment

Skilled Nursing
Assisted Living
Long-Term Care
Senior Living
Memory Care
CCRC
Independent Living
Home Health

What This Enables

From data to clinical decisions.

The bidirectional PointClickCare integration transforms how post-acute and senior living facilities deliver, document, and bill for remote care programs.

Automated Vital Sign Charting

Device readings flow directly into PointClickCare resident charts — no manual entry, no transcription errors, no workflow disruption for nursing staff.

Census-Driven Enrollment

ADT events from PointClickCare automatically trigger enrollment workflows. New admissions are flagged for program eligibility; discharges pause monitoring.

Compliant Billing Documentation

CPT-coded time logs, device transmission records, and clinical notes auto-generate — satisfying CMS documentation requirements for all five programs.

Real-Time Alert Workflows

Vital sign threshold breaches trigger alerts inside PointClickCare workflows — notifications appear where nursing staff already work.

Unified Resident Record

RPM data, CCM notes, assessment updates, and billing records all live in the PointClickCare resident profile alongside MDS data and care plans.

Multi-Facility Visibility

Operators managing multiple facilities see aggregated program performance — enrollment rates, compliance metrics, and revenue across the entire portfolio.

Connected Devices

Every reading, charted automatically.

Residents take a measurement. The device transmits to CCN Health. CCN Health writes the reading into their PointClickCare record. Nursing staff see it on their next chart check.

DeviceConnectivityData Synced to PointClickCare
Blood Pressure CuffCellular-connectedSystolic, diastolic, pulse, irregular heartbeat flag
Weight ScaleCellular-connectedWeight, BMI, trend alerts for fluid retention
Pulse OximeterCellular-connectedSpO2, pulse rate, perfusion index
Blood Glucose MeterCellular-connectedGlucose level, pre/post meal tagging
Continuous Glucose MonitorBluetooth/cloud288 readings/day, trend arrows, time-in-range
ThermometerCellular-connectedTemperature, fever detection alerts
Sensorless MonitorUWB radarHeart rate, respiratory rate, sleep, presence
Sleep TrackerUnder-mattressSleep duration, efficiency, restlessness

Integration Preview

Built into the platform.

CCN Health's clinical dashboard and mobile app integrate directly with PointClickCare — vitals, alerts, trending, and billing documentation all flow through a single unified interface.

app.ccnhealth.com
CCN Health clinical dashboard showing PointClickCare integration with patient vitals, blood pressure trending, alerts, and clinical notes
PointClickCare×CCN Health

Caregiver Mobile App

Staff use the CCN Health mobile app to take vitals at the bedside. Select a patient, choose a device, and the reading flows directly into PointClickCare — no manual charting required.

Scan vitals with Bluetooth devices at the bedside
Readings auto-chart to the patient's EHR record
Patient list syncs from PointClickCare census
Works offline — syncs when connectivity returns
CCN Health mobile app showing patient list, device selection, and Bluetooth scanning

Clinical Specialties

Specialty-specific protocols.

CCN Health's monitoring protocols are tuned per specialty — the PointClickCare integration ensures the right data reaches the right clinicians with full clinical context.

Cardiology

Blood pressure, heart rate, weight management for CHF and hypertension

Endocrinology

Glucose monitoring, CGM, metabolic tracking for diabetes management

Pulmonology

SpO2, respiratory rate, sleep apnea screening for COPD and respiratory conditions

Nephrology

Weight, blood pressure, fluid balance for CKD and dialysis patients

Behavioral Health

BHI programs, medication compliance, sleep tracking for mental health conditions

Geriatrics

Fall risk, activity monitoring, comprehensive vitals for complex elderly patients

Implementation

Live in four weeks.

From API credentialing to production data flow, the standard PointClickCare integration deployment takes four weeks.

01
Week 01

API Credentialing & Setup

PointClickCare API credentials provisioned, data scope defined, HIPAA BAA executed. CCN Health configures facility mapping and resident matching rules.

02
Week 02

Integration Testing

Bidirectional data flow validated in PointClickCare sandbox. Census sync confirmed, vital sign posting tested, alert routing verified.

03
Week 03

Device Deployment & Training

Monitoring devices provisioned and assigned to enrolled residents. Staff training on CCN Health dashboard, alert workflows, and PointClickCare documentation.

04
Week 04

Go-Live & Optimization

Production data flowing. Alert thresholds tuned per clinical protocols. Billing documentation validated. Ongoing support and quarterly reviews.

About PointClickCare

The leading post-acute EHR.

PointClickCare is the leading cloud-based EHR platform for the long-term and post-acute care (LTPAC) industry. Serving over 27,000 facilities across North America, PointClickCare provides an integrated platform for clinical documentation, financial management, care coordination, and business intelligence across the continuum of senior care.

Clinical — EHR, eMAR, physician orders, MDS assessments, care plans
Financial — Billing, claims management, revenue cycle optimization
Care Coordination — Transitions, referral management, hospital partnerships
Business Intelligence — Analytics, benchmarking, quality measures
Marketplace — 200+ integrated solutions via PointClickCare Marketplace
Interoperability — FHIR-ready APIs, Carequality participation
27,000+ facilities
|70% SNF market share
|200+ marketplace integrations
|View on PointClickCare Marketplace
PointClickCare

Ready to activate remote care programs in PointClickCare?

See how CCN Health powers RPM, CCM, PCM, BHI, and RTM directly inside the PointClickCare platform your staff already uses.

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Have a question about RPM, CCM, or how CCN Health can help your organization? Send us a message and our team will respond within 24 hours.

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