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How It Works Features
Specialties
Primary Care SNF & Long-Term Care About Pricing FAQ Log In Start Free Trial →
Built for SNF · LTC · Post-Acute Care

Your new admission just arrived
with a 40-page discharge summary.
Stream reads it so you don't have to.

Upload the discharge summary, Stream builds a problem-oriented chart in minutes. From day one, you know exactly where this patient stands — and where to take them next.

No credit card required
30-day free trial
$59/month for your first year
HIPAA Compliant
Built by physicians
Works with any EHR or documentation system
30-day free trial
HIPAA Compliant

Every admission is a chart
you have to rebuild from scratch.

Skilled nursing and long-term care carries some of the most complex documentation in medicine. High-acuity admissions, detailed outside records, and patients whose histories span years — all landing on your desk at once. Stream is built for exactly this.

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The admission stack

A new patient arrives from the hospital with a discharge summary, consult notes, labs, and imaging reports. Reading and summarizing all of it before you can even begin to plan care takes hours you don't have.

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Complex patients, fragmented records

Your patients have long histories across multiple systems. Piecing together what happened before they arrived — and making sure nothing important gets missed — is a clinical risk, not just an inconvenience.

Follow-ups that fall through the cracks

Pending labs, wound care updates, specialist referrals, medication reconciliation. In a busy SNF, open loops don't just create paperwork — they create patient safety risk.

Why post-acute care needs something different
"Every SNF admission is a longitudinal project that started somewhere else. The discharge summary is chapter one. Stream is the tool that turns that stack of outside records into a chart you can actually use — from day one."

From discharge summary to organized chart in minutes.

Not hours. Not days. Minutes.

Step 01 — Seed the chart

Upload the discharge summary. Stream does the rest.

When a new patient arrives, upload their discharge summary or any outside records directly into Stream. Within a couple of minutes, Stream extracts the key problems, medications, and clinical history — and organizes everything into a problem-oriented chart ready for your first encounter. No manual summarizing. No starting from scratch.

Works with discharge summaries, consult notes, labs, and PDF records. Upload once — Stream handles the rest.

Problem Summary
Step 02 — Round and document

Speak naturally during rounds. Notes are done before you leave the room.

Record your encounter or dictate as you go. Stream transcribes in real time, structures the note by problem, and updates the chart automatically. Each visit builds on the last — so the chart gets smarter with every encounter, not just longer.

Supports 22 languages. Works ambient or with direct dictation. Customizable templates for SNF and LTC documentation requirements.

Recording in progress
Step 03 — Track every open loop

Nothing falls through the cracks between visits.

Follow-up tasks are generated automatically from every note — labs to recheck, referrals to track, medication changes to reconcile. Every open loop is captured and visible, so you're never relying on memory or a paper list to manage your panel.

Coming soon: referral loop tracking and inter-facility communication — so you always know what happened after the handoff.

Auto-Generated Tasks

Every feature built for high-complexity, longitudinal care.

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Discharge Summary Import

Upload outside records and Stream extracts the problems, medications, and history — building a structured chart from day one of admission.

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Problem-Oriented Chart

Every encounter updates a living chart organized by medical problem. Complex patients with long histories stay organized, not buried.

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Real-Time AI Scribe

Ambient recording or direct dictation during rounds. Stream writes a complete, structured note while you focus on your patient.

Automatic Task Tracking

Follow-up tasks extracted from every note automatically. Nothing gets lost between visits or across your panel.

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ICD & CPT Coding

Diagnosis and procedure codes suggested at the point of care. Accurate coding without slowing down your rounds.

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Patient & Problem Summaries

One-tap summaries for any problem or patient — perfect for handoffs, family conversations, and care plan meetings.

Built by physicians. Trusted by clinicians.

Feedback from clinicians managing complex, longitudinal patients.

★★★★★
"I was using another AI scribe, but now I love Stream!"
KV
Karen Valentine, NP
Long-Term Care
★★★★★
"I can review and reuse information from previous visits inside Stream — creating a more comprehensive note every time."
DK
Donna Kirchoff, MD, FAAP
Integrative Developmental & Behavioral Pediatrics

$59/month for your first year.

Unlimited visits. Works with any EHR or documentation system. 30-day free trial, no credit card required.

Start Free Trial →
Then $149/month. Lock in this rate forever.

From admission to organized chart in minutes.
See it live on a 20-minute demo.

We'll walk you through the discharge summary workflow and show you exactly how Stream works in a SNF setting. No pitch — just the product.

hello@riverrecords.ai · We respond same day.