Case Studies

St. Joseph’s Health is a world-class health system, serving New Jersey and the New York metropolitan area, caring for over 421,000 patients each year. St. Joseph’s Health clinically integrated network, St. Joseph's Health Partners, participates in multiple value-based programs, including Mission Health Coordinated Care, a Medicare Shared Savings Plan ACO, several Medicare Advantage contracts, Comprehensive Care for Joint Replacement, Quality Improvement Plan – New Jersey and previously, the Bundled Payment for Care Improvement Advanced Program. With the need to reduce readmissions from their growing skilled nursing facility (SNF) network and ensure appropriate length of stay, St. Joseph’s Health began to...read more

St. Joseph’s Health System, a world-class health system serving New Jersey and the New York metropolitan area, participates in an MSSP Accountable Care Organization (ACO) and the Bundled Payment for Care Improvement-Advanced (BPCI-A) models for their Medicare patients. Along with participation in these value-based programs came the need to reduce readmissions from their growing skilled nursing facility (SNF) network. With no way to track patients’ day-to-day care and outcomes once moved from acute to post-acute care (PAC), they could only react to data gleaned from admission, discharge, and transfer (ADT) feeds and claims. Current, actionable information to improve care collaboration...read more

In July 2019, Real Time launched PDPM Complete to skilled nursing facilities (SNFs), in preparation for the industry’s largest payment overhaul, the Patient-Driven Payment Model (PDPM). This full suite of Interventional Analytics tools were specifically designed to capture live resident documentation and provide intuitive analysis of key components within PDPM including, Initial Assessment analysis, live Interim Payment Alerts, managing length of stay by diagnosis, trending therapy minutes, average minutes per diagnosis, and more - ensuring SNFs had an efficient way to achieve accurate coding and receive accurate reimbursements. Today, Real Time’s PDPM Complete solution is operating in over 1,000+ facilities...read more

Interoperability and care collaboration continue to drive the future of healthcare. Learn how a major health system in South Central Pennsylvania utilized an interventional analytics software platform to build a collaborative preferred care network with their skilled nursing facilities - eliminating unnecessary hospital readmissions, reducing length of stay, and improving quality measures. CHALLENGES: The biggest challenge faced was the ability to obtain line of sight into patients care once discharged to the SNF. The current case management program in place was becoming increasingly labor intensive. When tracking patients care after hospital discharges, the hospital’s care management team found telephone communication...read more