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Category Archives: News Room

Bishop Rehabilitation and Nursing Center Partners with Medline to Implement Overhaul of Quality Initiatives

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New York-based nursing home investing in new solutions that will improve resident care and enhance staff efficiencies

Medline and Bishop Rehabilitation and Nursing Center today announced a new partnership that will bring greater quality of care to residents and enhance operational efficiencies for facility staff.

Through this agreement, Medline will provide Bishop Rehabilitation and Nursing Center a portfolio of products and value-added programs to maximize quality assurance and performance improvement (QAPI) efforts. In particular, the facility will utilize the abaqis® Quality Management System, a complete quality management system with core components that manage survey readiness and QAPI, helping facilities better comply with regulations. Under CMS’ new Requirements of Participation, providers were expected to complete a facility assessment to identify the resources needed to provide care and services to its residents. Providigm, the company behind abaqis, created a facility assessment tool in abaqis to help take the guesswork out of the assessment process and create an automated process for aggregating resident data.

Additionally, Bishop Rehabilitation and Nursing Center will leverage Real Time Medical Systems, a simple application that sits on top of a facility’s EMR. The technology extracts up to 150 clinical data elements on every resident, several times per day, to provide a live view a patient’s present conditions. Real Time’s new patent-pending acuity monitor will enable staff to understand which patients are at higher risk for hospital readmissions, giving Bishop Rehabilitation and Nursing Center insight needed to respond and direct care before it becomes a readmission…

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How a skilled nursing facility improved readmissions, clinical quality and its finances

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Source: Healthcare Finance

Vernon Manor and Manchester Manor deployed software on top of its EHR to analyze clinical data fields and recommend interventions

Rather than stay in the paper-based environment common to many skilled nursing facilities, Liistro’s facilities are moving forward into what he sees as the future of long-term care.

For two years now, Liistro has been using Real Time Medical Systems, which has been expanding its presence thanks to a partnership with healthcare distributor Medline Industries. Essentially a platform that sits on top of a facility’s electronic medical record, Real Time analyzes 150 clinical data fields, provides recommended interventions and consolidates the data into a single report. It gives the two Connecticut facilities a fresh report each day at 12:01.

Now, Liistro and his staff don’t have to wait until the EMR’s minimum data set pinpoints a trend that’s happening. That has improved clinical quality, which in turn has resulted in fewer patients being readmitted to a local hospital.

“That is a metric that is problematic, because it’s very expensive for the federal government,” said Liistro. “It’s problematic for us and the industry because the government is now creating a program where they penalize us for readmissions, and that starts in 2018. So you have to look for solutions that are going to help you avoid those things. If you’re lowering the readmissions rate, you’re starting to do things better.”

The two facilities have also been able to improve their patients’ lengths of stay. In Connecticut, the average length of stay for a patient in a skilled nursing facility is…

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Reducing Hospital Readmissions: Bringing Real Time Clinical Data Monitoring to Skilled Nursing Facilities

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Providers to benefit from data mining software with improved resident outcomes

Northfield, Ill., Oct. 3, 2017 – To decrease hospital readmissions from skilled nursing facilities, Medline Industries and Real Time Medical Systems today announced a partnership to expand the data mining software’s presence in the long-term care market.

Medicare is withholding more than $500 million in payments in fiscal 2017 under its readmissions reduction program, $100 million more than last year. As reimbursement gets tighter, hospitals look to skilled nursing partners to identify changes in resident condition as they happen to help reduce hospitalizations. Real Time Medical Systems has brought its platform, Real Time™, to market to help facilities react in real time to changes in resident daily living.

“Providers must be able to monitor real time data and use it in ways to improve outcomes that hospital systems are looking at,” says Scott Rifkin, M.D., founder of the Real Time platform and also co-founder of Mid-Atlantic Health Care, an east coast skilled nursing home chain. As a provider, he experienced the limitations of real time monitoring with traditional EMRs and created Real Time to help facilities improve resident care and increase revenue growth opportunities. “We wanted to know data when it was new and fresh enough to intervene in the healthcare of a patient. We looked at every EMR out there and just could not get real time data in ways that we could use it to address the daily changes in resident conditions.”

The platform, an application that sits on top of a facility’s EMR, analyzes 150 clinical data fields, provides recommended interventions to guide facilities and consolidates the data into a single report. Knowing that benchmarking on quality and outcomes is vital to…

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Business Wire | Reducing Hospital Readmissions: Bringing Real Time Clinical Data Monitoring to Skilled Nursing Facilities.

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Reducing Hospital Readmissions: Bringing Real Time Clinical Data Monitoring to Skilled Nursing Facilities.

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NORTHFIELD, Ill.–(BUSINESS WIRE)–To decrease hospital readmissions from skilled nursing facilities, Medline Industries and Real Time Medical Systems today announced a partnership to expand the data mining software’s presence in the long-term care market.

“Providers must be able to monitor real time data and use it in ways to improve outcomes that hospital systems are looking at,” says Scott Rifkin, M.D., founder of the Real Time platform and also co-founder of Mid-Atlantic Health Care, an east coast skilled nursing home chain. As a provider, he experienced the limitations of real time monitoring with traditional EMRs and created Real Time to help facilities improve resident care and increase revenue growth opportunities. “We wanted to know data when it was new and fresh enough to intervene in the healthcare of a patient. We looked at every EMR out there and just could not get real time data in ways that we could use it to address the daily changes in resident conditions.”

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CMS | Long-Term Care Hospital (LTCH) Quality Reporting (QRP)

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Long-Term Care Hospital (LTCH) Quality Reporting (QRP)

CMS

What is the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP)?

The purpose of this page is to provide users with important announcements and updates regarding the LTCH QRP. This page is updated periodically whenever an important update needs to be communicated to LTCH providers regarding the LTCH QRP. Please refer to this page when seeking information on upcoming trainings, approaching data submission deadlines, updates to training materials or measures, reminders, and other useful communications.

The LTCH QRP, mandated by Section 3004(a) of the Patient Protection and Affordable Care Act of 2010, creates LTCH quality reporting requirements. Every year, by October 1, we publish the quality measures LTCHs must report. Section 3004(a) of the Affordable Care Act (ACA) amends section 1886(m)(5) of the Social Security Act(SSA) to direct the Secretary to establish quality reporting requirements for long-term care hospitals (LTCHs).

The Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act), LTCHs also requires LTCHs to submit standardized patient assessment data with regard to quality measures, resource use, and other measures. It further specifies that the data [elements] “… be standardized and interoperable so as to allow for the exchange of such data among such post-acute care providers and other providers and the use by such providers of such data that has been so exchanged, including by using common standards and definitions in order to provide access to longitudinal information for such providers to facilitate coordinated care and improved Medicare beneficiary outcomes …”.

Learn more about Affordable Care Act (ACA) Section 3004 (Quality Reporting for Long-Term Care Hospitals (LTCH), Inpatient Rehabilitation Facilities (IRF), and Hospice Programs). Please note the link below for P.L. Public Law No: 111-148, the Patient Protection and Affordable Care Act (H.R.3590 Health Care Law). https://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf

Learn more about the Improving Medicare Post-acute Care Transformation (IMPACT) Act of 2014 which requires the submission of standardized data by Long-Term Care Hospitals (LTCHs), Skilled Nursing Facilities (SNFs), Home Health Agencies (HHAs) and Inpatient Rehabilitation Facilities (IRFs). https://www.gpo.gov/fdsys/pkg/PLAW-113publ185/pdf/PLAW-113publ185.pdf

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The Medicare SNF Resident Classification System (RCS-I) By Marc Zimmet

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The Medicare SNF Resident Classification System (RCS-I)
A Rational Discussion on Payment Reform
By Marc Zimmet

Zimmet Healthcare Services

Nearly five months have passed since the Centers for Medicare & Medicaid Services (CMS)
formally announced its intention to fundamentally reform the skilled nursing facility (SNF)
Medicare Part A payment system. The May 4, 2017 Advanced Notice of Proposed Rulemaking (file
code CMS-1686-ANPRM) targets October 1, 2018 as the date providers would transition to the new
Resident Classification System (RCS).

Since then, quite a bit has transpired. Zimmet Healthcare has extensively studied and modeled the
financial and operational impact of RCS on our clients. We have had in-depth discussions with
national & state trade associations and industry thought leaders. We have also closely followed
reaction to the rule, and it seems that every day, more “fake news” (sorry, I couldn’t resist) is
propagated by anxious stakeholders.

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McKnight’s Long Term Care News | RCS-1 says goodbye to rehab? Yes & No

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RCS-1 says goodbye to rehab? Yes & No

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The Centers for Medicare & Medicaid Services is proposing to radically change how they pay skilled nursing facilities to care for Medicare patients after hospital stays. Today, under the RUG IV rule and formula, the economic engine of the facility is the rehab department and the fuel for that engine is the volume of minutes of therapy provided by physical, occupational, and speech therapists.

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Florida governor signs law that will change nursing home reimbursement

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Florida nursing homes will be moving to a prospective payment system for reimbursement following Gov. Rick Scott’s (R) signing of legislation Friday.
The Florida Health Care Association had advocated for healthcare bill SB 2514, saying it improves cost-based nursing center reimbursement and puts money into direct care.
“The Prospective Payment System will put the focus on quality care and quality of life for Florida’s nursing center residents, and, for the first time in Florida’s Medicaid history, will link nursing center reimbursement to quality outcomes,” said FHCA Executive Director Emmett Reed in a statement. “On behalf of the thousands of long-term caregivers working in our member centers, we commend Governor Scott for supporting the PPS so they can achieve their goals of providing exceptional care and services to our state’s seniors and people with disabilities.”

see more at http://www.mcknights.com/news/florida-governor-signs-law-that-will-change-nursing-home-reimbursement/article/669981/

“Super SNF” Symphony PAN using RTMS Analytics

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“Being able to track data such as hospitalization rates is becoming table stakes for skilled nursing providers in an increasingly integrated health care marketplace, in which they’re being asked to demonstrate their value to hospitals and other referral partners.

Symphony also is implementing analytics tools such as Real Time Medical Systems, which integrates with and scours the PointClickCare electronic medical record for information in order to flag particular patients for attention.”

Source: http://skillednursingnews.com/2017/06/symphony-shares-secrets-super-snf/