Strategies to Enhance Value-Based Outcomes Through Live Analytics

As all stakeholders in the healthcare continuum learn to embrace Value-Based Care (VBC), nursing facility care teams are swiftly becoming recognized as a key driver in the success of the “quality of care” model. Shifting the focus from quantity to quality, the approach ensures the prioritization of resident-centered outcomes – such as improving chronic disease management, reducing rehospitalizations, and enhancing the Quality of Life for residents. As nursing facilities continue to struggle with staffing issues, administrative overload, and regulatory burden – and with Centers for Medicare & Medicaid (CMS) seeking to have ALL Medicare/Medicaid patients in some form of a VBC program by 2030 – what can facility care teams do to ensure value-based care goals are being met and the best possible care is being provided?

This session explores the integration of live data analytics and practical methodologies in managing long-stay residents within the VBC framework. Lacey Erxleben, VP of Clinical Reimbursement at Touchstone Communities, joins Dr. Scott Rifkin, founder and Executive Chairman, Real Time Medical Systems, to highlight how practical data has enhanced operational efficiency at both the facility and clinical levels for Touchstone’s 30 communities and 4 Veterans Homes in Texas, particularly through the role of the Director of Nursing (DON). Key strategies and best practices will be shared that demonstrate how Nurse Practitioners, DONs, and nursing teams are utilizing live EHR data for chronic disease management, infection prevention, and advance care planning – along with identifying clinical changes as they occur, facilitating immediate care interventions, and reducing rehospitalizations. Furthermore, we will discuss the positive effect live clinical data has on reimbursement – including its impact, when used appropriately by nursing facility care teams, on Case Mix Index (CMI) and nursing scores.

Learning Objectives

• Understand the role nursing facility clinical teams play in VBC success
• Learn how integrating live data analytics into VBC efforts can enhance operational efficiency and improve patient outcomes in nursing facilities
• Implement key strategies and best practices for using live EHR data to manage chronic diseases, prevent infection, facilitate immediate clinical interventions, and reduce rehospitalizations.

Speakers

• Lacey Erxleben, RN, CMAC, VP of Clinical Reimbursement, Touchstone Communities
• Scott Rifkin, MD, Founder & Executive Chairman, Real Time Medical Systems

This session is presented as part of the 2025 AHCA/NCAL Quality Summit.