In a value-based care world, ACOs, Hospitals and Health Systems are accountable for the entire patient journey; therefore, their long-term success and financial viability are inherently tied to the performance of their network of post-acute care (PAC) providers. A significant amount of PAC costs for ACOs and CMS's Bundled Payments for Care Improvement initiative come […]

The Patient-Driven Payment Model (PDPM) transformed how SNFs provide, track, and code patient care. Then the pandemic required facilities to batten down the hatches and change course, creating additional obstacles and sinking PDPM’s intended budget neutrality. Navigating the waters in FY23 may prove challenging – the three-day stay waiver will likely end, Medicare rates will […]

Maintaining nursing home regulations can overwhelm even the most prepared facility – and that task has become more daunting since the pandemic increased CMS oversight and fueled additional reporting requirements. From vaccine mandates to new infection control regulations to visitation restrictions, operators are scrambling to adhere to rapidly evolving guidance. To comply with CMS regulations […]

Leverage post-acute analytics to better manage patient care and become stronger partners for residents, referral sources, payers, and communities served. We’ll explore how Interventional Analytics helps reduce hospital readmissions, risk stratifies and clinically prioritizes patients, and advances care coordination with acute partners to gain referrals. We will also discuss the administrative and clinical impact data […]

To be successful under PDPM, SNFs must tie care, quality, and reimbursement to outcomes, much like a pay-for-performance model. Key to this approach is understanding current trends on both a patient and facility basis and appropriately coding them for assessment/reimbursement purposes. Go beyond just MDS data to assess detailed clinical and financial analytics to improve […]

Explore how to leverage live post-acute EHR analytics to meet state and federal CMS requirements, prepare for regulatory reporting and onsite surveys, conduct infection surveillance, and mitigate risk. Covering the seven tasks associated with the surveyors’ process, we’ll highlight key, automated data points and processes to demonstrate compliance. Learn best practices to collect and use […]

Some 40-75% of prescribed antibiotics in SNFs may be unnecessary or inappropriate, causing risk of serious infections, increased adverse drug events and drug interactions, and even death. There’s also the threat of antibiotic-resistant infections, which afflict 2.8 million Americans annually. We know that monitoring and tracking antibiotic use is an arduous and time consuming process, […]

Explore how initiating a timely advance care plan allows for well-informed decisions about treatment before conditions worsen, and helps improve quality of life by better managing symptoms based on documented personal choices, easing transitions, and reducing hospital readmissions. Learn how live EHR data can be leveraged to identify patients who require advance care planning consultation […]