Reducing readmission rates is a major focus for hospitals across the country. This solution can be a great tool for managing population health with the critical clinical data that allows for interventional analytics versus retrospective analytics. It is critical for health systems to manage their post-acute provider network and ensure that they are aligned with the broader population health strategies. Managing the acute and post-acute markets will be critical in improving and coordinating care, reducing readmissions, and reducing overall cost.
This technology solution provides real time data and alerts on nursing home patients in order to clinically intervene prior to a medical condition becoming acute. This has led to more proactive clinical care, reduction in transfers to the acute care setting, improved quality scores and increased satisfaction. Nearly 400 SNFs are already using this system to efficiently manage their patients, drive better outcomes, and improve quality. This company also offers a solution for hospitals and health systems.
This is the first tool that brings real time clinical data monitoring of post-acute skilled nursing facilities to the hospital care managers, giving them daily visibility into the patients in the nursing homes that they send their patients to for transitional care, thus allowing for alerts and immediate clinical intervention to avoid patient deterioration and potential readmissions back to the hospital. This allows hospitals to manage their nursing home network using real time data, avoiding the financial impact of readmissions and negative impact on their quality indicators. You are also able to drill down into the data for additional details as well as view historical performance and trends that allow you to develop and manage a high performance SNF network. This solution does not require any integration with the hospitals EMR. Other products serve as MDS “scrubbers”, providing a retrospective view of patient care with data that is 60-90 days old. This solution is the only true “interventional” analytics solution.
One regional health system using this solution reduced their readmission rate from 18% to 8.5% in one year. As you can imagine this has had a very positive financial impact and improved patient care. Another large health system in the mid-Atlantic area has contracted to use the solution and is requiring all the nursing homes in their post-acute network to also use the application. Both examples show how healthcare systems can now monitor with real time data of SNF facilities and preferred provider networks to improve outcomes and reduce hospitalizations and readmissions. This is extremely beneficial for the CMS Hospital Readmission Reduction Program, Bundled Payment for Care Improvement – Advanced program, Accountable Care Organizations, and in global budget environments. The solution delivers clear, data-driven analytical insights to clinical decision makers and care providers, ensuring quality care improvements and financial gain for both hospitals and skilled nursing facilities. With this platform, hospitals will be able to follow their patients’ progress during the critical 30-day readmission penalty period driving positive financial outcomes.
Reducing readmission rates is a major focus for hospitals across the country. This solution can be a great tool for managing population health with the critical clinical data that allows for interventional analytics versus retrospective analytics. It is critical for health systems to manage their post-acute provider network and ensure that they are aligned with the broader population health strategies. Managing the acute and post-acute markets will be critical in improving and coordinating care, reducing readmissions, and reducing overall cost. As a former hospital CEO, I am very impressed with this company and the significant impact they have on the management of patients between the acute and post-acute care settings.
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