Case Studies

Your Industry Colleagues Are Succeeding with Predictive Analytics

“We use PointRight analytics to create deeper relationships with our referral partners. Sharing case-mix adjusted analytics demonstrates that our approach to care is proactive, benchmarked, and that we are committed to continuous quality improvement. Using PointRight allows us to tell a data-driven story to complement our person-centered focus. This opens doors to new relationships with ACOs and others, further cements existing partnerships; and, ultimately enables us to be the best in each market that we serve.”

Joshua Jacobs, J.D., MBA, Vice President, Windsor Healthcare Communities

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Meet the Quality Challenge Head-On with Data Monitoring & Analysis
Succeeding in quality is more than just compliance, QAPI puts the spotlight on performance by requiring data-driven decision making. Find out how CareOne integrates PointRight data into clinical workflow to pave the way to quality improvement.
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Stay Ahead of the Curve with Data Quality
If data isn’t accurate, competitive advantage is at risk. Skilled nursing provider’s rely on PointRight’s Data Integrity Audit (DIA) to ensure their MDS data is not just complete, but accurate. Find out why a Clinical Reimbursement Coordinator refers to DIA as her facility’s all-in-one clinical, financial and regulatory mentor.
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How to Speed-Up Hospice Referrals with RADAR
Hospice is a frequently underutilized benefit for patients or residents nearing the end-of-life. Many times, residents are bouncing back and forth from the hospital rather than being referred to a hospice program. A provider organization turned to PointRight to implement its RADAR tool via “Train the Trainer” sessions for both facility and hospice staff, and the results were significant.
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How to Optimize Staffing
Effectively managing staffing levels to assure that resident needs are met is a critical element in survey performance – and impacts Five-Star attainment as well. From a financial perspective, the ability to adjust staffing based on the actual acuity of residents enables management to reallocate resources as needed. PointRight utilized its StaffRight Interactive tool to empower this provider to ensure proper staffing based on its case-mix.
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How to Better Understand and Address Medicare Resident Needs
Gaining a clear understanding of residents’ admitting diagnosis, probable RUGs categories and staffing needs is required to proactively anticipate post-acute programming and resource requirements. The PointRight team determined that custom reporting by its Research team, along with its Medicare PPS analytics service was needed in order to achieve the organization’s goals.
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How to Ensure Coding Accuracy with DIA
Eighty-three percent of MDS submissions have issues that can result in either underpayments to the nursing facility or over-coding, which can trigger a Medicare audit leading to required refunds of monies. Using its Data Integrity Audit (DIA) service, PointRight worked with a leading provider to analyze its MDS data prior to submission to CMS – while there’s still time to make corrections.
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How to Achieve Compliance by Using Auditing and Monitoring Tools
The billing and coding data auditing process can be compromised if organization-specific areas of risk are not identified at the outset. Further compliance difficulties emerge if the ongoing internal scrutiny process is not user-friendly for facility-through-corporate compliance staff. PointRight’s subject matter experts went to work to review the organization’s existing auditing and monitoring tools to identify needed revisions to meet CIA expectations.
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Influenza Vaccination Management
Ninety percent of flu-related deaths and more than half of flu-related hospitalizations occur in people age 65 and older. See how a national, multi-facility skilled nursing facility (SNF) turned to PointRight’s predictive analytics services to improve its flu vaccination management program.
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