Problem

How will I demonstrate my pay for performance capabilities?

Collecting the right data is the first step to leveraging results to gain market share.

Scroll to See How

Step 1: measure outcomes

Tracking functional outcomes using Section GG

Using Section GG, Consonus Co-Pilot tracks functional improvement over the length of a patient’s stay. We can determine that as functional improvement increases, the rate of hospital readmission decreases. We can discharge our patients knowing that they are unlikely to return to the hospital.

CATEGORIES AND RATINGS

RATED ON A SCALE OF

  • 6

    Independent

  • 5

    SET-UP / CLEAN-UP ASSIST

  • 4

    SUPERVISION

  • 3

    PARTIAL / MODERATE ASSIST

  • 2

    SUBSTANTIAL ASSIST

  • 1

    DEPENDENT

Step 2: measure customer satisfaction and customer experience

Know your customer satisfaction rating.

Consonus’ highly trained call center surveys 30% of all eligible discharges to ensure resident expectations are met:

What's your facility's CoreQ rating?

Step 3: measure quality

Quality Measures: 5 Star & Survey

Medicare.gov Nursing Home Compares:

What information can I get about Quality Measures?

What are the 5 star quality ratings?

About Nursing Home inspections?

Step 4: measure REHOSPITALIZATIONS

KNOW YOUR NUMBERS

The government has started to publish all skilled nursing home readmission rates on Nursing Home Compare.

HOW TO TRACK A READMISSION

Collecting and analyzing the right data

HERE’S WHAT HAPPENS WHEN DATA IS OVERLAID

MARKET SHARE

KNOW THE PLAYING FIELD

Hospitals are seeking to hold post-acute-care providers accountable because they have more at risk under value-based payment models.

Post-acute providers are key to helping hospitals reduce unnecessary hospitalizations.

For many providers, it could be life or death.

How big is your piece of the pie compared to your competition?

Questions to ask yourself:
  • Checklist

    How many Medicare days do you have compared to your competition?

  • Checklist

    What is your admission rate by diagnosis?

  • Checklist

    How much revenue do you have compared to your competition?

  • Checklist

    What percentage of HMO business do you have compared to your competition?

  • Checklist

    How many direct competitors do you have and do you know who they are?

  • Checklist

    Who is your hospital sending patients to?

  • Checklist

    What percentage of the hospital discharges are you getting?

  • Checklist

    What is your LOS compared to the competition?

  • Checklist

    What is your LOS by payer? By Medicare? By HMO? By Medicaid/VA?

  • Checklist

    Have you done anything in the last few years to affect your market share? Can you demonstrate where you moved the needle?

  • Checklist

    Do you know your cost by diagnoses (Rx and Rehab)?


Summary

Collecting and analyzing the right data is the key to demonstrating pay for performance capabilites