Problem

I don’t know how to leverage my data results with payer sources.

Consonus has a team of experts that will be by your side to help you prepare for meetings with payer sources and leverage your data and differentiate your results.

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Narrowing networks / preferred provider / collaborative AGREEMENTS what do they mean?

High Patient Volume

Patient volume will be distributed to fewer facilities with preferred provider status. There will be winners and losers in a narrowed network.

JOINT INFRASTRUCTURE

Creates joint infrastructure for future quality improvement, collaboration, and review of relationship performance.

narrowing markets or “networks”

Align with Preferred Provider Criteria

Common Elements found in collaborative agreements*

*criteria may depend on payer
  • Checklist

    Compliance with federal and state regulations

  • Checklist

    Meets or exceeds median for federal quality standards

  • Checklist

    30-day hospital readmissions rate at or below national/state norms by diagnosis

  • Checklist

    Patient satisfaction ratings at or better than state median

  • Checklist

    Collaboration with physicians and extenders that are part of health system’s physician network

  • Checklist

    RNs in the SNF 24/7

  • Checklist

    Appropriate nursing hours per patient day for subacute care

  • Checklist

    Average length of stay for Medicare patients at or less than national average

  • Checklist

    Discharge at least 60 percent to the community following subacute care

  • Checklist

    Evidence-based practices to demonstrate Triple Aim Mastery

  • Checklist

    Use of INTERACT II, a set of tools for SNFs to reduce rehospitalizations

  • Checklist

    Ability to share information electronically

  • Checklist

    Ability to demonstrate QAPI

  • Checklist

    Compliance with federal and state regulations

  • Checklist

    Meets or exceeds median for federal quality standards

  • Checklist

    30-day hospital readmissions rate at or below national/state norms by diagnosis

  • Checklist

    Patient satisfaction ratings at or better than state median

  • Checklist

    Collaboration with physicians and extenders that are part of health system’s physician network

  • Checklist

    RNs in the SNF 24/7

  • Checklist

    Appropriate nursing hours per patient day for subacute care

  • Checklist

    Average length of stay for Medicare patients at or less than national average

  • Checklist

    Discharge at least 60 percent to the community following subacute care

  • Checklist

    Evidence-based practices to demonstrate Triple Aim Mastery

  • Checklist

    Use of INTERACT II, a set of tools for SNFs to reduce rehospitalizations

  • Checklist

    Ability to share information electronically

  • Checklist

    Ability to demonstrate QAPI

Making it count

we have experts that can guide you through this process

Our consultants leverage your data from Co-pilot to demonstrate your value.

By leveraging the analytics within Consonus Co-Pilot, we were able to join a preferred provider network and open doors to other health systems.

—Larry Banks, Community Nursing
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Summary

Co-Pilot provides the essential tools and guidance to survive payment reform.