Using PointRight solutions, Skilled Nursing Facilities (SNFs) are prepared to succeed in value-based payment models in which payments are linked to the quality of care. With the arrival of the Patient Driven Payment Model (PDPM) – where incentives shift from the volume of services a patient receives to a system where payments are based on the patient’s condition and care needs – having the right data and documentation has never been more important.
Improve Performance and Outcomes
SNF Clinical Management, Operations Management and Care Teams use PointRight analytics to improve clinical outcomes, reduce rehospitalizations and ensure accurate reimbursement.
Real-time MDS verification analyzes the accuracy of the Minimum Data Set (MDS) assessment prior to CMS submission. Each MDS is checked for logical and clinical coding accuracy, with recommended actions when inaccurate, incomplete, or inconsistent information is identified. Helpful alerts identify quality measure triggers and reimbursement items for compliance monitoring. This product includes PDPM reimbursement analysis.
Resident-level care management descriptive and predictive analytics identify risk for specific adverse events (e.g., Falls, Pressure Ulcers, Hospitalization, Mortality, Return to SNF), levels of impairment (e.g., ADL, Cognition, Mood, Pain), and discharge complexity. This product includes MDS-related details for care planning and trending over time.
Benchmark hospital readmissions of each facility in your network to identify opportunities or predict risk. The PointRight® Pro 30® measure is the only all-cause, risk adjusted rehospitalization measure validated by Brown University, adopted by the American Health Care Association, and endorsed by the National Quality Forum (NQF #2375). Includes All-Payer and Medicare as well as clinical cohort-specific rates, with trending and drill-down capability to evaluate resident-level rehospitalization information.
Monitor and manage CMS Five-Star Quality Rating performance in each of the domains: Health Inspection, Quality Measures and Staffing. “What if” features help you set targets and develop improvement plans.
Tell Your Story and Grow Revenue
Use PointRight analytics to benchmark performance, market strengths, and increase referrals.
Market your facility using current data that shows your strengths and gain more referrals. Create groups of Skilled Nursing Facilities (SNFs), compare facilities across key performance indicators, and view group-level and facility-level dashboards in multiple domains of information to compare SNF performance. ScoreCard is a business intelligence solution with leading-edge visual content design that features PointRight’s descriptive and predictive analytics.