Problem
How will I demonstrate my pay for performance capabilities?
Our consultants provide a step-by-step process to leverage results and gain market share and improve clinical outcomes.
CATEGORIES AND RATINGS
RATED ON A SCALE OF
5
SET-UP / CLEAN-UP ASSIST
3
PARTIAL / MODERATE ASSIST
Step 3: 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
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.
How big is your piece of the pie compared to your competition?
Questions to ask yourself:
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How many Medicare days do you have compared to your competition?
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What is your admission rate by diagnosis?
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How much revenue do you have compared to your competition?
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What percentage of HMO business do you have compared to your competition?
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How many direct competitors do you have and do you know who they are?
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Who is your hospital sending patients to?
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What percentage of the hospital discharges are you getting?
What is your LOS compared to the competition?
What is your LOS by payer? By Medicare? By HMO? By Medicaid/VA?
Have you done anything in the last few years to affect your market share? Can you demonstrate where you moved the needle?
Do you know your cost by diagnoses (Rx and Rehab)?
Summary
Consulting provides the keys to demonstrating pay for performance capabilities