Melissa Bartlett on LinkedIn: Amid ‘overwhelming’ data choices, too many high-performing nursing homes… (2024)

How Skilled Nursing Facilities Can Navigate New Value-Based Purchasing Rules - HIT Consultant Title: How Skilled Nursing Facilities Can Navigate New Value-Based Purchasing Rules#Overview:Skilled nursing facilities (SNFs) are facing new challenges with the implementation of value-based purchasing rules. These rules require SNFs to focus on quality of care and outcomes to receive full reimbursem*nt.#Understanding Value-Based Purchasing:Value-based purchasing in SNFs is centered around quality measures, patient satisfaction, and overall outcomes. Facilities must meet certain benchmarks to avoid penalties and receive incentives.#Challenges for SNFs:SNFs are struggling to adapt to the new value-based purchasing rules due to the complex nature of the requirements and the need for improved data collection and reporting.#Strategies for Success:To navigate these new rules successfully, SNFs needai.mediformatica.com#hospital #healthcare #acutecare #hospitals #postacutecare #medicare #outcomes #puzzlehealthcare #patientoutcomes #providers #qualityofcare #acce #digitalhealth #healthit #healthtech #healthcaretechnology@MediFormatica (https://buff.ly/4eald4A)

#ICYMI: In 2024, the skilled nursing space stands at the intersection of innovation and unprecedented challenges.Discover the key trends and strategies that will shape the SNF landscape this year.#SNF#SkilledNursing#OutcomesAcceleratedhttps://lnkd.in/gKvW5fKY

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In 2024, the skilled nursing space is up against unprecedented challenges. However, there are also exciting opportunities to embrace innovation and lead the way in providing better patient outcomes.Explore the key trends and strategies that will impact the SNF landscape in the new year in our latest blog:https://lnkd.in/gKvW5fKY #SNF #SkilledNursing #OutcomesAccelerated

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👩⚕️ Dive into the future of healthcare with Brandi Clark and Jennifer Croland in this article from Xtelligent Healthcare - Discover how OSF HealthCare is revolutionizing patient admissions and discharges through its virtual nursing program. 🌐✨ #HealthTech #VirtualNursing #Innovationhttps://lnkd.in/gGqg_zQS

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Virtual nursing is proving to be a game-changer, fortifying our workforce in times of crisis. This insightful article dives deep into how technology is revolutionizing nursing practices and enhancing patient care.Kudos to the healthcare professionals embracing these advancements!#VirtualNursing #HealthTech #InnovationInHealthcare #FutureOfHealthcare

What can we as healthcare providers do to improve access to care, reduce costs, and enhance the #PatientExperience? Some healthcare groups are testing virtual nursing, which serves as a complement to in-house healthcare services. However, crafting the right approach to remote nursing is essential to mitigate patient burnout. This includes establishing a nurse-first remote triage and leveraging this triage to meet complex patient needs. #VirtualNursing #PatientBurnout #Healthcare

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Transitional Care ManagementWhat is Transitional Care Management (TCM)?Transitional Care Management (TCM) services address the hand-off period between the inpatient and community setting. After a hospitalization or other inpatient facility stay (e.g., in a skilled nursing facility), the patient may be dealing with a medical crisis, new diagnosis, or change in medication therapy. Family physicians often manage their patients’ transitional care.TCM CodingThe two CPT codes used to report TCM services are:CPT code 99495 – moderate medical complexity requiring a face-to-face visit within 14 days of dischargeCPT code 99496 – high medical complexity requiring a face-to-face visit within seven days of dischargeRequirements and Components for TCM-Contact the beneficiary or caregiver within two business days following a discharge. -The contact may be via telephone, email, or a face-to-face visit. Attempts to communicate should continue after the first two attempts in the required business days until successful.-Conduct a follow-up visit within 7 or 14 days of discharge, depending on the complexity of medical decision making involved. The face-to-face visit is part of the TCM service and should not be reported separately.-Medicine reconciliation and management must be furnished no later than the date of the face-to-face visit.-Obtain and review discharge information.-Review the need for diagnostic tests/treatments and/or follow up on pending diagnostic tests/treatments.-Educate the beneficiary, family member, caregiver, and/or guardian.-Establish or re-establish referrals with community providers and services, if necessary.-Assist in scheduling follow-up visits with providers and services, if necessary.Discharge from any of the following:Inpatient acute care hospitalLong-term acute care hospitalSkilled nursing facility/nursing facilityInpatient rehabilitation facilityHospital observation status or partial hospitalizationHealth Care Professionals Who May Furnish and Bill TCM Services:Physician (any specialty)Clinical nurse specialist (CNS)Nurse practitioner (NP)Physician assistant (PA)Certified nurse midwifeNon-physicians must legally be authorized and qualified to provide TCM services in the state in which the services are furnished.https://lnkd.in/dK5Z54XE#tcm #transitionalmanagementcare #caremanagement #medicalcoding #guidelines #codingtips #codingandbilling

How can hospitals navigate the supply and demand equation in the future? Patient volume and acuity increases and staffing shortages are expected to collide in a potential failure of the system. Nurse Executive Jackie Herd provides some advice in this article.

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Long wait times and impersonal care are driving patients away, impacting access and outcomes. Recent data shows that 3 out of 4 nursing executives expect an increase in virtual nursing labor in the next three years.Remote nurse-first triage offers a solution by delivering personalized care from the start, reducing administrative burdens, and improving patient experiences.In my recent article with MedCity News, I share how implementing nurse-first triage in EDs, supporting vulnerable populations, and enhancing specialty care can transform patient care and outcomes.Read the article here: https://lnkd.in/ej93TSwN#PatientCare #NurseTriage #HealthcareInnovation #ConduitHealthPartners

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Honored to share my recent interview withSkilled Nursing News where we dove deep into the evolving landscape of value-based care in the skilled nursing sector. The shift from fee-for-service to value-based care presents a unique set of challenges, but also massive opportunities. SNFs can, and should, play a pivotal role in this transformation.Some highlights:➡️ The imperative of embracing risks and rewards in the value-based care model.➡️ The role of technology in enhancing data insights, efficiency, workflows, and communication between care settings.➡️ The pressing need for more equitable funding for the LTPAC industry.The future of healthcare payment? It's value-based care, and with the right tools and approach, it’s a win for all. Read my full interview here: https://bit.ly/47QB1X9#ValueBasedCare #SkilledNursing #HealthcareTechnology #LTPAC

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