DULUTH, GA. (PRWEB) MAY 01, 2023

ARC is a web-based compliance system that guides clinical and management staff through auditing standards for all federal regulations and facilitates a collaborative review of audit results to quickly correct issues and implement performance improvement plans. ARC satisfies the industry’s critical need for an automated, data-driven compliance and oversight system that minimizes legal and financial penalties from federal regulators and improves quality of care. Created by long-term attorneys, nurses, and executives, ARC is accessible to executives, clinical teams, and facility administrators in real time.

As survey deficiencies and penalties for non-compliance increase with CMS’s commitment to enforcing of all phases of the LTC Mega Rule, those SNFs without a robust QAPI and compliance program will face: (1) more survey deficiencies at higher scope and severity levels; (2) excessive civil monetary penalties based on daily fines for non-compliance; (3) higher likelihood of denial of Medicare/Medicaid payments and new admissions; and (4) increased risk of OIG investigations and other litigation. ARC’s comprehensive monitoring and oversight system provides the maximum legal protection that long-term care facilities need to minimize these serious regulatory enforcement actions.

About Prime Care Technologies
Since 2003, Prime Care Technologies has offered long-term care providers flexible hosting, managed services, and cloud software tailored to their needs. This Atlanta-based company has 150 employees and 200+ healthcare/IT partnerships, and its technology-driven solutions are installed in more than 7,500 facilities. In addition to its multi-vendor interoperability expertise, Prime Care Technologies offers a data warehouse and claims clearinghouse that integrates 70+ healthcare applications and 3,500+ EDI payers. Visit http://www.primecaretech.com for more information.

About LTC Integrity
LTC Integrity LLC is the creator of ARC (Audit-Review-Correct) software, an innovative audit solution for long-term care. LTCI has unparalleled experience in developing and administering on-site and web-based compliance and QAPI programs and has the only software that was designed specifically for the RoPs and PPS. In addition to achieving compliance with all aspects of the new rules, LTCI’s innovative and comprehensive program results in risk reduction, improved clinical outcomes, increased regulatory success, PPS reimbursement optimization, RAC and ZPIC preparedness, PEPPER responsiveness, HIPAA compliance, and heightened peace of mind for nursing facility management. Visit http://www.ltcintegrity.com for more information.

Data is everywhere; it’s pervasive. The challenge as well as the opportunity lie in retrieving the raw data and converting it into useful and actionable information. In the past, we have posted a number of blogs on a wide range of Business Intelligence (BI)/data mining-related topics - from Payroll-based Journal (PBJ) reporting to data-driven decision making, from BI’s role in helping providers stand out in the ACO crowd to how BI helps providers demonstrate value, and so on. But let’s step back and reexamine what has driven BI to become what it is today.

The challenge

Long Term Care (LTC) providers are sitting on a vast reservoir of data. However, many do not have the resources to tap into that data and to convert it into something useful to solve current problems, to seize emerging opportunities, and to plan for the future. But, where to start?

BI’s purpose

Let’s wrap our arms around what BI’s purpose would, could, and should be. Succinctly put, BI reports, provides online analytics, and delivers Key Performance Indicator (KPI) visualization and monitoring.

BI’s use

As we visit with our BI customers and industry leaders across the country, we’ve observed that decision makers use BI to measure, monitor, and act on clinical quality outcomes, financial analysis, operational performance, cost management, compliance, and market-specific information. Executives use such information to take direct action, as needed, and to work with their teams to better align performance with company and facility-specific benchmarks/goals.

BI drives development and market acceptance

The evidence is clear that no one thing has been the agitator for BI acceptance and growth. Rather, the following factors have each played a contributing role:

• Federal and state health reforms
• Availability of healthcare-related data
• The imperative to identify and control costs
• Quality Assurance and Performance Improvement (QAPI)
• The need to increase customer satisfaction
• The demanding and complex regulatory environment, such as PBJ reporting, HIPAA, etc.
• Cloud-based computing technologies
• The availability of data through IT adoption
• Health Information Exchanges (HIEs)
• New value-based payment models
• And others

BI Stakeholders

Who uses BI? Here is a “short list” of those who rely on and use BI:

• BI software and services providers
• Healthcare providers
• Healthcare payers
• Accountable Care Organizations (ACOs)
• Managed Care Organizations (MCOs)
• Health Information Exchanges (HIEs)
• Investors/lenders
• Federal and state governments
• Researchers

All of these entities and people have a stake in the BI world and they all have some influence on how providers conduct business.

What this means to you

If you haven’t yet fully caught the larger vision of what BI has become and could be, you need to do so now or you will be left behind. In today’s world, the old manual ways of gathering and processing data, responding to the information gleaned, and taking action are too slow and cumbersome. Besides, some stakeholders, such as government agencies, are not giving you a choice. I highly recommend that you conduct an assessment of your organization’s BI needs today and in the future and devise a plan to help you ramp up as quickly as possible. A sure bet, is to look at existing BI tools, like PCT’s primeVIEW, designed for LTC providers, like you.

Discover how easy it is to integrate staffing and census data with PCT's PBJ Reporting Platform