2 min read

Long Term Care and IT

By Prime Care Tech Marketing on Mon, Mar 05, 2012 @ 04:54 PM

A Major Health Care IT Paradigm Shift

“Best Practices” in the old days – paper pushing.
Historically, health care in general and long term care specifically, has been intensively paper based - forms, spindles, chart tables, racks, and binders. Documentation was (and still is) the name of the game and pushing paper was the only way. Even regulatory enforcement surveys were based on paper compliance with bedside visits to verify the documentation. Paper-based documentation consumed a lot of trees and filled a lot of storage files and storage units.



On the upside, a paper-based system never froze up, crashed, or hung. The staff never had to worry about connectivity, rebooting the computer, unplugging and plugging a cable, or finding a wireless access point and rebooting it. They just needed to make sure they had a pen with the right color.

LTC and IT, EHR, tablet PC“Best Practices” today – Getting past the paper paradigm
Only recently has long term care demonstrated a grudging willingness to adopt IT as the way to communicate and document. Narrow margins, suspect IT promises, and resistance to change have contributed to this lethargy. Further, what technology has done to society it has done many-fold to LTC. Staffers have discovered that the promises of “increased productivity” have in reality resulted in increased demands.

However, the outside pressures of increased competition, a shrinking skilled labor pool, a younger, more computer-savvy cadre of care givers, more restrictive regulations and reimbursement, and opportunities posed by HIEs and ACOs have become the incentives for a more rapid LTC IT adoption. Providers across the country have begun to realize tangible benefits to their operations through IT. For example, with the advent of real-time reporting and Business Intelligence, such as PCT’s primeVIEW digital dashboard, health care executives are able to identify and respond to problems and opportunities quickly. This results in real savings, expanded market penetrations, improved bottom lines, increased efficiencies, and better resident care.

Consider this, a recent LTC provider’s initiative capitalized on the flexibility and accessibility of its company Intranet and focused on assessing and improving weekly weight and skin condition assessments. Recording their assessments electronically yielded a significant reduction in staff documentation time; this means more time face-to-face time working with residents and less time pushing a pen.

What’s the impact that IT can have on the facilities and their residents?
It means an improvement in the quality of life and care for residents. For providers it means, among many benefits, a healthier bottom line, reduced DSO through automated claims management, reduced procurement spend through procurement automation, a stronger competitive edge over those facilities which are IT resistant, and being well situated when working with other providers along the continuum of care.

Questions:
  • How has IT helped your operation?
  • If you have embraced IT, how has it benefitted your operation and the services you deliver?

 

Topics: dashboards long term care IT continuum of care best practices DSO
1 min read

Happy New Year! Find Opportunities through IT

By Prime Care Tech Marketing on Thu, Dec 29, 2011 @ 07:30 AM

Opportunities through IT in 2012Prime Care Technologies wishes you a Happy New Year. I once had a boss whose mantra was, “All problems can be viewed as opportunities.” That being the case, then 2012 should be an amazing year of opportunities for business in general and long term care specifically. I encourage you to look at all of your “opportunities” and to explore how IT can help you convert those opportunities into gains.

To long term care and other health care providers we say, “Thank you for your selfless service to our nation’s frail and elderly in 2011.” To our Fortune 1000 clients as well as state and local government clients, “Thank you for the services and products that make our lives that much better, our country an example to the world of what freedom and liberty can mean.”  

Question: What "opportunities" would you like IT to help your company, agency, or facility tackle?

Topics: long term care IT
3 min read

It’s time for IT to step up and save the game!

By Prime Care Tech Marketing on Mon, Aug 29, 2011 @ 11:19 AM

IT must demonstrate its ROI in LTC nowIn the Spring of this year, I used baseball as a metaphor for the “game of Long Term Care.” At that time I said that providers were “going to have to step up to the plate and respond swiftly and powerfully to the curve balls of regulatory changes, the sliders of reimbursement, the change-ups of market pressures, and the fast balls of competition.” Little did I know at the time that the term, “sliders of reimbursement,” was going to be uncomfortably prophetic. Because of the drastic “adjustments” to Medicare reimbursement and declining Medicaid rates, the slider is real – a potential slide downhill, that is; they’re game changers. I would like to take the baseball metaphor one swing further.

A successful swing at the plate requires not only skills, talent, great vision, quick reflexes, good upper body strength, and sound judgment, but a solid bat as well, one that each batter can handle comfortably and confidently. It’s the tool that hitters rely on. In the case of LTC, the “bat” I am referring to is IT (information technology). And it’s time for IT to prove its worth as a tool to identify savings without cutting quality and to prevent unnecessary revenue leakage through automated tools and processes.

Savings – the IT Infrastructure

Let’s start with IT itself. Article upon article and one study after another have clearly identified that the “cloud” offers the scalability, flexibility, reliability, and savings that other methods of IT deployment may not offer. Cloud-based computing means lower initial costs and TCO, because all IT-related procurement, maintenance, management, and upgrades are handled remotely. Further, the cloud’s monthly subscription-based model enables providers to use their capital for other critical areas of their business. Earlier this year, the CIO Consortium identified that, “Reasonable, five-year costs to deploy currently available EMR technology and eliminate paper records range from $254,000 per facility for third party hosted solution (italics and color added for emphasis), $259,000 for vendor hosted Software as a Service (SaaS), and $356,000 for an in-house hosted solution.” Clearly, now is the time to carefully consider the cloud as a solid source for immediate and long-term savings.

Real Savings through IT Tools

What specifically does IT offer that will help providers identify savings, stop revenue leakage, and ensure that they are in compliance with regulations? The answer is automation - automated claims management to stop revenue leakage; automated MDS and RUGs reporting; automated procurement to make sure that purchases are per contract pricing, timing, and quality; automated labor management; and automated real-time Key Performance Indicator (KPI) reporting.

Automated claims management helps providers not only to generate, review, edit, and transmit claims, but to identify and act immediately on issues when and where they occur. This includes incorrect claims codes, codes changes and regulations, missing codes, poor communication between clinical and billing staff, poor pricing practices, and inefficient and ineffectual internal review processes.

Automated MDS and RUGs reporting lets providers identify facilities most "at risk" with poor survey performance; discover how each of their facilities ranks among its peers; pinpoint facilities which are operating below or above critical primary care staffing levels; detect residents/patients who are clinically at risk; observe the financial impact of MDS submissions by facility, region, and corporation; scrutinize QM/QI’s at a facility, region, or corporate level, and analyze reimbursement rates (RUGs).

Automated procurement involves complete commerce automation (purchase orders, invoices, and product and contract maintenance) and reporting with intelligent direction and feedback for procurement decisions.  It connects multiple facilities, satellite locations, and branch offices to the vendors, products, pricing, delivery terms, and service providers carefully negotiated and selected by their parent company. Automation allows flexibility and customization for each corporate entity to support their partner selection, the business rules negotiated with each partner, their internal G/L structure, and their purchasing chain of command.

Automated labor management gives providers the tools necessary to manage and control that which amounts to almost 60-70% of a provider’s spend – labor. Automation offers applicant tracking, time and attendance, payroll, and human resources management. Not only can providers reduce costs wisely, but also increase productivity.

Automated real-time Key Performance Indicator (KPI) reporting, or a digital dashboard, translates into business intelligence, which to LTC providers means they can quickly analyze and act on census levels, admissions, and discharges; labor hours and costs; and receivables and collections. Armed with this incredibly valuable information, providers are able to monitor how well they are saving money and increasing revenue in real time and take action, when necessary, with surgical precision.

Summary

IT through the cloud will not only help providers survive, but ultimately win, by confidently hitting whatever is thrown at them out of the park.

Topics: long term care business intelligence dashboard cloud computing IT infrastructure Key Performance Indicators Data Mining human resources automated claims management automated procurement labor management MDS RUGs revenue leakage cloud-based computing

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