Ltc trend tracker sm a quality and financial performance improvement tool
Download
1 / 50

LTC Trend Tracker SM – A Quality And Financial Performance Improvement Tool - PowerPoint PPT Presentation


  • 351 Views
  • Uploaded on

LTC Trend Tracker SM – A Quality And Financial Performance Improvement Tool. October 22, 2009. LTC Trend Tracker. AHCA member benefit No cost Must submit Medicare patient days by RUG category on a monthly basis. Registration/Setup. Register at www.LTCTrendTracker.com

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' LTC Trend Tracker SM – A Quality And Financial Performance Improvement Tool' - elina


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Ltc trend tracker sm a quality and financial performance improvement tool l.jpg

LTC Trend TrackerSM – A Quality And FinancialPerformance Improvement Tool

October 22, 2009


Ltc trend tracker l.jpg
LTC Trend Tracker

  • AHCA member benefit

  • No cost

  • Must submit Medicare patient days by RUG category on a monthly basis


Registration setup l.jpg
Registration/Setup

  • Register at www.LTCTrendTracker.com

  • Central contact for each provider group

  • Identifies region(s) for organization

  • Authorizes employee access to view and submit information


Operational uses l.jpg
Operational Uses

  • Medicare Patient Distribution – Compare your distribution to that of your peers using Utilization RUGs Report to analyze Medicare census by major RUG categories

  • Revenue And Cost – Compare your revenue and cost to your peers using the Cost Report section of the LTC Trend Tracker

  • Operational Issues - Compare your operations to your competitors using Five Star Rating Report, OSCAR Staffing Report, OSCAR Resident Report, OSCAR Survey Citations Report, and the NH Compare Quality Measures Report


Reports l.jpg
Reports

  • Public information – OSCAR

    • Information from last 3 surveys

      • Staffing

      • Resident characteristics

      • Survey citations - health, complaint, life safety

  • Public information – Nursing Home Compare

    • Five Star ratings

    • Quality measures

  • Public information – CMS - Medicare cost report

  • Private information – RUGs patient days


  • Information availability l.jpg
    Information Availability

    • Information available through public sources can be identifiable

    • Information obtained from providers will not be identifiable, it will be aggregated for analysis purposes


    Geographic area l.jpg
    Geographic Area

    • Comparison areas

      • Geographic areas

        • All (nation)

        • State

        • County

        • City

        • Zip Code

        • Congressional District

        • Core Based Statistical Area


    Peer groups l.jpg
    Peer Groups

    • General

      • All (Peers)

      • Your Organization

    • Geographic Structure

      • Facilities in an Urban area

      • Facilities in a Rural area


    Peer groups11 l.jpg
    Peer Groups

    • Facility Type

      • Freestanding

      • Hospital-Based

    • Ownership

      • For-Profit

      • Not-For-Profit

      • Government


    Peer groups12 l.jpg
    Peer Groups

    • Company Structure

      • In A Chain

      • Not In A Chain


    Five star ratings l.jpg
    Five Star Ratings

    • Ratings

      • Overall

      • Health Inspection

      • Direct Care Staffing

      • Registered Nurses Staffing

      • Quality Measures

    • Percentage of Facilities with 5-Star, 4-Star, 3-Star, 2-Star, and 1-Star Ratings for organization and peers


    Oscar staffing report l.jpg
    OSCAR Staffing Report

    • OSCAR Staffing Report

      • Total Staff Hours PPD

      • Total Nursing Hours PPD

        • Director Of Nursing/Assistant Director Of Nursing

        • Direct Care Staff

          • Registered Nurses

          • Licensed Practical Nurses

          • Nurses Aides


    Oscar staffing report17 l.jpg
    OSCAR Staffing Report

    • Total Therapy Hours PPD

      • Occupational Therapy

      • Physical Therapy

      • Speech Therapy

      • Other Therapy

    • Dietary Services Hours PPD

    • Housekeeping Hours PPD

    • Administration Hours PPD


    Oscar staffing report18 l.jpg
    OSCAR Staffing Report

    • Other Professional Hours PPD

      • Physician

      • Other Physician

      • Physician Extender

      • Podiatrist

      • Mental Health Services

    • Other Services Hours PPD

      • Personnel not otherwise recorded (i.e., laundry, librarian)


    Oscar staffing report19 l.jpg
    OSCAR Staffing Report

    • Additional breakdown by full-time, part-time, and contract percentage


    Oscar resident report l.jpg
    OSCAR Resident Report

    • 1+ Assistance – ADL Dependence

      • Bathing

      • Dressing

      • Toilet Use

      • Transferring

      • Eating


    Oscar resident report22 l.jpg
    OSCAR Resident Report

    • Bowel/Bladder Status

      • Catheterized

      • Catheterized Post Admission

      • Bladder Incontinence

      • Bowel Incontinence


    Oscar resident report23 l.jpg
    OSCAR Resident Report

    • Mobility

      • Physically Restrained

      • Physically Restrained Without Order At Admission

      • Ambulatory

      • Bedfast

      • Contractures

      • Contractures Developed Post Admission

      • Dementia


    Oscar resident report24 l.jpg
    OSCAR Resident Report

    • Skin Integrity

      • Pressure Sores – Stage 2+

      • Pressure Sores – Stage 2+ Developed Post Admission

    • Special Care

      • Hospice

      • Dialysis

      • Pain Management Program


    Oscar resident report25 l.jpg
    OSCAR Resident Report

    • Other

      • Advance Directives

      • Influenza Immunization

      • Pneumococcal Vaccination


    Oscar citations report health surveys l.jpg
    OSCAR Citations ReportHealth Surveys

    • Survey Results

      • Average Number Of Tags

      • Deficiency Free Providers

      • Immediate Jeopardy

      • Substandard Quality Of Care

      • Deficiencies Greater Than Or Equal To “G”

      • Highest Scope And Severity

    • Select Up To 15 F-Tags

      • Scope And Severity

      • Percentage Of Peer Facilities With F-Tag


    Oscar citation report complaint surveys l.jpg
    OSCAR Citation ReportComplaint Surveys

    • Survey Results

      • Number of Facilities with Complaint Investigations

      • Number of Facilities with Complaint Citations

      • Average Number Of Tags

      • Immediate Jeopardy

      • Substandard Quality Of Care

      • Deficiencies Greater Than Or Equal To “G”

      • Highest Scope And Severity

    • Select Up To 15 F-Tags

      • Scope And Severity

      • Percentage Of Peer Facilities With F-Tag


    Oscar citation report combined report l.jpg
    OSCAR Citation ReportCombined Report

    • Survey Results

      • Number of Facilities

      • Number of Facilities with Citations

      • Average Number of Tags

      • Deficiency Free Providers

      • Immediate Jeopardy

      • Substandard Quality of Care

      • Deficiencies Greater Than or Equal to “G”

      • Highest Scope and Severity

    • Select Up To 15 F-Tags

      • Scope and Severity

      • Percentage of Peer Facilities with F-Tag


    Oscar citation report life safety surveys l.jpg
    OSCAR Citation ReportLife Safety Surveys

    • Survey Results

      • Average Number Of Tags

      • Deficiency Free Providers

      • Immediate Jeopardy

      • Deficiencies Greater Than Or Equal To “G”

      • Highest Scope And Severity

    • Select Up To 15 K-Tags

      • Scope And Severity

      • Percentage Of Peer Facilities With K-Tag


    Cost report l.jpg
    Cost Report

    • Occupancy

      • Occupancy Rate

      • Medicare Utilization

      • Medicare Average Length Of Stay – Days


    Cost report36 l.jpg
    Cost Report

    • Costs And Revenues

      • Net Income As Percentage Of Revenue

      • Total Revenue PPD

      • Days Accounts Receivable Sales Outstanding

      • Total Cost PPD

      • Nursing Cost PPD

      • Dietary Cost PPD

      • Administrative And General Cost PPD


    Cost report37 l.jpg
    Cost Report

    • Costs And Revenues (con’t)

      • Professional Liability Insurance Cost Per Bed

      • Direct Therapy Cost Per Medicare Therapy Day

      • Direct Non-Therapy Cost Per Medicare Therapy Day

      • Direct Pharmacy Cost Per Medicare Day


    Cost report38 l.jpg
    Cost Report

    • Staffing And Compensation

      • Total Staff Hours PPD

      • Average Staff Wage Rate

      • Average Contract Labor Wage Rate

      • Benefits As Percent Of Salary

      • Salary And Benefits As Percentage Of Total Cost

    • Bad Debt

      • Total Reimbursable Bad Debt Per Medicare Patient Day

      • Non-Dual Eligible Bad Debt Per Medicare Patient Day


    Utilization rugs report l.jpg
    Utilization RUGs Report

    • Average Facility Size – Number of Beds

    • Average Medicare Census

    • Average Medicare Rate PPD


    Utilization rugs report41 l.jpg
    Utilization RUGs Report

    • Major RUG Classification

      • Classification – Rehab Plus Extensive Services

      • Classification – Rehab

      • Classification – Extensive Services

      • Classification – Specialty Care

      • Classification – Clinically Complex

      • Classification – Impaired Cognition

      • Classification – Behavioral

      • Classification – Physical Function


    Utilization rugs report42 l.jpg
    Utilization RUGs Report

    • Therapy Intensity

      • Therapy Intensity – Ultra High

      • Therapy Intensity – Very High

      • Therapy Intensity – High

      • Therapy Intensity – Medium

      • Therapy Intensity – Low


    Utilization rugs report43 l.jpg
    Utilization RUGs Report

    • Other Statistics

      • Other Statistics – Clinically Complex Without Depression

      • Other Statistics – RUGs Without Restorative Nursing

      • Other Statistics – Medically Complex (Extensive, Specialty Care, Clinically Complex)

      • Other Statistics – Lowest ADL RUGs


    Nursing home compare quality measures report l.jpg
    Nursing Home Compare Quality Measures Report

    • Advancing Excellence Measures

      • Pain in Post Acute Residents, no adjustments

      • Pain, Inadequate Management, adjusted

      • Pressure Ulcers, High Risk, no adjustment

      • Physical Restraints, no adjustment


    Nursing home compare quality measures report46 l.jpg
    Nursing Home Compare Quality Measures Report

    • Post Acute Care

      • Delirium In Post Acute Residents, Adjusted

      • Pain In Post Acute Residents, No Adjustment (AE Goal)

      • Pressure Ulcers In Post Acute Residents, Adjusted

      • Influenza Vaccination Provided – PAC

      • Pneumococcal Vaccination Provided – PAC


    Nursing home compare quality measures report47 l.jpg
    Nursing Home Compare Quality Measures Report

    • Chronic Care

      • Physical Condition And Depression

        • Pain, Inadequate Management, Adjusted (AE Goal)

        • Pressure Ulcers, (High Risk), No Adjustment (AE Goal)

        • Pressure Ulcers, (Low Risk), No Adjustment

        • Physical Restraints, No Adjustment (AE Goal)

        • Depression/Anxious Mood Worsening, No Adjustment


    Nursing home compare quality measures report48 l.jpg
    Nursing Home Compare Quality Measures Report

    • Chronic Care

      • Physical Functioning And Weight Loss

        • Residents Who Lose Too Much Weight

        • Late Loss ADL Worsening, No Adjustment

        • Bedfast, No Adjustment

        • Locomotion Worsening, Adjusted

      • Urinary System

        • Indwelling Catheter, Adjusted

        • Incontinence, Bowel Or Bladder (Low Risk), No Adjustment

        • Urinary Tract Infections, No Adjustment


    Nursing home compare quality measures report49 l.jpg
    Nursing Home Compare Quality Measures Report

    • Chronic Care

      • Vaccination

        • Influenza Vaccination Provided

        • Pneumococcal Vaccination Provided


    Thank you l.jpg
    Thank You

    • To participate or request information:

      www.LTCTrendTracker.com

      Bill Hartung at 202-454-1283


    ad