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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

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ltc trend tracker
LTC Trend Tracker
  • AHCA member benefit
  • No cost
  • Must submit Medicare patient days by RUG category on a monthly basis
registration setup
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
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
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
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
Geographic Area
  • Comparison areas
    • Geographic areas
      • All (nation)
      • State
      • County
      • City
      • Zip Code
      • Congressional District
      • Core Based Statistical Area
peer groups
Peer Groups
  • General
    • All (Peers)
    • Your Organization
  • Geographic Structure
    • Facilities in an Urban area
    • Facilities in a Rural area
peer groups11
Peer Groups
  • Facility Type
    • Freestanding
    • Hospital-Based
  • Ownership
    • For-Profit
    • Not-For-Profit
    • Government
peer groups12
Peer Groups
  • Company Structure
    • In A Chain
    • Not In A Chain
five star ratings
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
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
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
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
OSCAR Staffing Report
  • Additional breakdown by full-time, part-time, and contract percentage
oscar resident report
OSCAR Resident Report
  • 1+ Assistance – ADL Dependence
    • Bathing
    • Dressing
    • Toilet Use
    • Transferring
    • Eating
oscar resident report22
OSCAR Resident Report
  • Bowel/Bladder Status
    • Catheterized
    • Catheterized Post Admission
    • Bladder Incontinence
    • Bowel Incontinence
oscar resident report23
OSCAR Resident Report
  • Mobility
    • Physically Restrained
    • Physically Restrained Without Order At Admission
    • Ambulatory
    • Bedfast
    • Contractures
    • Contractures Developed Post Admission
    • Dementia
oscar resident report24
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
OSCAR Resident Report
  • Other
    • Advance Directives
    • Influenza Immunization
    • Pneumococcal Vaccination
oscar citations report health surveys
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
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
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
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
Cost Report
  • Occupancy
    • Occupancy Rate
    • Medicare Utilization
    • Medicare Average Length Of Stay – Days
cost report36
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
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
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
Utilization RUGs Report
  • Average Facility Size – Number of Beds
  • Average Medicare Census
  • Average Medicare Rate PPD
utilization rugs report41
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
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
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
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
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
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
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
Nursing Home Compare Quality Measures Report
  • Chronic Care
    • Vaccination
      • Influenza Vaccination Provided
      • Pneumococcal Vaccination Provided
thank you
Thank You
  • To participate or request information:

www.LTCTrendTracker.com

Bill Hartung at 202-454-1283

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