Welcome to Improving Quality of Care and Reimbursement ...

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Welcome to Improving Quality of Care and Reimbursement through Wound Management & EHR Jan 20, 2015 @ 2:00pm EST Thank you for joining us today. The conference call will begin shortly…

Transcript of Welcome to Improving Quality of Care and Reimbursement ...

Welcome to

Improving Quality of Care and

Reimbursement through Wound

Management & EHR

Jan 20, 2015 @ 2:00pm EST

Thank you for joining us today. The conference call will begin shortly…

Before we get started…

Kate Nusca- Co-moderatorPartner Marketing Manager, PointClickCare

Debra Kurtz- Co-moderatorConsultant, WoundRounds

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Just a few house keeping items…

• This session is being recorded for replay

• Listen-only mode during the presentation

• Submit questions via the Chat Panel

• Q&A session at the end of the presentation

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Presenters from Burgess Square

• John Vrba, CEO• Gia Fite, Wound Nurse• Michele Balduff, Wound Nurse

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Objectives

Explore the outcomes Burgess Square has accomplished

from leveraging technology for wound management and an

Electronic Health Record:

• Improved resident care

• Increased financial outcomes

• Reduced risk

• Increased referrals

• Staff engagement

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About Burgess Square Healthcare Center

• 200 bed skilled nursing facility

• Chicago based

• Snapshot of our facility before implementing

PointClickCare/WoundRounds

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Improved resident care

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Improved resident care

Automating time-intensive tasks allows greater focus on

patient care

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Improved resident care

Q: How did implementing an electronic health record

improve resident care for your facility?

• Quality care

• Keeping heads in beds• Time savings

• Physician consults

• Pull of information

• Point of care

• Validity of information

• Real time

documentation

• Alerts9

Improved resident care

Sample progress note

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Improved resident care

Dashboard example

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Improved resident care

Q: How did implementing a wound management solution improve resident care for your facility?

• Keeping heads in beds

• Managing one of the most

critical parts of a long term

care organization

• Wound care outcomes

• Wound risk management

• Wound response

• Physician order sheets

• Experienced time

savings

• Ease of use

• Consistency

• Alerts

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Improved resident care

Sample Wound

Assessment Report

WOUND ASSESSMENTS DETAILS REPORT

Wound Information

Status

Type

Classification

Source

Date Identified

Identified By

Active

Pressure

Ulceration

Present-on-admission

08/23/2012

Demo Nurse, RN

Assessment Information

Assessment Date

Performed By

Clinical Stage

Non-Removable

Device/Dressing

PUSH Score

09/01/2012 1:08 PM

Demo Nurse, RN

Stage 2

No

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Epithelial – intact skin: 0.0%

Epithelial – non-blanchable erythema: 0.0%

Granulation – bright, beefy red: 0.0%

Granulation – pale pink non granulating: 100.0%

Slough – non-adherent: 0.0%

Slough – loosely adherent: 0.0%

Necrotic – soft, adherent: 0.0%

Necrotic – hard, firm adherent: 0.0%

No

Probable Decline

Tissue Types

Has been Debrided

Outcome

General

Measurements

1.40 x 1.40 x 0.10 (L x W x D)

1.96 cm2

0.20 cm2

Size (cm)

Area

Volume

1234 | 09/01/2012 1:08 PM | Right trochanter (hip)

Signature of Nurse _________________________________________________________ Date ________________________________

© Wound Rounds 2008. Wound Rounds is a trademark of Telemedicine Solutions, LLC. All rights reserved.

Adam HarveyMRN: 1234 Date of Birth: 3/26/1958

Braden Score: 12 (High Risk) Braden Date: 08/23/2012

Facility: Telemedicine Solutions, LLC

City and State: Hoffman Estates, ILPage 1 of 1

Current Plan & Comments

09/02/012 01:08 PM by R Redfield RN: Family notified of Care Plan meeting next week to discuss patient’s care.

Exudate

Periwound Criteria

Wound Edge

Pain Scale

Odor

Is Infection Present

Is Patient on Antibiotics

Dressing Present

Dressing Dated & Initialed

Undermining

Location/Avg. Extent

Tunneling

Location/Avg. Extent

None

N/A

None

N/A

Physician Notified

Name of Physician Notified Date & Time Notified

Family or Designee Notified

Name of Family Member/Designee Notified Date & Time Notified

Photo OptionalRight trochanter (hip)

09/01/2012 1:08 PM

09/02/2012 7:38 AM

Wound:

Assessment

Date:

Printout Date:

Further views on page 2

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Improved resident care

Sample Wound Assessment Report

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Improved resident care

Treatment Report & Physician’s Order

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Improved resident care

Example of report options in WoundRounds

Wound Report

Often referred to as a

QA Report, this Report

can be run for any

Wound Type and for

any Time Period.

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Improved resident care

Interface between PointClickCare and WoundRounds

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Increasing financial outcomes

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Increasing financial outcomes

Q: How did implementing an electronic health record

improve the financial outcomes for your facility?

• Maximize RUG scores

• Increased census (again… heads in beds!)

• Medicare part B reimbursement

• Case Management

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Increasing financial outcomes

Example of how information flows from clinical to financial

ensure accurate billing

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Increasing financial outcomes

Q: What are the financial outcomes a wound management

system has had on your facility?

• Minimal staff needed

• Supplies

• Time savings

• Overtime reduction of $18,720 annually

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Reducing risk

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Reducing risk

Q: How did you reduce risk with these combined

technologies?

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• State survey

• Alerts/ triggers

• Pressure ulcer

prevention program

• Proper documentation and

care lessens chance of

lawsuits

• Staff is able to be more

focused on patient care

• Regulatory compliance

Reducing risk

Example of fall risk assessment

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Increasing referrals

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Q: How did these technologies help you to increase your

referrals?

• Enhanced revenue stream/ increasing patient census

• Technology solutions provide reports and metrics which we

share with our referral sources (example: ACOs, hospitals,

case managers, etc.)

• $540,000 incremental revenue

Increasing referrals, Increasing the bottom line

36 more admissions a year

x30 day avg LOS x $500 per day

$540,000 more revenue26

We’re able to show our referral sources how patients progress

under our care

Increasing referrals, Increasing the bottom line

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Enriching staff satisfaction

and engagement

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Q: How did you enrich staff satisfaction and engagement

through these technologies?

• User friendly

• Dedicated support

• Staff engagement

Enriching staff satisfaction and engagement

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Our advice to you

• Adopt technology

• Implement technology in phases

• Empower staff in the decision making and

implementation process

• Identify and leverage super users

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Summary

By leveraging PointClickCare and WoundRounds, our

facility:

• Improved resident care• Increased financial outcomes

• Reduced risk• Increased referrals• Staff engagement

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© 2013 Aerohive Networks CONFIDENTIAL

PointClickCare.com

Questions

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We love to hear from you!Please take a moment to fill out our brief survey.

© 2013 Aerohive Networks CONFIDENTIAL

Thank you

www.pointclickcare.com

Reminder: Today’s presentation slides & recording will

be sent to you shortly.

Additional Information:

Email: [email protected]

Phone: 1.877.774.8633

www.woundrounds.com

Additional Information:

Email: [email protected]

Phone: 1.800.277.5889