1 welcome june 5 pointright monthly report explained will begin at 2:00 pm
TRANSCRIPT
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WelcomeJune 5
PointRight Monthly ReportExplained
Will begin at 2:00 pm
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Problems during the call? Press *0 to be connected to the Operator.
Handouts Link to handouts included with confirmation email.
If you were unable to access the handouts to print, please contact the Association at 614/436-4154 after the call and we can provide those for you.
Evaluation Each person listening to the call must complete the evaluation form. FAX or mail to the Association (FAX: 614-436-0939).
Housekeeping Announcements
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RecordingThis live program (as well as all previous webinars) are also available via CD recording.
Please note that there are no CEUs available for listening to the recording. Please contact the Association if you would like to purchase a recorded copy of a previous webinar.
Also for those listening to the recording, please note the there may have been changes since the live broadcast of this program. Please contact OHCA or the speaker for clarification.
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www.efohca.org
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Today’s Format
• 90 minutes available for presentation & questions
• Questions? During the presentation: you can type your questions There will also be time for live questions &
answers at the end of the presentation and the operator will explain that procedure
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Today’s Speakers
• Jeff Merselis, VP of Business Development• Cheryl Field, RN, VP of Healthcare• Tom Martin, Research Analyst
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Online Demonstration for Ohio Health Care Association
June 5, 20122:00pm- 3:00 pm EST
105600
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PointRight Participants
• Jeff Merselis, VP Business Development• Cheryl Field, VP Healthcare• Tom Martin, Research Analyst
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Overview of Today’s Presentation
1.PointRight Introduction & Overview
2.Current PointRight Deliverables to OHCA members PointRight’s OHCA State Association Report
3.Product Demonstrations Data Integrity Audit Performance Portfolio Management Reporting Additional Data Analytic Services
4.Questions
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Three Key PointRight Differentiators
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PointRight Clients: 3,000+ facilities
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The PointRight Value Proposition:How Can We Help You?
1. Improve Compliance– Government, internal policies & procedures
2. More Accurate Reimbursement– Medicare and Medicaid dollars– Survey deficiencies, fines
3. Better Risk Management– Flag residents, facilities, divisions– Litigation risk
4. Improve Clinical Outcomes– Data integrity– Targeted resource allocation
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Current Deliverables to OHCA members:PointRight State Association Five-Star and SFF Summary Report
State Association Report May 2012.xls
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Five-Star Ratings Tab
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Survey and SFF Score Tab
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Staffing Tab
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QMs Tab
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PointRight Web-Based Services
Data Integrity Audit analyzes all MDS assessment prior to submission
Real-time feedbackLogical and clinical consistency Coding errorsClinical essentialsRisk management prioritiesMatch of diagnoses, symptoms and conditionsMatch of treatments and indications
Data Integrity Audit
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PointRight Web-Based Services
Performance Portfolio provides clinical and risk management tools
Detailed analysis of clinical performanceQM/QI and QM outcomes and trendingHierarchical reporting for multi-site corporationsRADAR: descriptive and predictive modeling scalesFinancial analysis- Medicare PPS
Performance Portfolio
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PointRight works with all MDS Vendors:Validate your MDS assessments with the click of a button
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Demo
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Real-time Data Integrity Audit (DIA) Feedback
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Top 5 DIA Coding Issues in Ohio
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Resident has a diagnosis of Asthma, COPD or Chronic Lung Disease (I6200) but has no shortness of breath or trouble breathing with exertion (J1100A) or when sitting (J1100B) or when lying flat (J1100C).
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Resident is at risk for developing a pressure ulcer (M0150=1) and has a pressure-reducing device on the bed (M1200B) but not on the chair (M1200A).
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Resident receiving antipsychotic therapy (N0400A) with no diagnosis of schizophrenia (I6000) or Manic depression (bipolar disease) (I5900) or psychotic disorder (I5950) or Post Traumatic Stress Disorder (I6100), and no hallucinations (E0100A) or delusions
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Resident has weight loss and is not on Hospice (O0100K not checked) yet is not on a physician prescribed weight loss regimen (K0300=2).
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Resident transfers with hands on assistance of 1-2 persons (G0110B2=2, 3), yet balance assessment for transfers indicates no need for assistance (G0300A=0, 1 and G0300E=0, 1).
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DIA Performance Trend
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DIA Issues Summary Report
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Medicare Revenue Summary Report
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QM Summary Report
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QM Trend Report
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QM Resident Roster Report
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RADAR Report
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Medicare PPS Report
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Rehab Report
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Estimated Medicare Report
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DIA Green Light Report (multi-facility)
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QM Green Light Report (multi-facility)
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Additional Analytic Services
Five-Star AnalyticsSFF AnalyticsStaffing to AcuitySurvey and Certification Competitive AnalysisLoss Evaluation
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Summary of Services and SupportReal-time Data Integrity Audit (DIA):
350 coding checks, 7500 CMS consistency checks400+ clinical, risk management, financial and statistical testsDirect Interfaces with leading MDS software vendors
Performance Portfolio tools:Medicare PPS ReportQM outcomes and trendingRADAR -predictive modeling and risk management
SFF Analysis & ReportingFive-Star Analysis & ReportingPublic Data Reports (SCCA)Loss Evaluation Services
Dedicated Account Management Team:Account Executive & Clinician, Client Services team, Research team. All in-house PointRight staff
Ongoing Education for Facility StaffClinical support help deskStaff training on all products, services and reportsFree quarterly CEU-approved Webinars for ongoing education
