Best practices for clinical improvement and business growth

RiskPoint Strategy BlueprintIndex

Kinnser RiskPoint basics

● Why should you use Kinnser RiskPoint?

● Which team members should use RiskPoint?

● RiskPoint algorithm information

RiskPoint Clinical Dashboard

● Segment your patient population by risk level

● See new patients and those with increased risk

● Analyze an individual patient’s profile

● View trending vital sign information

● See the patient’s 7-day schedule

● Attach a comment to a patient’s chart

● Send a kmail message about the patient

○ Example RiskPoint kmail templates

RiskPoint readmission Marketing Report

● Benchmark 30-day admission rates

● Filter by diagnosis group

● Filter by referrer

● Export and print

Why should you use Kinnser RiskPoint?

If you’re in Home Health…

we know you and your team members will

never have enough time in the day for all of

your priorities.

So why should you focus on

your highest risk patients?

In a quality-driven future, your outcomes

will be your biggest competitive advantage.

Focusing on your highest risk patients will

allow you to improve your clinical results,

and therefore your star ratings, across the

board!

The Post-Acute Industry is changing faster than ever before.

● Hospital readmission penalties

● Home Health Compare Star Ratings

● H&K & CHF bundled payment

● Home Health Value Based Purchasing

Higher performing, higher ranked agencies are growing much faster.

Which team members should use RiskPoint?

Marketing/Sales Team

The home healthcare market is increasingly more competitive,

and it can be very hard to differentiate your services and grow

your agency through increased referrals. With the Kinnser

RiskPoint Marketing Report, your sales team is armed with easy

to use, highly targeted data insights that can show how well

your agency does with a specific referrer, physician, insurance,

or diagnosis group.

Clinical/Case Manager

Your “Case” or “Clinical” Managers, who monitor the patients

of multiple field clinicians, can effectively utilize the RiskPoint

dashboard to keep an eye on all of the patients s/he is

responsible for. RiskPoint analyzes all of the information

entered in the field and makes it easy to visualize which

patients are in most need of immediate action or changes in

their plan of care.

The RiskPoint algorithm is powered by the biggest data set in Home Health.

406,000

153,000

392,000

951,000 Episodes

3 Of The Biggest Post-Acute Providers

2015 Home Health Episodes By Provider

1,100,000 Episodes

Customers

2015 Home Health Episodes By Provider

The algorithm is built on 2100+ data points throughout the episode...

M Items

Comprehensive

Assessment

Plan of Care

Visit Note Clinical Assessments

Visit Frequency

Patient Vital Signs

Start of Care Course of Episode

Patient Condition

Visit Type Counts

Data

Depth

Data

Breadth

Kinnser &

Medicare

Patient Data

Additional

Kinnser

Patient Data

...and it’s refined with mathematical and clinical expertise. 2,100 data points per patient

OASIS Assessment, Visit Data, Vital Signs

749 variable candidates

identified with mathematics

205 clinical

selections

Final AlgorithmMaximum Accuracy

RiskPoint uses the most accurate algorithm ever built for Home Health.

Low

Guarded

Elevated

Very High

High

30.7%

60 Day Hospitalization

23.7%

60 Day Hospitalization

17.9%

60 Day Hospitalization

12.3%

60 Day Hospitalization

9.1%

60 Day Hospitalization

Clinical Dashboard

RiskPoint provides a platform for your clinical management team to effectively and efficiently manage your

population and improve your clinical outcomes. There are three steps to this process:

#1 Awareness -“RiskPoint gives our case managers better visibility into what is going on in the field.”

Your team can begin every single day easily knowing which patients are most at-risk. This awareness allows

your team to focus their efforts on those patients who are at high or increasing risk.

#2 Insight -“RiskPoint allows us to pinpoint the most important issues at hand.”

Once you’ve identified those risky patients, you can look into their chart to understand more basic information

about the patient, like why they are at risk and how that risk and other metrics have changed over time.

#3 Action -“RiskPoint has increased the communication between our field staff and our office staff.”

Now that your clinical management team has all of this information at their hands, they can decide if

additional action is needed, then send a kmail message or add a note on the Episode Comment Box.

This informed action allows your team to make a real difference in the outcomes of your patients.

How can RiskPoint enable clinical improvement?

The key to clinical improvement is

Regular Engagement.

The more your team uses RiskPoint,

the better your results will be.

Segment your patients by daily risk level.

-Analyze agency #’s by risk level-Filter by Case Manager/Branch-See patients at increased risk

-Identify new SOC/ROC patients

<- Patient With Increased Risk

<- Recent SOC/ROC

^Filter By Branch or Case Manager

Your Patient Census By Risk Level

Fully understand an individual patient’s

condition.

<- Overall Risk Factors

<- Recently Increased

Risk Factors

<- Patient Risk

Over Time

^ Basic Patient Info

See trending vital signs.

^ Trend Over Episode Period

See the current Plan Of Care over the next 7 days.

^ See All Disciplines

Read episode comments and add information for the

team to review.

^ Visible to all team members who

see this patient over the course of

their episode.

Take direct action with your team to prevent

patient hospitalizations.

^Create Kmail Templates specifically for RiskPoint

Take direct action with your team to prevent

patient hospitalizations.

Example RiskPoint kmail templatesIncreased Risk Alert

PLEASE send me your response and any action taken.

Please review your patient’s condition and/or chart (recent VS, MV, visit freq, etc). The hospitalization risk report shows they’re at an increased risk today. Please document any nursing care needed and provided as a result of your review (such as phone call to patient, prn visit, contact to doctor, prn med recommended, etc). This notification is just to help identify if a patient is truly at risk and hopefully take any needed action to prevent them from going to the hospital.

One of our main goals is to keep patients out of the hospital. Your help is appreciated greatly. Thank you.

High Risk Alert

Team,

Patient is identified as Very High risk for Re-Hospitalization. Please plan to monitor closely and case conference as needed.

Thanks!

Diagnosis/Risk Alert

Team,This CHF Patient is identified as Very High Risk for Readmission. Please plan to monitor closely, weigh the patient at each visit, and case conference as needed.

Thanks!

New Patient Alert

Team,

This newly admitted patient is considered at either high or very highly at risk. Please look at the patient’s schedule to ensure they have enough visits scheduled during the first 14 days.

Patient Weekend Call

XXX,

Please give this patient a call to check up on them this Friday. They are identified as very high risk, and we want to ensure they have a proper amount of support and no medical needs.

Stories from your fellow customers...

...on how RiskPoint enabled clinical improvement.

Marketing Report

In the value-driven care model of the future, hospitals and other healthcare providers will increasingly be held

financially accountable for their clinical outcomes. So, it is essential you prove you can be a great partner for

them in ensuring their patients don’t end up unnecessarily coming back to their facility. Kinnser RiskPoint can

help you prove this to your current and prospective referrers in three ways:

#1 Make data your differentiation

As a RiskPoint customer, your organization can differentiate itself to referrers and payers based on your

competitive advantages in using predictive technology to take care of patients better than anyone else.

#2 Build and grow relationships

With the RiskPoint Marketing Report, you can see and promote how you’ve done with the patients of existing

referral sources, whether those sources are hospitals (external referrers) or physicians.

#3 Target your marketing efforts

Your sales team can filter your clinical results by diagnosis groups to see which areas emphasize the strengths

of your agency. They can then use this data to specifically target and market to doctors and hospitals.

RiskPoint gives you the power to use data to define your agency as clinically progressive and effective.

How can RiskPoint enable referral growth?

Filter 30-day readmission rates by multiple patient groups.

^Click This Button

To Run New

Marketing Report

^Customize by Physician, External

Referrer, Diagnosis Group and Start

of Care Date Range

Filter 30-day readmission rates by multiple patient groups.

External ReferrerDiagnosis Group

Export the report to print or PDF.

Click Print Preview To Create Marketing Document ->

Save as PDF to send

to referrers or print

to give it to them in

person.

Description of

your competitive

differentiation in

using RiskPoint

Kinnser RiskPoint Customer Marketing Success

Additional Resources

Videos:

RiskPoint Webinar: Kinnser.com/RiskPointLive

-Customer success stories, broadcast live from the Kinnser User Conference

Clinical Dashboard: RiskPoint Clinical Dashboard Video

-An overview of the clinical dashboard using non-HIPAA clinical data.

Marketing Report: RiskPoint Hospitalization Marketing Report Video

-A short walk through of the features of the RiskPoint Hospitalization Marketing Report.

Hospital Data Reports:

Want to see how all the hospitals in your area are performing in terms of readmission rates so that you can customize your pitch

to them? We’ve put together a set of reports here that have your region’s hospitals broken down by clinical outcomes & star

ratings. http://bit.ly/RiskPointHospitalReports

Contact Us:

If you have RiskPoint specific questions, please feel free to contact me:

Wes Little, Director of Analytics at Kinnser Software, wes.little@kinnser.com

RiskPoint resources available to you