In recent years, Post-Acute care providers have become instrumental in the care management of patients referred by their Acute care partners. Post-Acute care providers have increased demands being placed on them by Acute care partners and regulatory changes that demand exceptional care.

Acute Care partners are expected to discharge patients sooner than ever before without compromising the patient’s well-being or the overall outcome of their conditions.  Acute care partners have elevated the expectations being placed on Post-Acute partners who they refer patients to, ensuring the care standards they set are followed post-discharge from the hospital.  Acute care partners are closely monitoring Return to Hospital, Length of Stay, Patient Education, and ongoing care management.  Post-Acute care providers are expected to produce weekly\monthly outcomes for all patients the Acute care partners refer.  Post-Acute care providers have to be accountable for their outcomes in order to remain a preferred Post-Acute care provider.

Current and upcoming regulatory changes have significantly impacted all healthcare providers to demand higher quality of care for less.  The Affordable Care Act introduced the Readmissions Reduction Program in 2012 for CMS, which focuses on readmissions to the hospital for the following Diagnosis-Related Groups (DRGs) Acute Myocardial Infarction (AMI), Heart Failure, Pneumonia, Chronic Obstructive Pulmonary Disease (COPD), and elective Total Hip\Knee Replacement.  CMS defines readmission as “an admission to a subsection(d) hospital within 30 days of a discharge from the same or another subsection(d) hospital”.  Kaiser Health News reported that 2,610 hospitals failed to meet the Readmissions Reduction Program and are estimated to have fines totaling $428 million which will impact reimbursement on all Medicare claims from October 1 2015 to 9-30-2016.  According to Kaiser Health News the top ten states with the highest number of hospitals penalized are California, Texas, New York, Florida, Pennsylvania, Illinois, Ohio, Georgia, Tennessee, and North Carolina.  CMS is demanding improved outcomes therefore Acute care providers continue to place higher demands on Post-Acute care providers for low Return to Hospital rates.

The “Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program beginning with FY 2019 under which value-based incentive payments are made to SNFs in a fiscal year based on performance.” The reduction in readmissions to the hospitals is captured in measures CMS defines as “the Skilled Nursing Facility 30-Day All-Cause Readmission Measure, (SNFRM) (NQF #2510), as the all-cause, all-condition readmission measure that will be used in the SNF VBP Program. The Skilled Nursing Facility 30-Day All-Cause Readmission Measure  estimates the risk-standardized rate of all-cause, unplanned, hospital readmissions for SNF Medicare beneficiaries within 30 days of their prior proximal short-stay acute hospital discharge.”

Continuity of care between care settings along with improved care for less is the future and current demand of Healthcare providers. The Curatess Open Telemedicine Platform is an advanced real telehealth clinical assessment tool allowing Post-Acute providers to improve their outcomes and meet the regulatory demands. Our EHR integration and connected Bluetooth medical devices with real-time streaming diagnostics, and secure messaging were designed to embed with existing SNF clinical workflows. In rural and urban areas our Open Telemedicine Platform enhances the Skilled Nursing Facilities’ quality of care capabilities.  In addition to remote wound evaluation, our Open Telemedicine Platform allows SNFs to connect to any existing care team member, for example, Primary Care Physicians or Advanced Nurse Practitioners allowing them to immediately evaluate patients who have a sudden acute change in condition. The Curatess Open Telemedicine Platform removes artificial boundaries associated with the traditional care delivery model. Our Open Telemedicine Platform enables Post-Acute care providers to meet the current healthcare demands, contribute to quality of care and deliver improved outcomes.

To learn more about Curatess and our Open Telemedicine Platform please contact us at 844-U-RETAIN (844-873-8246) by email at info@https://www.curatess.com or visit our website at www.curatess.com.

Sources

https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2015-Fact-sheets-items/2015-04-15.html

http://khn.org/news/medicare-readmissions-penalties-2015/

http://khn.org/news/medicare-readmissions-penalties-by-state/