What Story Is Your SNF Data Telling? Holly Harmon, RN, MBA, LNHA Senior Director of Clinical Services Thank you to our Launch Sponsor:
Objectives Recognize the value of data informed practice Identify QAPI link with feedback, data systems and monitoring Understand the quality improvement and organizational performance benefits of using LTC Trend Tracker
Why is data important? Allows you to set priorities on what you are going to work on Allows you to track and trend successes and challenges Essential to QAPI Opens doors to become a viable partner
AHCA Quality Initiative Goals Safely reduce 30-day hospital readmissions by 15% by 2015 Reduce clinical staff turnover by 15% by 2015 Increase customer satisfaction to 90% by 2015 Safely reduce the off-label use of antipsychotics by 25% by the end of 2015; 30% by the end of 2016 QualityInitiative.ahcancal.org
What data do you collect? MDS Resident, family, staff satisfaction Turnover data Clinical Survey Operations Financial Census Workers Comp Rehospitalization RUG info Training
Who s interested in your data? Consumers Hospitals ACOs Managed Care Regulators Media Other?
What do people know about you? Five Star Quality Measures Survey Staffing Stories Other?
How often do you look? Five Star Data QM Report Staffing/Turnover Rehospitalization Satisfaction
What is your data telling you? 1. Demonstrate good clinical care/outcomes? 2. Low readmission rates? 3. Excellent customer experience scores? 4. Staff stability?
If your data isn t great QAPI opportunity Show trends demonstrating areas where you have been improving over time Show your passion for quality and ways that you are creating a culture of quality Ensure that potential partners know that you seek out the voice of residents and families to guide improvement
Survey History Your Member Resource Resident Characteristics Staffing Information AHCA Post-Acute Measures CMS Five Star Rating www.ltctrendtracker.com
Benefits of LTC Trend Tracker Member benefit for AHCA members Benchmarking against your peers Increases efficiency saves you time Data in one central place to share with various partners Use for QAPI Use for AHCA/NCAL Quality Award Program
QAPI Basics 5 elements of QAPI 1. Design and Scope 2. Governance and Leadership 3. Feedback, Data Systems and Monitoring 4. Performance Improvement Projects 5. Systematic Analysis and Systemic Action
Feedback, Data Systems, and Monitoring Monitor care and services Process for feedback using performance indicators Monitor wide range of care processes and outcomes Review findings against facility benchmarks Track, investigate and monitor adverse events Implement plans to prevent recurrence
LTC Trend Tracker and QAPI Use in Element 3 Feedback, Data Systems and Monitoring Dashboard Benchmarking Look at historical trends Share with your team Print graphs or download data into excel for correlation analysis Set your goals
Benchmarking Use LTC Trend Tracker for external and internal Allows you to check your performance to others Are you higher or lower than your peers? The basis for your QAPI program
QAPI Meetings CASPER Reports Staffing, Survey History, Resident Characteristic Reports Quality Measures Five Star Reports Cost Report Medicare Utilization Report Rehospitalization Report
Do you want to be a Preferred Partner? Use the data to assist telling your story to the hospitals or referral sources: Quality measures Turnover and Retention Staffing characteristics Survey history Resident characteristics Medicare utilization Rehospitalization report Five-Star Rating Report
New LTC Trend Tracker
What is New? Administration NEW RUG upload process, all completed by excel Account Administrators can add and delete users Center name is pulled from the CASPER database Each user must have an unique username and password Same as the unique AHCA web services username and password
What is New? Reports CASPER data uploaded monthly RUGs information will be available immediately after upload Five Star QM Predictor enter your QM Score Save your reports Build reports using the same criteria
Unique to LTC Trend Tracker MDS-based Post-Acute Care Measures RUG comparison data AHCA Quality Initiative Five Star Predictor
Data Sources Data for reports uploaded by AHCA for centers (identified by their Medicare provider number) Report CASPER Reports Post Acute Measures Five Star and Quality Measures Medicare Patient Days by RUG Category Data Source Collected at time of survey CMS MDS Data Nursing Home Compare LTC Trend Tracker participants Antipsychotic MDS 3.0 Turnover and Retention Annual AHCA Skilled Nursing Staffing Report
Dashboard Color indicates performance trend AHCA Quality Initiative, Post-Acute, Staffing, Regulatory and Five Star Use for QA/PI and Board meetings Everyone has the same dashboard (based on user permissions)
Sample Dashboard
Dashboard Features Can change the center or peer groups When new data is available a blue bar will appear Green Arrow: positive change Red Arrow: negative change Blue Arrow: no change
Blue Boxes
Green Boxes
List of Reports Quality Measures: 1 Quarter and 3 Quarter View AHCA Post-Acute Measures: Discharge To Community, Rehospitalization CASPER: Staffing, Resident, Regulatory
List of Reports Five Star: Overall, staffing, QM report RUGs Report Cost Report AHCA Turnover and Retention Report
Selections: Centers
Selections: Peer Groups
Selection: Peer Groups Like Centers
Peers-- Include or exclude organization
New Report Feature
Schedule or save a report
Data Download Download each center s data for an organization in one spreadsheet Discharge to Community QMs Antipsychotic Rehospitalization
Report Upload Timeline Report RUG and Five-Star data CASPER Data NH Compare Quality Measures Medicare Cost Report AHCA Post-Acute Measure Uploaded Monthly Monthly Quarterly Quarterly Quarterly
Graphs Bar: less than 5 data elements Line: more than 5 data elements Note Excel has more historical information Some reports show top performers for state and national
Bar Graph
Bar Graph
Line Graph
Percentile info
Five Star Rating QM Report Identify focus QMs for quality improvement Predict impact of QM improvements on Five Star QM Rating
Five Star QM Report
Sample QM
Calculate
Summary LTC Trend Tracker provides an organization with data on: Clinical Quality Five-Star Staffing Financial Reports are uploaded utilizing your provider number AHCA member benefit
People don t do what the boss says, they do what the boss measures Jack Welch
National Patient Safety Organization for Assisted Living (PSO) NCAL s partnership with the New Jersey Hospital Association Collects data on: hospital readmissions off-label use of antipsychotics medication errors falls and fall assessments pressure ulcers pain management, and more Contact: Lindsay Schwartz, PhD NCAL Director of Quality, Workforce lschwartz@ncal.org www.ncalpso.org
Questions
To Register Multi-Center Registration is done by the corporate office Individual Contact your owner or administrator
Contact Info www.ltctrendtracker.com Customer Service Assistance help@ltctrendtracker.com
www.ltctrendtracker.com