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Outpatient Therapy

Grow Your Rehab Therapy Practice Using Paid Ads and Search Engine Marketing

When done right, paid advertising and search engine marketing are amazing tools to reach new patients and grow your business. By applying several basic tactics, you can start using powerful digital advertising platforms like Google and Facebook to target specific audiences and help ensure a steady flow of business for your practice. Click to View […]

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Five Key Stressors Hospice Professionals Face, with Guidance for Support

Hospice professionals help others face death and loss, while juggling interdisciplinary communications, quality compliance regulations and ever-evolving technologies. You are continually there for families and their dear ones who are passing away. But what about you? Get the eBook In caregiving professions, it is easy to get swept up in the needs of others and forget […]

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Leadership

Net Health’s CIO discusses diversity and how it can build a stronger organization

Diversity in the workplace is an on-going issue but it’s an issue with solutions. To build diversity, it takes forward-thinking initiatives, a reexamination of the hiring philosophy, and the support of the company’s decision-makers.  One such supporter of diversity in the workplace is Net Health’s CIO, Jason “JJ” James.  Recent social movements like Black Lives […]

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Tough Questions | Real Answers: Net Health’s Fireside Chat about Race

Net Health did something different recently. Nearly two hundred employees and their families gathered around their computer screens to take part in a landmark event in our company’s history – we called it a “Fireside Chat about Race”.  The purpose of this event was to have a truly open conversation about the controversial but relevant […]

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How Outcomes Data Will Impact Skilled Nursing in 2018

January 29, 2018 by Net Health

In 2018, skilled nursing facilities will continue to be impacted by outcomes data, both from a regulatory and a business standpoint. Measuring and reporting on outcomes is important because it will enable healthcare organizations to lower costs, improve the patient experience and provide better care.

Much of this movement is being driven by the Centers for Medicare and Medicaid Services (CMS), which continues to focus on outcomes data and value-based metrics to ensure quality care is provided—and minimize the instance of Medicare fraud.

Below are three data-related measures that will impact SNFs in 2018 and beyond. While these don’t directly affect contract therapy providers, SNFs will start asking more of their therapy partners to help them meet these requirements and maintain eligibility.

Value-Based Purchasing

A value-based purchasing provision within the Protecting Access to Medicare Act (PAMA) of 2014 gives SNFs an opportunity to receive incentive payments based on performance. Starting October 1, 2018, providers will need data to prove that they are reducing hospital readmissions. Failure to do so can result to a 2% loss of their Medicare reimbursements for the year.

The “Mega Rule”


Since October 2016, the Medicare and Medicaid Programs: Reform of Requirements for Long-Term Care Facilities (also referred to as the mega rule) has mandated changes in the conditions of participation (CoPs) for facilities to improve the quality of care and lower costs. As with other rules, the impact is primarily on the SNF itself. However, there are requirements that impact therapy providers, who will be expected to take a role in ensuring the areas they touch support compliance. The first two phases of the rule’s three-phased approach are in effect. The final phase, set for November 2019, will require SNFs to fully implement all the components of a Quality Assurance and Performance Improvement (QAPI) program, which takes a more systematic, comprehensive and data-driven approach to patient care.

Meaningful Measures


In late October of 2017, CMS Administrator Seema Verma announced the agency’s new initiative for quality measurement titled “Meaningful Measures.” According to Verma, “Meaning Measures involves only assessing those core issues that are most vital to providing quality care and improving patient outcomes.” Currently, no further details have emerged regarding the program. However, Verma stressed the importance of outcomes data as the agency moves from a fee-for-service system to one that pays for value and quality. “The agency aims to focus on outcome-based measures going forward, as opposed to trying to micromanage processes,” she said.

Moving to value-based care means outcomes data—and the ability to measure and track it—will only grow in importance. Through the use of new BI tools, therapy providers will be able to improve patient care with more targeted care plans, while continuing to grow and thrive.

While most EMR software offers some level of reporting, it’s important to ensure that it has advanced capabilities that will allow for the effective analysis, tracking and management of patient populations. For instance, BI capabilities in Optima’s SNF therapy software can help therapy providers identify patients in need of greater care, track patient readmission rates and demonstrate their agency’s value in improving outcomes.

To learn more about outcomes data and other issues impacting therapy providers in 2018, download our Top 2018 Trends for Therapy Providers white paper.

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