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People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support.
Win the referral: Understanding and achieving a five-star rating
The Centers for Medicare & Medicaid Services (CMS) created the Five-Star Quality Rating System to help consumers, families, and caregivers compare nursing homes more easily. The system also helps these individuals identify questions they may want to ask before choosing a senior living facility.
Acute care providers pay close attention to the five-star rating of potential referral partners to ensure they are sending their patients to nursing homes with the best outcomes. Due to the importance and impact of this system, it is critical that nursing homes know their current five-star rating, but more importantly understand how their rating is calculated. During this session, Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP, IPCO, Director of Clinical Reimbursement for LeaderStat, reviews how surveys, staffing, and quality metrics (QMs) impact your facility’s five-star rating.
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Recorded Oct 23, 2018
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Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, CIC, QCP, IPCO, and Director of Clinical Reimbursement for LeaderStat brings over 25 years of healthcare experience. Scott is recognized for his expertise in the RAI process and clinical reimbursement. Scott’s consulting work includes performing Medicare and Medicaid reimbursement reviews and educational programs for skilled nursing facilities and multi-facility operators. Scott has experience in and has testified as an expert witness in a large Medicare dispute case and has also assisted in Corporate Integrity Audits and corporate compliance reviews. Scott is a member of AANAC’s (American Association of Nurse Assessment Coordination) Board and Expert Advisory Panel, recognized as a Master Teacher through AANAC for their RAC-CT MDS certification courses, and sits on the board as the President of OANAC (Ohio Association of Nurse Assessment Coordinators).
Tom Martin is the director of post-acute care analytics at CarePort, powered by WellSky. He has led several data analytics teams providing insight to healthcare providers trying to improve quality of care for their post-acute care patients. He holds an M.S. in Resources Economics with a concentration in econometrics from the University of Massachusetts Amherst. As director of post-acute care analytics at CarePort, Tom studies how the ever-changing PAC regulatory and payment landscape is impacting care delivery and how acute and post-acute providers can leverage their data to improve patient care.
WellSky is a technology company leading the movement for intelligent, coordinated care worldwide. Our next-level software, analytics, and services power better outcomes and lower costs for stakeholders across the health and community care continuum. In today’s value-based care environment, WellSky helps providers, payers, health systems, and community organizations solve tough challenges, improve collaboration for growth, harness the power of data analytics, and achieve better outcomes by further connecting clinical and social care. WellSky serves more than 20,000 client sites around the world — including the largest hospital systems, blood banks, cell therapy labs, blood centers, home health and hospice franchises, post-acute providers, government agencies, and human services organizations. Informed by more than 40 years of providing software and expertise, WellSky anticipates clients’ needs and innovates relentlessly to ultimately help more people thrive. For more information, visit WellSky.com.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
People who choose a life of caring — and the organizations and communities they serve — deserve a special kind of support. So we help them to care smarter. Liberating them to focus on the people they serve. Providing solutions that make work flow, integrate insights, and update effortlessly. So they're able to anticipate — and exponentially increase — the impact of care.
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