Revised PBJ methodology and rules impact: Do you know the risks?

February 02, 2024 Skilled Nursing
Since the advent of Payroll Based Journal (PBJ) reporting by CMS in 2016, facilities have struggled with preparing and submitting accurate PBJ data. Penalties applied for a failure to submit complete and accurate data can result in defaulting to a one-star rating and negatively impacting overall 5-star ratings.

IntelliLogix for SNFs Expands its Features

The new PDPM Impact Report is here. The latest IntelliLogix™ update is designed to allow skilled nursing facilities to see the financial impact realized from MDS Scrubber utilization for PPS assessments. It also allows the user to drill down into specific facilities and resident detail highlighting resident characteristics and alert changes.

CareStat expands its home health data to now include skilled nursing analytics to help hospitals build strong relationships with post-acute partners

CareStat, a software platform that connects post-acute providers with hospitals/ACO, has added reports and analytics to include data from Skilled Nursing Facilities (SNFs). The previous version of CareStat included data only from home health agency (HHA) partners. Now health systems can proactively manage both their SNF and HHA networks to facilitate more effective care planning, quality oversight, and total cost-of-care management.

New Unplanned Rehospitalization Report Released

SHP is excited to announce a valuable new report available in our IntelliLogix solution for skilled nursing facilities. The Unplanned Re-hospitalization Trend Report is a tool designed to help organizations monitor their unplanned re-hospitalization rates by category and over time. We hope these insightful analytics will help facilities to pin-point risk factors and identify the best course of action for improvement.

The Right Analytics Tools are Critical in Helping SNFs Succeed

April 20, 2021 Skilled Nursing
Occupancy and staffing are the two main issues facing SNFs today, both exacerbated by the unique effects of COVID-19 this past year. SNFs will need to get creative in solving these issues and adopting the right software and analytics tools will be critical. IntelliLogix™ by SHP can help facilities increase referrals, maximize reimbursement and save valuable time.

SHP Celebrates Women of Distinction

February 22, 2021 Skilled Nursing
McKnight’s Long-Term Care News has announced it’s 2021 class of Rising Stars and Veteran VIP award recipients. We applaud all of the women awarded this honor, many of whom are customers of ours.

Providers still leaving PDPM "money on the table"

November 04, 2020 Skilled Nursing
The advent of the Patient Driven Payment Model (PDPM) significantly expanded the Minimum Data Set (MDS) items that impact reimbursement and moved the focus from therapy minutes and ADLs to clinical diagnoses and resident characteristics. Now, more than a year post-implementation, there appears to still be significant opportunity to improve coding accuracy in areas that drive payment.

CMS inspections are about to resume — Are you ready?

August 31, 2020 Skilled Nursing
CMS has announced that routine inspections for all Medicare- and Medicaid-certified providers and suppliers will soon resume, after suspending them as part of its response to the COVID-19 pandemic in March. Our Survey Risk Report can address risk indicators by ranking facilities that may be prioritized for survey based on the criteria.

Free POC COVID-19 Tests — Facilities With No CLIA Waiver will Miss Out

July 20, 2020 Skilled Nursing
CMS announced a plan to send point-of-care tests directly to every nursing facility in the country. Based on the Clinical Laboratory Improvement Amendments (CLIA) however, unless the building has a specific waiver allowing staffers to perform tests, the facility will not receive the units. Facilities must secure a CLIA waiver in order to receive one of the free units.

Release: COVID-19 NHSN Weekly Data Survey Tool

The new COVID-19 NHSN Weekly Data Survey gives you the power to easily create and manage surveys. It walks you through survey questions based on the four Pathways outlined by NHSN—Resident Impact and Facility Capacity, Staff and Personnel Impact, Supplies & Personnel Protective Equipment, and Ventilator Capacity & Supplies.

SHP has acquired Team TSI

To further enhance our role as a data analytics partner for post-acute care organizations, SHP is proud to announce its acquisition of Team TSI. Team TSI is a leader in data analytics solutions for skilled nursing facilities (SNFs) that has been in business for 30+ years.

Pandemic Preparedness 101 for Nursing Homes

May 04, 2020 Skilled Nursing
As we continue to work through the COVID-19 pandemic, there is still much that can be done in preparing for potential recurrence or resurgence in the days and months ahead. Adequate assessment, critical planning, and implementing essential processes will be crucial in the following months.

Emotional Support of Clinical Staff During COVID-19

April 27, 2020 Skilled Nursing
COVID-19 has changed the way the world, thinks. Some say we have a “new norm” and it is going to take new strategies to face the unique challenges evolving every day. Along those lines, it is essential to look with fresh eyes at those who are not only dealing with their own safety, but those who are the first responders and are on the front lines caring for others. Here are six tips for supporting our front-line heroes.

Medicare Payment Model for SNFs

April 13, 2020 Skilled Nursing
With the implementation of the Patient Driven Payment Model (PDPM) on October 1, 2019 by CMS, it is important for SNFs to understand the new payment system that will help them transition smoothly into a value-based environment. Learn what's changed.

[Updated] MDS Scrubber COVID-19 Update

In response to recent CMS announcements regarding COVID-19, Team TSI has instituted additional coding alerts that are designed to inform providers to potential issues related to COVID-19 and updated CMS guidelines or waivers that may have an impact on MDS coding as well as resident care and services. These alerts are in no way meant to suggest or imply a change in coding is warranted; simply to alert providers to review the most recent CMS guidelines and waivers that may be in effect.

The Importance of PBJ and Five Star Rating

April 06, 2020 Skilled Nursing
Section 6106 of the Affordable Care Act (ACA) requires facilities to electronically submit direct care staffing, including agency and contract staff and census information on a quarterly basis. The Centers for Medicare and Medicaid Services (CMS) has named their reporting system the Payroll-Based Journal (PBJ). What do you need to know?

MDS Scrubber—COVID-19 Update

In response to recent CMS announcements regarding COVID-19, SHP has instituted additional coding alerts that are designed to inform providers to potential issues related to COVID-19 and updated CMS guidelines or waivers that may have an impact on MDS coding as well as resident care and services. These alerts are in no way meant to suggest or imply a change in coding is warranted; simply to alert providers to review the most recent CMS guidelines and waivers that may be in effect.

MDS 2020 - We Asked Our Experts

March 05, 2020 Skilled Nursing
MDS 2020 is coming. While information is scarce, our industry experts have been hearing rumors and considering how Team TSI will tackle this new challenge. We asked them to share their thoughts.

Rehospitalization in the Age of Nursing Shortages

February 24, 2020 Skilled Nursing
For the first time, day to day, clinical personnel fluctuations are being made transparent. This new data required to be captured by the Affordable Care Act of 2010 and analyzed by Kaiser Health News is showing a not-so-pretty picture. Medicare has begun gathering and mining staffing information utilizing payroll data across more than 14,000 nursing homes. No longer is self-reporting for nursing homes an option.

PDPM Three Months Later – Budget Neutrality and Rate Adjustments

January 29, 2020 Skilled Nursing
PDPM has been active for three months already and, as we predicted, it’s turning out to NOT be budget neutral. As has happened with previous adjustments to payment methodologies, when providers become more familiar with the system and start maximizing benefits, CMS will adjust rates. Providers are enjoying the benefits of adjusted therapy hours and rates but need to be prepared for potential/probable rate adjustments.

Reach for the Stars - Your Residents Are Worth It

January 28, 2020 Skilled Nursing
Since CMS launched its Five Star rating system for Medicare and Medicaid certified nursing homes in 2008, the pressure has been on for nursing homes to utilize measures to improve quality measure scores and stars. The rating system is a tool to help consumers compare and select a skilled nursing facility by awarding stars in three separate parts, or elements, of the star rating for each nursing home.

See Something, Say Something - Empowering Every Member

January 02, 2020 Skilled Nursing
With intimate knowledge of the residents they have been caring for; such as traits, likes, dislikes, wishes, and more—coupled with the resident’s clinical conditions, resident aides are considered crucial members of the optimal resident-centered care team. But does the clinical collaborative team stop there? The answer should be NO!

RehabCare Incorporates IntelliLogix MDS Scrubber into its Product Offering

Contract therapy service provider RehabCare today announced it will begin offering clients Team TSI’s (now SHP's) MDS Scrubber Module. The MDS Scrubber allows RehabCare’s clients to not only reduce their MDS rejection rate, but also reduce inconsistencies in coding, assist in the transition from Resource Utilization Groups (RUG) to Patient Driven Payment Model (PDPM), optimize their ICD-10 coding practices, improve financial optimization, be aware of potential adverse events and have a proactive view of potential clinical-related risk areas.

Welcome Greg Seiple

With the growing implementation of PDPM, Team TSI (now SHP) welcomes Greg Seiple as Vice President, Informatics. He is a powerful new weapon in our arsenal of industry experts. Greg has extensive experience with HCR ManorCare, Guardian and CareOne. As a registered nurse, Greg has wide-ranging proficiency on the clinical side of facility operations, which is augmented by his knowledge of clinical services. This hands-on experience is key to his 27 years of leadership in long-term care. Empowering teams throughout the industry, Greg adds his powerful voice to the analytical insight Team TSI (now SHP) provides.

PDPM is Here

October 01, 2019 Skilled Nursing
PDPM is Here―and Clinical Data is the Key to Your Success! Unlock your PDPM potential by understanding, identifying and recognizing the path for accurate MDS assessments that reflect the resident’s clinical condition and care provided.

SHP launches solution for skilled nursing facilities; extends its care continuum connectivity

Strategic Healthcare Programs (SHP), a leading provider of post-acute data and analytics, has expanded its portfolio of products by introducing the SHP for Skilled Nursing℠ software solution. The Patient-Driven Payment Model (PDPM) and a continued focus on cost and quality has enhanced the need for real-time data in the SNF setting. This new automatic, real-time reporting suite enables SNFs to better manage and improve readmissions, referrals, and outcomes so they can succeed under PDPM.

TwinMed Partnership

As the industry’s leader in data analytics and focused solutions, Team TSI (now SHP) is excited to announce our strategic partnership alliance with Twinmed, one of the largest full-line medical supply distributors within the healthcare industry.

Pioneer Technology Partnership

Furthering our commitment and dedication to being Data Focused, Customer Driven, Team TSI (now SHP) is proud to announce a new strategic partnership with Pioneer Technology, a top-tier managed IT services provider committed to providing a consistent and repeatable framework for nursing home IT.