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PDGM: It's a good time to have SHP PDGM: It's a good time to have SHP

The Patient-Driven Groupings Model (PDGM) is in full effect and is already bringing sweeping changes to the way the home health industry is approaching care. SHP has been working hard to provide the tools that will help you understand performance, increase efficiency, and maximize margin under the new payment model.

Our new reporting suite helps clinical and financial managers answer questions such as:

  • How does my agency’s PDGM performance compare to the competition, and why?
  • Why is my profitability different among my agency’s 5 branches? What factors are contributing to my high or low margins?
  • Why is our agency’s LUPA rate higher than the SHP benchmark? How can I identify potentially-preventable LUPAs?
  • Am I missing out on any potential revenue within the PDGM components?
  • Which of my patients or clinicians have the right balance of low cost and high outcomes? What are some best practices to achieve this?
  • How does visit length and frequency correlate to outcomes and hospitalization rates?

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New PDGM Performance Reporting Suite

The visibility you need to thrive under the new payment model.

Patient Stay and Period Reports

View patient data within PDGM Core Categories at the home health stay level, and at the 30-day payment period level. Better manage visit utilization, track LUPAs, analyze margin and collaborate. Learn more »

PDGM Scorecard Overview

Get a complete view of your PDGM performance and identify key focal areas for improvement. Make informed decisions with Quality, Operational, and Financial metrics under each of the PDGM Core Categories. Learn more »

PDGM efficiency and quality report

HHRG Worksheet

Explore the variety of factors which contribute to the HHRG score for patients. Discover how each PDGM component may contribute to higher potential revenue with case-mix alerts. Learn more »

HHRG PDGM revenue potential

Our beloved Episode Einstein℠ report also just got a major upgrade to support the new payment model.


A host of new alerts help with common challenges under PDGM regarding clinical groupings, functional impairment differences, comorbidity adjustments, and more. Case-mix alerts highlight how each PDGM component may contribute to higher potential revenue.

PDGM Unacceptable Diagnosis Alert
Released in September

alert iconNotifies you when an “Questionable Encounter” primary diagnosis code is entered, so that you can make immediate corrections, save time and train staff. Learn more »

PDGM Unacceptable Diagnosis Alert
Why SHP for Agencies?
Easy-to-use Automatic interfaces with most EHRs Real-time view into performance with no delays Drilldowns to individual locations, patients, clinicians Largest benchmark database