Are Your Referral Partners Sending You “Good” Leads/Referrals?
Senior Living and Skilled Nursing Providers are both facing the challenge of increasing resident acuity. Business decisions must be made regarding what type of residents are best for the services you offer today and plan to offer in the future. If your mindset is “any lead/referral is a good lead/referral” to drive occupancy, this approach may no longer be practical. You need to start thinking that a “good” referral/lead is one from a referral partner that considers your capabilities and expertise for successfully meeting the person’s needs.
Whether you are Senior Living Provider receiving leads from a referral service such as A Place for Mom or a Skilled Nursing Provider receiving referrals from the local hospital through referral networks such as Allscripts (ECIN) or naviHealth (Curaspan), you need to track not only those people you are willing to accept as residents but also those you deny to aid your analysis of a “good lead/referral”. The ability to document the reasons why a lead/referral was not accepted gives you the information needed to help drive insights into your business and how you work with referral partners. For instance, if you find that a referral partner sends you more people that you are not able to accept than you can accept, it may mean that you need to better educate the referral partner about your capabilities. It could also mean that you need to consider expanding your services to address a growing market need.
If you are not already capturing information about referral sources and leads/referrals, including those you chose to provide services to, then you need to get started tracking this kind of information to aid in your analysis of “good”. With this information in hand, you can then focus on refining your approach to working with referral partners to receive “good” leads/referrals. Getting the “right” leads/referrals from referral sources for your capabilities is what should be considered “good” leads/referrals going forward.
MatrixCare offers two solutions to help with lead/referral capture and tracking. Depending on your business needs and marketing approach, either MatrixCare Marketing or MatrixCare ReferralConnect can help gather this type of information. If you are a Senior Living Provider more focused on marketing to people in the community, then MatrixCare Marketing and the integration it providers to marketing automation tools and with A Place for Mom may be the best solution for you. If you are a Skilled Nursing Provider who focuses more on professional referral source marketing, then MatrixCare ReferralConnect and the integration with hospital referral networks is more appropriate.
Today, with one third of seniors enrolling in Medicare Advantage plans and CMS expanding coverage to home care that could be provided in a Senior Living community, as well as implementing payment decreases or increases to SNFs based on the metrics from Value-Based Payment (VBP) and Quality Reporting Programs (QRP) for traditional FFS plans, both Senior Living and Skilled Nursing Providers need to revisit the old school mindset of “any referral is a good referral”. It is time to step back and look at where your business growth is coming from now and expected to come from in the future. Having accept/deny information to guide decision making, is a first step in determining which referral partners to target and how to market to them for the “good” leads/referrals you need to improve occupancy profitably.
MatrixCare Partner Webinars: What’s New for LTPAC? Coming Soon!
At MatrixCare, our mission is to leverage technology to improve the quality of life for America’s seniors and those who care for them. One way we do this is by integrating with leading third-party technology providers whose products complement our solution. In fact, MatrixCare exchanges data with external systems more than 3 million times a day! Learn more about our partners and their technology during our upcoming Partner Webinar Series. Watch your email for our first webinar, which will feature clinical integrations.
MDS 3.0 Changes for October 1, 2018 Update
SigmaCare has been working on the MDS 3.0 updates that take effect October 1, 2018. These updates ensure compliance for assessments with ARD dates of October 1, 2018 or later.
While we have been busy updating the MDS in preparation for the October changes, you will not see those changes until then. Full details of the MDS 3.0 changes will be communicated closer to the release date.
For CMS’s details on the changes to come, reference your MDS 3.0 literature, or see the MDS 3.0 Technical Information page.
SigmaCare by MatrixCare Support FAQs
Q. Can I add a new clinical assessment to my library?
A. A facility can create a clinical assessment that is not already constructed in their account library in order to track resident information. There are various steps involved in creating a complete clinical assessment in Setup which can only be performed by a user with the appropriate permissions.
Access Customer Connect for the following Step by Step Instructions:
- Creating a New Clinical Assessment
- Adding Sections and Questions to Clinical Assessments
- Adding Answers to a Clinical Assessment Question
A video tutorial is also available to walk users through New Assessment Creation.
Additionally, our Service Center offers the option to construct a new clinical assessment or edit an existing clinical assessment. This service is available as a billable project. If you are interested in this option, please contact Customer Support for more information.
MealTracker Diet Orders Interface Now Generally Available
MatrixCare is pleased to announce that SigmaCare by MatrixCare is now able to publish Diet Order messages to MealTracker. Clients who have both solutions can take advantage of this new interface at no cost.
The SigmaCare by MatrixCare and MealTracker interface automatically publishes updates to the resident profile for any Diet Order and eliminates duplicate data entry. This, in turn, enables clients to ensure the accuracy of diet information which leads to better resident safety and satisfaction and helps to save time and money. In addition, processes for the dietary and clinical line staff will be more reliable and flow smoothly.
If you are interested in learning more about the SigmaCare by MatrixCare and MealTracker interface, please contact your Account Manager.
Increase Your Referral Management Efficiency to Grow Census and Optimize Reimbursements
MatrixCare Referral Connect is a powerful application specifically designed for LTPAC providers that enables you to access current market data, integrate with hospital discharge systems, and leverage intuitive referral tracking tools and analytics to proactively build referral relationships and grow your census. Plus, ReferralConnect gives you insights to choose the right residents for your facility to optimize reimbursements.
ReferralConnect provides powerful tools such as:
- Intake management functionality
- Rating and ranking system based on referral source performance
- Territory optimization and time management capabilities
- Dynamic dashboard capabilities
- Easy-to-use data analytics
Sign up for an online demonstration on Thursday, July 12th at 1:00 PM Central Time or contact your Account Manager to learn more.
Harness the Power of MyData and MyAnalytics to Manage and Grow Your Business
Leverage the data that you’re already collecting. MatrixCare’s powerful and flexible analytics solutions, MyData and MyAnalytics, allow you to gain insights from rich business intelligence and offer actionable information to meet your unique needs and help you succeed.
MyData is now in Pilot testing and will soon be generally available. MyAnalytics is planned to go into Pilot testing later this year. Both products are being used by many of your peers to manage their business effectively. Both solutions offer flexibility so that you can choose which solution works best for you.
MyAnalytics empowers leaders to monitor census trends, readmissions, financial AR, quality measures and more. Within minutes and very little guidance, users are able to see important macro data trends with the ability to diagnostically explore root causes via filtering or drill-through.
MyData provides IT-oriented customers with immediate access to key data tables from MatrixCare. This allows you to include MatrixCare data, refreshed several times per day, within your existing enterprise data warehouse or other reporting systems.
Sign up for an online demonstration on Tuesday, July 17th at 2:00 PM Central Time or contact your Account Manager to learn more about how these exciting solutions can empower your organization to stay ahead of the competition and manage the evolving healthcare landscape.
‘Leading the People Side of Change’ Teleforum Recording Available
A recording of our thought-leadership teleforum Leading the People Side of Change in Long-term and Post-Acute Care led by Kevin Whitehurst, SVP Skilled Nursing Solutions at MatrixCare and Mary Ellen Sanajko of Conduit Coaching is now available.
During the June 14th teleforum, the points below were discussed in addition to specific questions submitted by the audience:
- What’s the essential transformational leadership principle for leading the people side of change in Long-Term and Post-Acute Care … that lessens staff’s resistance & builds their commitment?
- How can you get a little perspective when it seems like the more you try to change things, the more they stay the same?
- How can you help staff (and your peers) navigate change… in 15 minutes a day (or less)?
Live Adoption Webinars
MatrixCare offers complimentary monthly training webinars to ensure clients are optimizing their use of the software. A variety of topics are covered, including recent release updates and regulatory items.
- Managing Tasks in SigmaCare
Tuesday, July 31, 2018, 2-3:00 PM Eastern Time
Facilities now have the ability to create, assign, and complete tasks within the Care Management system. This allows users to be reminded of important tasks and for the completion of these tasks to be monitored. This session will cover setting up task types in setup and managing tasks from the Navigation Bar.
Access the Calendar of Events in Customer Connect to register for this live Adoption Webinar and stay up to date on upcoming sessions.
On-Demand Adoption Webinars
- Enhanced Care Plans Module (Presented May 15th)
Is your facility interested in implementing the Enhanced Care Plan Module? If so, this webinar provides useful information on the benefits and functionality included with that module.
- Physician Order Entry for Pharmacists (Presented June 6th)
This webinar provides an overview of the SigmaCare by MatrixCare functions relevant to order entry and should be viewed by pharmacists interested in learning about how orders are entered and managed in SigmaCare by MatrixCare.
Access Customer Connect home page to view all available on-demand Adoption Webinars.
Learning Center Update
The SigmaCare by MatrixCare Learning Center has been updated with a new look and new functionality. Users can now track their learning progress and performance on their account homepage. New Learning Trackers with instructions on how to enroll in and complete a course or lesson can be found on Customer Connect.
Log in to Customer Connect and view the Learning Resources and Training Tools article to access the new Learning Trackers.
MatrixCare Partners with Midwest Business Systems
For over two decades, Midwest Business Systems has been servicing the printing needs of healthcare facilities across the country and serves as a main provider of checks and business forms for MatrixCare. The experience gained over time has allowed Midwest Business Systems to simplify and streamline the whole ordering process and our checks and forms are guaranteed to be fully compatible with MatrixCare.
FY 2019 Proposed Rule Highlights
In late April, CMS released the proposed rule for FY 2019. Included in this rule is a new case-mix Classification methodology named the “Patient-Driven Payment Model” (PDPM). This system will replace the RUGS-IV system on October 1, 2019. The PDPM system evolved from the RCS-1 classification system, based on feedback received on RCS-1.
RUGS-IV will still be the classification system in effect as of October 1st, 2018.
CMS has stated the new model better accounts for resident characteristics and care needs. This calculation will have five case-mix components:
- Physical Therapy (PT)
- Occupational Therapy (OT)
- Speech-Language Pathology (SLP)
- Non-Therapy Ancillary (NTA)
Compared to RUGS-IV:
- PDPM will not utilize Daily Therapy minutes
- It eliminates the Therapy RUG Categories:
- Rehab Plus Extensive (RUX, RUL, RVX, RVL…)
- Rehabilitation (RUC, RUB, RUA, RVC, RVB, RVA…)
- Includes the identification of the resident’s “Primary Diagnosis Clinical Category” in the calculation, using I8000.
- Will not calculate an “ADL” scoring. It will calculate a “Function Score” based on responses in Section GG.
- Includes a “per diem adjustment” based on length of stay for PT, OT, and NTA.
PDPM will continue to utilize some elements of RUGS-IV:
- Retained RUGS-IV Categories:
- Extensive Services
- Special Care High
- Special Care Low
- Clinically Complex
- Behavioral Symptoms and Cognitive Performance
- Reduced Physical Functioning
- PDPM will use updated “Nursing Classification” (RUG scores) such as HDE2, HDE1, HBC2, HBC1
The proposed rule also discusses a simplified MDS Schedule
- It eliminates the PPS 14-day, PPS 30-day, PPS 60-day, PPS 90-day, SOT, EOT and COT MDSs from the schedule
- PDPM will only require the 5-day, the “Interim Payment Assessment”, and the PPS Discharge.
Overall these changes are meant to provide better resident care and a reduced reporting burden due to the simplified MDS schedule.
CMS will release FY 2019 Final Rule by August 1, 2018.
Matrix for Providers Report Update
CMS has published an update to the Matrix for Providers report that was released in August 2017. The new version of the report has been assigned form number “CMS-802”. This would replace the existing 802, the Roster Sample Matrix.
MatrixCare is working on the following updates for this report:
- Add the following text to the report “Department of Health and Human Services Centers for Medicare & Medicaid Services”.
- Add the form number CMS-802 to the report footer.
CMS also modified the instructions for Columns 5 & 8:
- Column 5 – Facility-Acquired Pressure Ulcer(s) (any stage): Resident(s) who have a pressure ulcer at any stage, including suspected deep tissue injury (mark I, II, III, IV, U for unstageable, S for sDTI).
- Column 8 – Tube Feeding: Resident(s) who receive enteral (E) or parenteral (P) feedings.
To accommodate the new instructions changes are being made to:
- Update the Resident Survey page to allow column 5 to track different types of pressure ulcers using I, II, III, IV, U, S AND column 8 tracking for enteral (E), parenteral (P).
The form and instructions can be found here:
New Medicare Card: MBI Look-up Tool Clarification
Providers will be able to look up their Medicare patient’s new Medicare number through the Medicare Administrative Contractor’s (MAC’s) secure web portal starting in June 2018. If you don’t already have access to your MAC’s portal, sign up now.
- NYSHFA/NYSCAL Annual Convention June 24 – 26, 2018
- NAHC Financial Management Conference July 15 – 17, 2018
- CAHF and QCHF Summer Conference July 15 – 18, 2018
- FHCA July 16 – 17, 2018
- LeadingAge MN Assisted Living & Home Care Conference July 25, 2018
- HCAF Summer Conference July 29 – August 1, 2018