Spotlights

Overview:

This report surfaces information for those patients who experienced a subsequent SNF stay within 90 days of discharge from a previous stay at your facility. More specifically, this report provides insight into which patients returned to your facility for subsequent SNF care and those who went to a different facility.

Key Definitions:    

• Missed Care Rate:  The formula for this calculation is (Missed Care Opportunities / All Care Opportunities)
• Missed Care Opportunities: Patients who (1) received care at your SNF and then (2) received additional care at a different SNF location within 90 days of the initial SNF discharge (secondary SNF could be a part of the same chain or a competitor SNF)
• All Care Opportunities: The total number of patients who (1) received care at your SNF and then (2) received additional SNF services within 90 days of the initial SNF discharge (additional services could be back at the initial location or at a different SNF location)
• Missed Care Month: The month the secondary SNF stay began (i.e. when the patient became a “missed care opportunity”)
• Latest SNF Stay Referring Hospital (if applicable): The acute care hospital where the patient received care prior to the secondary SNF stay.

Overview:

This report allows you to better identify trends in readmissions performance with daily updated data, both direct from your facilities as well as from the Bamboo Health community. Dive into patient-level detail to conduct root-cause analysis on preventable readmissions to drive and track performance improvement initiatives.

Key Definitions:

• Readmission Rate from SNF: The formula for this calculation is (Readmissions from SNF / Skilled Nursing Admits)
• Readmissions from SNF: The total number of patients who were (1) admitted to your SNF within 24 hours of the initial hospital discharge and then (2) readmitted back to a hospital within 24 hours of SNF discharge and within 30 days of the initial hospital discharge
• Skilled Nursing Admits: The total number of patients admitted to an SNF within 24 hours of discharge from a hospital
• Readmission Rate from Community: Readmissions from Community / Skilled Nursing Admits
• Readmissions from Community: total number of patients who were (1) admitted to your SNF within 24 hours of the initial hospital discharge, (2) discharged from your SNF to the community, (3) readmitted back to a hospital more than 24 hours after SNF discharge and within 30 days of the initial hospital discharge
• Readmission Month: The month during which the SNF admission began  
• Days to Readmission: Days from the initial hospital discharge to secondary hospital readmission

Overview:

This report allows you to streamline your regular performance reviews and manage your relationships with ACO referral partners by providing insight into shared readmissions, LOS, and referral volume.

Patients will only be shown on this dashboard if they were admitted to your SNF and they are attributed to an ACO or other care management program (i.e. they are patients “shared” with a care management program).

Key Definitions:

• Hospital Readmission Rate: The formula for this calculation is (Hospital Readmissions / Skilled Nursing Admissions)
• Hospital Readmissions: The number of patients who are attributed to an ACO or other care management program who were (1) admitted to your SNF within 24 hours of the initial hospital discharge and then (2) readmitted back to a hospital within 24 hours of SNF discharge and within 30 days of the initial hospital discharge   
• Skilled Nursing Admissions: Patients who are attributed to an ACO or other care management program who were admitted to your SNF within 24 hours of the initial hospital discharge  
• Readmissions Month: The month during which the SNF admission began, for ACO or other care management program patients 
• Average Length of Stay (ALOS): The ALOS for your patients who are attributed to an ACO or other care management program, excluding Medical Leave of Absence (MLOA) days and any SNF stay over 90 days
• Average Length of Stay Month: The month during which the SNF discharge occurred, for ACO or other care management program patients   
• Patient Referral Volume: The number of ACO or other care management program patients admitted to your SNF(s)
• Patient Referral Volume Month: The month during which the SNF admission began, for ACO or other care management program patients