Clinical peak performance is vital to home health & hospice success. As Medicare continues to shift from rewarding volume to rewarding value, it’s nearly impossible to get ahead without proving value through clinical excellence. Here are three ways to achieve clinical peak performance:
First, it’s important to practice patient-centered care. The Institute of Medicine (IOM) Committee on Quality of Healthcare in America defines patient-centered care as, “care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions.” Studies have shown that patient-centered care models improve quality, increase patient and caregiver engagement, and reduce the costs.
In addition, CMS requires patient-specific documentation to support claims and reimbursement. So, this means NO MORE CLONING OR CHECK BOXES. Each patient hast to have a unique, detailed care plan that includes problems, goals, and interventions reflective of the patient’s true care journey. Peak performers know that everyone wins when documentation is patient-specific, thorough, and accurate.
Here are a few tips to make sure that happens each and every time:
- Create detailed documentation that supports eligibility for home health or hospice services. Ask yourself, does it look like it belongs to this particular patient? Or, does it look the same as other patients?
- CMS expects you to use the evidence you gather and your clinical judgment to create a care plan tailored for each patient. While it’s easier to quickly check boxes and clone narratives because, “patients with the same problems get the same treatment,” it doesn’t mean that you’re creating clinically appropriate, patient-specific care plans.
- Be concise. Provide information in a clear, easy to understand way with the right amount of detail that makes sense.
- Use available technologies to reduce administrative work that takes your focus away from patient care. HEALTHCAREfirst’s home health and hospice software solutions are designed to make everything you do easier and faster. They simplify and automate workflows and tasks, saving valuable time that can be better spent serving patients.
Overall, providing and documenting patient-centered care produces better results. Patients received customized care that truly reflects their needs, values, and choices. Additionally, the patient and/or caregivers are an integral part of the care team. They share a common focus on the patient’s best interests and goals. In fact, everyone is actively engaged, which leads to better outcomes.
Data-Driven Clinical Decisions
Current, accurate data is key to making effective decisions and clinical peak performance. It allows clinical leaders to easily monitor and analyze clinical operations. As a result, they can make more informed, proactive decisions about patient statuses, quality, caseloads, admissions, and other key metrics. Utilizing key clinical reports, and even partnering with a vendor who has specialized clinical reporting and analytics, are all beneficial to seeing the “big picture” and making educated clinical decisions.
Additionally, access to current information and best practices empowers clinicians to make critical decisions regarding patient care. HEALTHCAREfirst’s EHR software includes CAREpliance technology in its home health software and hospice software systems. Fully integrated, CAREpliance gives clinicians the most thorough, evidence-based clinical guidance available, reinforcing decisions at the point of care.
Complete, Accurate, Real-Time Documentation
It’s also important to document in real-time, at the point of care. When time passes between providing care and documentation, notes are more likely to be generic, vague, and prone to errors. According to a study published in Nursing Times, “Real-time data enables staff and organizations to work more efficiently and productively and, in turn, results in improved care for patients, who can move through the care pathway in a timely fashion.” It goes on to say that to make the best use of increasingly limited resources, point-of-care software should become a routine part of healthcare.
When you document at the time of care, it’s more accurate. Care is better coordinated and communicated across all disciplines in a timely manner. Additionally, staff have the information they need to take care of the patient, make decisions, properly code, and accurately bill. All of this rolls up to superior patient care and stronger documentation that minimizes the risk of audits or takebacks.
Drive Clinical Peak Performance with HEALTHCAREfirst
High performing agencies know that running at clinical peak performance is the foundation for overall success. HEALTHCAREfirst offers a number of solutions to help your agency reach clinical peak performance. This includes home health and hospice EHR software, Hospice CAHPS and HHCAHPS surveys, and advanced clinical and quality analytics. Contact us to learn more.
The HEALTHCAREfirst Difference
HEALTHCAREfirst gives home health and hospice agencies the solutions needed to help drive clinical peak performance and achieve excellence.