Skilled Nursing Facility (SNF) Dashboard
Objective is to be able to analyze SNF utilization and easily build a "scorecard" of best performing SNFs, so you may possibly direct more beneficiaries to them. Ultimately reducing cost and increasing potential for Earned Shared Savings and more importantly avoiding Losses.
Overview Video
Downloadable Resources
SNF Dashboard
To access the SNF Dashboard click on Analytics from the main menu bar and click on Analytics Dashboard under the Interactive menu.
Once you are in the Analytics Dashboard you will see a button to the right of the filters for the PAC Dashboard.
In the upper left you will be able to toggle between the PAC Dashboard and the All SNFs dashboard
SNF Dashboard Filters
The top of the SNF Dashboard contains three filters.
1. Patient Population: Currently this tool is only available for Medicare populations. This option cannot be changed.
2. Effective Period: Select the period for the patients you want to view, e.g., the active/attributed patients during that period. Effective periods apply to Accountable Care Organizations (ACOs), Primary Care First (PCF), and Direct Contracting Entity (DCE) but not commercial populations as it shows only the most recently imported membership list. Effective Period is intended to display the patients for the time period selected and the current year of data unless the date range is changed to that of a previous year.
Definitions for ACOs:
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QASSGN: A quarterly assignment file supplied from CMS. Note, this naming convention was used for Q4 2018 or prior.​​
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QALR: A quarterly assignment files supplied from CMS. Note, this naming convention started in Q1 2019 and after.
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HALR: An annual assignment file supplied from CMS. Note, this naming convention started in 2019 and after.
Definitions for DCEs:​
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Year M-Month (example: 2021 M12 is December 2021)
Definitions for PCFs:
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Q1, Q2, Q3 and Q4
3. Date Range: Select the date range for the period of time you would like to view data for.
1. Export to Excel: Use this button to download an .xlsx version of the chart.
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2. Export All Patients: Use this button to download a patient view xlsx file for all patients.
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3. SNF Name: The name of the SNF that the row of data is showing information for.
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4. Number of Patients: The number of individual patients for this SNF.
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5. Number of Episodes: The number of individual episodes at this SNF. Clicking the green button will bring you to the Patient View of the dashboard.
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6. Episode of Care Total Spend: The total amount of spend for the SNF Episode included in the row of data.
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7. Average Days Stayed: The average number of days stayed for this entry.
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8. PAC Cost Per Day: The average cost per day for the SNF Episode shown.
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9. Readmissions: The number of hospital readmission following SNF episodes that occurred within 60 days of the initial triggering SNF admission.
10. Emergency Visits: The number of emergency visits following SNF episodes that occurred within 60 days of the initial triggering SNF admission.
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11. Cost of Complications: The cost of complications that occurred within 60 days of the initial hospital admissions and following SNF episodes. The cost of complication and episode of care total spend have the potential to be the same amount in the complication code is also the primary diagnosis of the SNF episode.
SNF Dashboard Chart
SNF Patient View
This detailed view can be reached by clicking the button in the Number of Episodes column of the SNF Dashboard view.
1. Export to Excel: Use this button to download an .xlsx version of the chart.
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Static Columns: The first three columns of this view are static and do not scroll with the rest of the chart.
2. SNF Name: The SNF in which the episode took place.
3. Attending Provider: The provider the patient shown was seen by during the episode.
4. Patient Name: The name of the patient who had an episode.
5. Facility Type: Should be SNF for this dashboard.
6. Assigned Provider: The provider the patient shown is assigned to.
7. Assigned TIN: The TIN the patient shown is assigned to.
8. Patient Member ID: The MBI of the patient who had this PAC episode.
9. Patient DOB: Patients date of birth.
10. Gender: Patients gender.
11. HCC Score: The patient's HCC score.
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12. Potentially Costly: Yes/No is used to indicate if the patient is marked Potentially Costly by Health Endeavors. Potentially Costly Patients are defined as patients with a risk score in the top 30% this year or previous year, 1 or more hospitalizations in the last 12 months, 3 or more emergency department visits in the last 24 months and 3 or more chronic conditions.
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13. Primary Diagnosis: The primary diagnosis given during the SNF episode. Hovering over the ICD-10 code provides a definition of the ICD-10 code.
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14.. SNF Start Date: The start date of the SNF episode.
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15. SNF End Date: The end date of the SNF episode.
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16. Total Spend: The total amount of spend for the SNF episode.
17. Length of Stay: The length of stay for the SNF episode.
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18. Cost Per Day: The cost per day for the SNF episode.
19. Readmission Yes/No is used to indicate whether there was a hospital readmission within 60 days of the initial triggering admission following the SNF episode.
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20. Emergency Visit: Yes/No is used to indicate whether there was an emergency visit within 60 days of the triggering admission following the SNF episode.
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21. Complications: Yes/No is used to indicate whether there was a complication within 60 days of the initial triggering admission following the SNF episode. (Click here for a list of Complications)
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22. Date of Death: Patient date of death.