HOSPITAL SOLUTIONS


 

As hospital payments shift toward value-based and shared financial risk reimbursement such as bundled payments, they face a number of challenges including internal cost reduction, readmission management and post-acute care management. They require solutions that lead to greater cooperation between hospital administrators and physicians. Up to date actionable information and tools are necessary for patient management before admission, during the inpatient stay, during care transitions and for post-acute management during the entire episode of care. hMetrix offers an array of solutions for all of these needs.

BUNDLED PAYMENTS

Bundled payments are designed to improve care and reduce cost by aligning the incentives of hospitals, physicians, and post-acute care providers for a particular episode. hMetrix' bundled payment analytics tool helps providers monitor and track the episodes, identify variance and opportunities for improvement.

Features:

  • hMetrix has the ability to acquire and the expertise to clean the data bases that have been used to establish BPCI Model 2 and CJR payments with its BCPI/CJR Analytics tool. This information is used to validate and audit CMS's processes
  • Incorporating the hospital's data into this tool allows the hospital to understand how it currently stacks up, and identifies opportunities for improvements in managing the episode
  • This tool is used to audit costs to determine the effectiveness of the hospital's episode management process through data updates that are meaningful to all the different disciplines on the management team

SHORT-TERM ACUTE-CARE VARIANCE Explorer (SAVE)

hMetrix' SAVE is designed to assess internal hospital cost centers for multiple cost drivers ranging from room & board, and implants, to drugs and supplies. Its patented capabilities that identify internal process improvement opportunities as well as cost savings opportunities represent a new generation of innovation in the industry.

Features:

  • SAVE prioritizes the opportunities based on the potential savings that in turn helps develop an actionable strategy for improvement
  • SAVE provides meaningful and actionable reports by service line and cost centers that compare physicians and DRGs
  • SAVE has a simple yet powerful ad-hoc Explorer that permits the user to develop and refine actionable opportunities at the speed of thought

GAINSHARING

hMetrix, with its partner Applied Medical Software (AMS), provides a comprehensive gainsharing solution to engage physicians during the episode of care. The gainsharing solution offers analytics and approaches to engage your physician community with the transparency and trust necessary to achieve unparalleled synergy in the care of the patient.

Features:

  • Gainsharing is the sharing of internal cost savings between hospitals and physicians. Unlike “Shared Savings”, it is based on hospital costs not payments
  • AMS' Gainsharing solution calculates the savings pools available to be shared among the physicians who meet defined targets
  • When combined with hMetrix' SAVE, the Gainsharing solution helps hospitals devise an actionable strategy not only to help identify opportunities for improvement but also a roadmap to get physician's on-board with the help of a targeted action plan

HOME HEALTH MANAGEMENT

As hospitals identify variances and opportunities in post-acute care costs, an important strategy is a move toward managing patients during the entire length of an episode. An increased emphasis on cost-effective and outcomes driven post-acute care home care is necessary.

Features:

  • hMetrix has a care coordination and management platform that is driven by a unique set of patient assessments, pre-admission and prior to discharge
  • hMetrix' unique assessment information along with other hospital data integrated into the platform drives an automated episode-centric care plan designed to meet each patient’s needs in their home and prevent readmissions during the 90 days post discharge
  • The platform supports provider, care giver, patient and family engagement tools that include tablets for monitoring and 24/7 coverage with a nurse call button, video education, and supporting virtual video visits for clinical pharmacy management, behavioral health interventions and biometric monitoring