OutcomesExpert Enterprise

Key Benefits

• Tracks patient admissions, assessments, treatments and discharges, RUGs levels
• Point-and-click HCFA 700/701 documentation
• Functional Outcomes Measure (FOM) and discipline specific outcomes with user-defined scales
• Treatment Service Logs, Labor Logs, Case Mix reports, outcomes reports and graphs
• Analyzes referral patterns of physicians and hospitals
• Automates data collection from contract sites with computers at corporate office
• Automates distribution of reports to remote managers via e-mail
• Generates billing for Prospective Payment System (PPS), Salary Equivalency, and managed care
• Prints Profit-and-loss reports for facilities, regions, clients, and total company
• Compares outcomes between facilities, regions, total company, different date ranges

Three Components of OutcomesExpert

OutcomesExpert consists of three main components. The first is the Rehab Manager, which is used by the rehab therapists in your facilities. The second is the Central Manager, which is a turnkey system that is used to centrally manage data and personalize the entire system to your specific requirements. The third component is the Outcomes Analyst, which is used to generate reports and graphs with clinical and financial outcomes.

 
Rehab Manager

The Rehab Manager is the collection of programs that are used by the therapists in your facilities. One of our highest priorities when we designed the facility programs was to ensure that therapists could easily learn to use the programs with very little training. We are sensitive to the fact that our systems must be perceived as a benefit to therapists, and not an additional burden. We used the feedback we have received from therapists over the years to carefully consider the best balance between therapist workload and the collection of valuable outcomes data. Since this balance varies from company to company, we have created ways for you to determine which KMS features you wish to deploy.

The following are some of the functions performed by your therapists with the Rehab Manager:

• Perform Admissions into the facility, rehab program, and into specific disciplines
• Create a functional outcomes measure profile for newly admitted patients
• Create HCFA 700/701 forms (with SmartText, full integration, and spell checking)
• Word processing (with patient merge capability)
• Enter Evaluation and Treatment data (includes supplies, distribution of minutes, and CPT selection)
• Discharge patients from specific disciplines of therapy, from general rehab caseload, and facility
• Enter discharge scores for the functional outcomes measure profile
• Enter on-premises time for labor log reporting (also used for salary equivalency labor log reporting)
• Enter hours for payroll timesheet reporting including holiday, vacation, etc.
• Manage RUGS III acuity levels for billing purposes

 The following reports can be printed from the Rehab Manager:

• Graphical trend reports for discharge destinations, and admission sources
• Graphical referral frequency reports, for both internal and external referral sources
• Graphical caseload mix reports, both payor and diagnosis
• Disciplinary service log (flexible options, shows all treatment minutes for discipline)
• Interdisciplinary service log (includes patients billed with PPS rate structures and fee schedules)
• Labor log (includes salary equivalency detail, i.e. supervisor, overtime, travel, etc.)
• Labor performance (includes therapists/department productivity, minutes per treatment, etc.)
• Personal service
• Treatment reports, sorted by any combination of date, patient, therapist
• Outcomes - functional outcomes measure (many sort and group options)
• Outcomes - discipline specific (many sort and group options)
• Rehab Services Discharge Report (comprehensive reports for specific patient)
• Caseload reports
• Discharge Summary by Discipline
• Patients evaluated, but with no treatments performed
• Payroll timesheets
• Minute utilization for PPS patients (shows RUGS categories, minimum minutes, minutes used, number of disciplines participating in treatments.
• CPT Minute Utilization (analysis of time used during procedures and impact on billing)

 
Central Manager

The Central Manager is designed to be turnkey and under the full control of your company. Central Manager programs are used for several purposes; to enter data that must remain consistent for all facilities, send updated data to the facilities via modem, automatically collect patient admission and treatment data from facilities, process the collected facility data, print management reports, and personalize KMS application to meet your company's requirements.

In order to achieve a successful implementation of KMS applications, you must have a system administrator who will be actively involved in the day to day operations of the Central Manager software. Some of the responsibilities of the central operator include:

• managing facility information, including billing arrangements and rates
• keeping the therapist profiles up to date
• set personalization options in order to select features and control functions
• manage payors and their respective regions
• manage the list of supplies available to your therapists
• work with clinical management to establish outcomes scales (if used)
• schedule and execute polling (for automated data exchange with facility computers)
• print management reports and process month-end billing
• automatically send email reports to remote managers and customers

KMS will provide training for your central operator. All Central Manager programs are simple to use and are designed for Microsoft Windows. The following Central Manager applications manage data tables that are transferred to all facilities and ensure data consistency and integrity for all patient data entered by the therapists at your contract facilities:

• Admission Sources (i.e. Acute, Subacute, Board and Care, etc.)
• Discharge Destinations (i.e. Home, Transitional Living, etc.)
• Discipline Deficit Areas (used for disc. outcomes, inc. related level descriptions)
• Referral Sources to Track (i.e. "Hospital", "Physician", etc.)
• ICD-9 Codes(and related disciplines)
• Impairment Groups (general patient diagnosis)
• Internal Referral Sources (i.e. "Nursing", "Family", etc.)
• Patient Programs (i.e. "Subacute", "Outpatient", etc.)
• Payors (managed by region)
• Supplies(used during therapy treatments)
• CPT codes(typically used for Medicare B patients)
• Pay Types(identify direct and indirect pay types for payroll data entry)

Below is a list of Central Manager applications that are used to manage facilities, therapists, and their related data elements:

• Facility data, including selection of options and billing arrangements (inc. salary equiv. and PPS rates)
• Therapist data, including provider (tracks travelers, etc.), hourly rates (and billing rates if a subcontractor)
• Clients (facility operators who are your clients)
• Therapy disciplines, and selection of optional features
• Holiday management, used by financial forecasting programs
• Professional designations (categorizes therapists and their access privileges)
• Regions and areas
• Service log customization, and ability to assign different logs for specified facilities
• Therapy providers (the therapist’s employers, and whether their work is billable)
• Manage poll scheduling for fully automated and unattended polling of your facilities
• Manage expense categories for distribution of expenses to facility profit reports
• Create email user-profiles for automatic sending of reports on specified dates or days-of-week

The following are some of the reports that can be printed from the Central Manager:

• Caseload mix reports, including payor and diagnoses
• Discipline specific outcomes, by any combination of payor, general impairment, ICD-9, and provider
• Functional outcomes measure outcomes, by any combination of payor, diagnosis, and discharge destination
• Labor performance report, including average minutes per treatment, and productivity percentage, by therapist, discipline, and therapy provider
• Labor Log report
• Treatment Service Log
• Monthly Revenue Forecast
• Revenue report
• Invoices (PPS, salary equivalency, per-diem, fee for service, fee schedules, supplies used, rehab director, recurring charges, etc.)
• Profit reporting with gross margins by facility, region, and total company
• Payroll Timesheets
• Minute utilization for PPS patients (shows RUGS categories, minimum minutes, minutes used, number of disciplines participating in treatments.
• CPT Minute Utilization (analysis of time used during procedures and impact on billing)
• Accounts Receivable (process cash receipts and print aged-trial-balance reports)
• Patient Billing History (print discipline invoice totals for any patient and month)

 
Outcomes Analyst

The Outcomes Analyst enables management personnel to obtain outcomes information regarding functional improvement, length of stay and cost. Outcomes data is printed on easy-to-read color graphs and identify important trends within your contract facilities.

The Outcomes Analyst provides incredible flexibility while enabling your managers to compare outcomes between facilities, groups of facilities, regions, groups of regions, and the entire company. Also, the manager can select a particular impairment group or payor for analysis. For example, a QA manager may wish to compare outcomes for all Medicare-A stroke patients from the first half of the year to those from the second half of the year. Or, outcomes for a single facility can be compared to the rest of the region.

The Outcomes Analyst was recently updated to perform analysis for discipline specific outcomes. Now your company can demonstrate the effectiveness of your clinical programs with graphs that identify cost, length of stay, and functional improvement for specific patient deficit areas.

OutcomesExpert CMF
RehabExpert
Rehab Office
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