Operations

Customized Consulting to Improve Your Operational Performance

Changes in the landscape of home health require providers to transform their care delivery to meet new consumer demands and industry initiatives. The transformation places a greater importance on assessing current operations, in order to identify strengths and opportunities for your organization’s future direction.

The expert consultants at Pathway Health can assist you in operating in a cost-effective and efficient manner by integrating strategies to contain costs, ensuring positive client outcomes with excellent care and service delivery, and taking advantage of emerging opportunities in the marketplace.

Achieve Your Fullest Potential

We assist home health providers with achieving their goals in a number of ways, by working across the organization or within specific areas of performance. Our team is dedicated to providing insight into home health quality initiatives, key financial and operational performance metrics, risk mitigation, and clear vision for long-term viability.

  • Comprehensive or focused operations assessment
  • Labor and work flow analysis
  • Organization service delivery redesign
  • Referral management
  • Strategic planning and partnership positioning
  • Specialty program development or enhancement
  • Quality data benchmarking and utilization
  • Medical record and documentation review
  • Health informatics management services
  • Care transitions (ACO, safe transfer, advanced care planning)
  • Hospital readmission reduction

Home Health Operations Assessment and Analysis

Pathway Health’s team of experts has the knowledge and experience to assist home health providers in identifying areas of opportunity, and recommending transformative actions to improve operations and financial performance.

  • Assessment of administrative and clinical processes
  • Audit of clinical records, both active and discharged
  • Review of patient eligibility and physician documentation, to support eligibility for Medicare
  • Assessment of compliance with face-to-face (F2F) documentation requirements
  • Analysis of systems:
    • Case-mix weight trends
    • Productivity statistics
    • Visit utilization patterns
    • Average cost per visit and other benchmark reporting
    • Census statistics: marketing strategies, current demographics and service delivery
    • Therapy utilization and sample documentation
    • Operational systems, including ‘back office’ productivity and automation
    • Clinical systems and workflows, focused on improvement to quality
  • Review of Outcome and Assessment Information Set (OASIS) coding and completion practices
  • Audit of sample patient records for OASIS accuracy and outcome measures, to demonstrate reasonable and necessary care, length of service data, percentage of patients who are re-certified, and average case-mix trends and HHRG scores
  • Contract review and development
  • Personnel record review, including productivity statistics, staffing profiles, visit utilization patterns and pay structures
  • Evaluation of home health documentation system and tools
  • Review of administrative infrastructure, including governing body, billing, and policies and procedures
  • Development and design of after-hours (on-call) care program
  • Support with Annual Program evaluation

Let Pathway Health guide you through the changing home health environment. Contact us today!