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P4P Solutions
Preparing for the Future
At TCG, we assist our clients elevate their view from day-to-day operations to a 30,000 foot level – helping them stay on top of changes that could impact the future of home care delivery. Although Pay-for-Performance (P4P) has been delayed, agencies that are prepared NOW to compete effectively in quality, cost and access will succeed in the future.
With all the ambiguity around P4P implementation for the home care industry, one thing is certain – home care agencies who spend thoughtful time understanding their strengths and weaknesses and where they stand compared to their peers will be better prepared for success in a P4P environment, regardless of how the final rule is constructed. The most common standard in current P4P projections rewards providers in the top 10th percentile as compared side-by-side with their National peers (90th percentile). The latest discussions in home health would give providers in the top third of agencies (67th percentile and above) an additional payment bonus.
TCG is ready to assist you jump-start your home health care agency’s preparation plans for P4P implementation. TCG utilizes its partnership with Outcome Concept Systems (OCS) for data collection, analysis and benchmarking. The TCG Executive Performance Alert© and TCG Competitive Analysis Report© provide comparative data to identify areas of strength and weakness, and help evaluate the agency in relation to similar providers, available national benchmark information and key indicators of organizational performance. The reports allow for a rapid drill down on trends and problem areas and serve as the starting point for an action plan for improvement.
The TCG Executive Performance Alert© Key Components:
- Comprehensive summary of Quality of Care, Resource Use and Profitability Indicators
- The Standardized Outcome Index (SOI) reports indicating the agency's overall performance in managing outcomes/quality of care
- Operational summary and detail for staffing, productivity and care management
- Financial summary and detail with cost and profitability by episode, by discipline and by diagnosis
- Therapy utilization analysis
- Outcome analysis
- Additional indicators for regulatory compliance, growth and referral management
* Please note that the TCG Executive Performance Alert© is also available for hospice providers.
TCG Competitive Analysis Report© Key Components:
- Summary ranking of Home Health Compare Outcome Scores vs. competitor organizations
- Served zip code analysis
- Costs per visit by discipline benchmarks – competitor, hospital-based and free-standing
- Visit utilization detail per episode
- Average net income comparison
TCG will present its evaluation to key agency representative(s) in a conference call using gotomeeting.com. The presentation will take the form of a dialogue to understand the analysis, clarify information presented, and form a consensus around organizational priorities and next steps for a focused action plan.
To learn how TCG can help your agency prepare for P4P implementation and the future, contact us today.