The majority of Shea’s volume is governed by a handful of contracts. The company has learned that it must have the information across the continuum—and both clinical and financial—in order to play ball.
The top outcomes measured are:

  • Five-Star data from the Centers for Medicare & Medicaid Services;
  • Return-to-hospital rates of 10 percent or lower;
  • Mortality rates;
  • Lengths of stay;
  • Number of appeals; and
  • Ability to say yes to 95 percent of admissions in 15 minutes or less.

If the company falls outside of ranges for certain metrics, there are financial penalties, including a contract becoming null and void. Otherwise, they’ll go elsewhere.

Demonstrating and measuring performance and outcomes is essential.