Your VBC Metrics Depend on SNF Partners You Can’t See
Your SNF partners drive a big share of your readmission rate and post-acute cost, but you have no standardized way to see which ones are performing.
Hidden SNF Performance Endangers Your Value-Based Care Metrics
CMS’s TEAM model extends readmission accountability more than ever before, tying reimbursement to full 30-day outcomes for surgical patients. Yet once a patient leaves for a SNF, performance is invisible. Without real-time data, you can’t tell high performers from low ones or hold partners accountable. PAC Management IQ replaces phone tag and anecdote with live SNF performance data.
Four Reasons Your SNF Network Runs on Guesswork
Hidden Performance Swings
Readmissions, length of stay, and quality vary widely by SNF, with no standard way to compare partners.
No Real-Time Comparison
Without standardized, real-time data, hospitals can’t tell which SNF partners deliver better outcomes.
QBRs Run on Guesswork
Partner reviews rely on phone calls and impressions instead of measurable, agreed-upon performance metrics.
20% of Cost, No Control
Post-acute care is roughly 20% of total cost of care, the area where hospitals have the least performance visibility.
“Post-acute care is twenty percent of our total cost of care. PAC Management IQ gives us the visibility to make sure our patients are getting the right care, at the right place, for the right amount of time.”
Daleasha Hall
System Director for Value-Based Care, PeaceHealth
~30%
Reduction in readmissions
2%
Nationally—top all-cause readmission performance
How PAC Management IQ Puts Your Full SNF Network Performance in View
PAC Management IQ gives you real-time, standardized SNF performance data to compare partners on cost, length of stay, readmissions, and quality, meet TEAM’s accountability standard, and guide patients to top performers.
Additional Solutions for Network Management
Transitions IQ
Transitions IQ gives hospital care teams real-time visibility into when and where attributed patients are admitted across 2,800+ hospitals and 3,600+ clinics. Catching an acute encounter as it happens lets care managers intervene in the post-discharge window and actively guide patients toward preferred SNF partners—catching network leakage before it shows up in your next QBR.
Product Capabilities:
Real-time ADT alerts across 2,800+ hospitals and 3,600+ clinics reveal where patients go after discharge—including whether they’re going to your preferred SNF partners.
AI-powered readmission risk scoring, trained on 18.3M+ encounters, that updates dynamically.
Network leakage detection in real time—identify when patients move to non-preferred facilities and act before the stay is complete.
TEAM-aligned discharge decisions—real-time SNF data shows if a patient can safely avoid admission.
Emergency Department IQ
Emergency Department IQ gives your ED instant access to a patient’s SNF Stay Summary and AI-powered Reason for Transfer the moment a network SNF resident arrives—surfacing recent medications, diagnoses, and the clinical events behind the transfer. With full context, ED teams can confidently admit patients who need it and safely return those who don’t, avoiding unnecessary admissions and the readmission penalties that come with them.
Product Capabilities:
SNF Stay Summary delivers facility, care team, diagnosis, and meds the instant a network SNF resident arrives.
Reason for Transfer AI Model summarizes the 24 hours before transfer using NLP on SNF clinical notes.
Confidently admit patients who need it, and safely return those who don’t—cutting unnecessary admissions.
Full clinical context reduces ED length of stay and duplicate testing for patients arriving from network SNFs.
What PointClickCare customers say
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Expanded preferred SNF partner network using real-time readmission and length-of-stay data
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Expanded preferred SNF partner network using real-time readmission and length-of-stay data
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