Data That's Timely and Insightful From PointClickCare

Why It Matters

Real‑time, shared data empowers acute and post‑acute providers to act collaboratively, reducing readmissions and supporting value‑based reimbursement models, which translates into higher quality care and lower overall healthcare costs.

Key Takeaways

• Real‑time data transforms post‑acute care from reactive to proactive.
• Shared metrics align acute and post‑acute teams, reducing readmissions.
• Predictive return‑to‑hospital scores enable early risk identification for patients.
• Collaboration hinges on transparent, bidirectional information exchange across providers.
• AI‑driven insights streamline workflows and improve care coordination.

Summary

In this Healthcare IT interview, PointClickCare’s Director of Product Management Schweda Shambog discusses how timely, actionable data is reshaping post‑acute care. She explains the company’s evolution from a skilled‑nursing‑focused EHR to a platform that bridges acute and post‑acute settings, emphasizing the need for real‑time information to move from reactive oversight to proactive care management. Key insights include the critical role of visibility across the care continuum, the shift toward shared accountability among providers, payers, and risk‑bearing entities, and the importance of metrics that capture the entire episode of care rather than lagging outcomes. Shambog highlights that one‑in‑five Medicare acute stays lead to a skilled‑nursing facility visit, underscoring the strategic leverage of post‑acute services in value‑based models. Notable examples feature her “rear‑view‑mirror” analogy for outdated data flows, the introduction of a predictive return‑to‑hospital score powered by AI, and the “quarterback” metaphor describing coordinated team effort. These illustrate how PointClickCare’s real‑time alerts and shared insights enable teams to prioritize high‑risk patients and align on a concise set of performance metrics. The implications are clear: organizations that adopt real‑time, bidirectional data exchange can reduce readmissions, improve transition quality, and meet value‑based care goals. AI‑driven predictive tools further streamline workflows, allowing clinicians to intervene earlier and allocate resources efficiently, ultimately delivering better patient outcomes and lower costs.

Original Description

Avoiding readmissions after acute care is just one manifestation of the move to value-based care, according to Shweta Shanbhag, Director Product Management at PointClickCare in a recent interview with Healthcare IT Today. She points out at least one out of every five Medicare acute stays results in admittance to a skilled nursing facility. It's important across the board for different teams to work together.

She recommends that the various providers who are partnering in value-based care agree on a small set of shared metrics. These feed into shared goals of reducing readmissions and improving care.

Learn more about PointClickCare: https://pointclickcare.com/

Healthcare IT Community: https://www.healthcareittoday.com/