Creating a Winning Team Buzz - Kevin Keith Whitehurst SVP Skilled Nursing Solutions
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Creating a Winning Team Buzz
Kevin Keith Whitehurst
And Presenter’s Name & Date
SVP Skilled Nursing Solutions
March 14, 2019
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2017 20171
©MatrixCare
Executive Leadership
“Creating a Winning Team Buzz”
Kevin Keith Whitehurst, SVP Skilled Nursing
The webinar focuses Denise Wassenaar,
on Operational Chief Clinical
Excellence, Officer
Managing Risks and Critical success
Lee Kilmer, VP Product Management
factors for tomorrowsAmy
LongOstrem,
Term Care leaders. During the webinar, Kevin Keith will
VP SNF Solution Strategy
share insights on empowering cross-trained
Kim Broyer, staff with
VP Professional the most powerful and easiest-
Services
Louis aLenzmeier,
to-use-tools and building culture of VP Partner and
Excellence Eco Performance.
Systems MatrixCare recently
Ed Scott, Chief Revenue Officer
hosted an executive forum and Kevin Keith will also be able to share insights from over
30 CEO’s of organizations leveraging MatrixCare technology. Finally, Kevin Keith will
discuss key insights into which macro factors leaders can control, and how MatrixCare
powered providers outperform.
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2017 20172
©MatrixCare
• Introduction – About MatrixCare
• Objectives of Webinar
• How AJAS members can position for success In
PDPM
• Leadership DNA to excel in the market
• Why Technology Partnership matters even more
• US Healthcare Evolution
• The Fork in the Road for LTPAC Providers
• Adopting a Health Management Mindset for Senior Care
• Critical Success Factors for Tomorrow’s LTPAC Providers
• Tech-Enabled Operating Models to Address Workforce
Challenges
• MatrixCare Powered Providers well Prepared
• Q&A / Discussion
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20173
©MatrixCare
Kevin Keith Whitehurst has been a key player in Long-Term Post-Acute Care technology
since 1990. He is the current SVP, Skilled Nursing Solutions. Having spent the last 29
years in the industry, Kevin Keith has been fortunate to be part of an organization
providing technology solutions for every sector of Out-of-Hospital care – Skilled Nursing,
Assisted/Independent Living, Life Plan Communities, and Home Health and Hospice.
Kevin Keith has spent the majority of his career leading the Skilled Nursing technology
sector of MatrixCare focusing on value-add solutions for providers, unmatched services,
solid return on investment, and long-term partnerships.
MatrixCare is the fastest growing technology provider in the U.S., recently acquired as a
wholly owned subsidiary of ResMed. ResMed is a global leader in connected health,
solving the pain points in provider/physician/patient ecosystem. MatrixCare market share
has grown 62% in the last 2 years, while other vendors are losing market share.
MatrixCare measures their success by performance of their customers, who are leading
the way in operational excellence.
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20174
©MatrixCare
Executive Leadership
Kevin Keith Whitehurst, SVP Skilled Nursing
Denise Wassenaar, Chief Clinical Officer
Lee Kilmer, VP Product Management
Amy Ostrem, VP SNF Solution Strategy
Kim Broyer, VP Professional Services
Louis Lenzmeier, VP Partner Eco Systems
Ed Scott, Chief Revenue Officer
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20175
©MatrixCare
US Skilled Nursing Market Share Growth (Q1-2016 to Q1-2018)
Net Facilities Added (Lost) % Change
1,500 70%
1,263
62% 60%
1,000
50%
500 397 40%
30%
0
20%
MatrixCare PointClickCare All Other EHR Vendors
10%
(500)
5%
0%
(1,000) -10%
-20%
(1,500)
-27%
-30%
(1,677)
(2,000) -40%
Source: CMS MDS Submission Vendor File Dates – 02/01/2018, 02/01/2016
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20176
©MatrixCare
MatrixCare-Powered Providers Outperform
Can you afford to be worse than average when exceptional
clinical performance is the key to your future?
US Skilled Nursing US Skilled Nursing
Average Five Star Ratings by EHR % of Five Star-Rated Homes by EHR
3.45 35.00%
3.40 33.00%
3.35 31.00%
3.30 29.00%
3.25 27.00%
3.20 25.00%
3.15 23.00%
3.10 21.00%
Source: CMS File Date 1/1/2018, Average Overall Five Star Rating, % of Facilities at 5 Stars, MatrixCare Elite Package
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20177
©MatrixCare
MatrixCare-Powered Providers Outperform
Don’t be on the wrong side of narrowing networks
US Skilled Nursing
Readmission Rates by EHR
23.00%
22.50%
“MatrixCare helps us partner 22.00%
21.50%
better with external health
21.00%
care providers.”
Frank Caruso 20.50%
Bridgemark Healthcare 20.00%
Senior Director of Post-Acute Services
19.50%
19.00%
18.50%
18.00%
All EHRs AHT/CPSI PointClickCare MatrixCare
Source: CMS February 2018; Potentially Preventable 30-Day Post-Discharge Readmission Measure - MatrixCare Elite Package
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20178
©MatrixCare
Webinar Objectives
Positioning Leadership DNA
for Success to Excel in the
with PDPM Market
And Presenter’s Name & Date
Technology
Partnerships
Matter
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 20179
©MatrixCare
Lessons from Acute Care – “The First Movie”
• Not very long ago, 1000’s of hospitals
• Many attempts nationwide to scale, yet most
proved to be unsuccessful
• Today there are 171 integrated acute care delivery
systems
• They have taken all independent players and
combined them
• They are blurring the lines between payers and
providers
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201710
©MatrixCareLessons from Acute Care – “The First Movie”
Highly fragmented value chain with
~170 Regionally-Based, Fully-Integrated
100s of 1000s of independent care settings,
Acute Care Delivery Systems
Payers providers, and payers
300+
Academic
Medical Evolution
Centers
1,500+ Standalone / Local
Community
Hospitals
Chains
2,500+
Healthcare is Local Regional.
Standalone / Local
Critical Access
Hospitals
Chains
200,000+
Private
Physician
Practices
Standalone / Local
20,000+
Outpatient
Clinics Chains
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201711
©MatrixCarePost Acute Care Technology Evolution
Compliance - (2007) Efficiency (2012) Risk Management
(2017)
• Avoidance of poor • Care gap and • Fee for value,
state surveys and staffing major staffing
“if it isn’t challenges issues, PAC
documented it emerge networks,
isn’t done (or paid • Challenge of best declining lengths
for)” gives rise to of breed systems of stay driving
clinical systems drives a profitability
preference for challenges and
integrated clinical need to take on
and financial and manage risk
systems
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201712
©MatrixCareHow the Movie Ends for LTPAC
Highly fragmented value chain with X00 Regionally-Based, Fully-Integrated
100s of
10,000s of independent care settings, LTPAC Delivery Systems
Payers
providers, and payers
2,000 CCRCs
/ Life Plan
Communities Evolution
Standalone / Local Operators
15,500+
Skilled Nursing
Facilities Chains
40,000+ Senior Standalone / Local Operators
Living Facilities
Chains
3,000+ Geriatric-Focused
Private Physician Practices
20,000+ Standalone / Local Operators
Home Health /
Home Care Chains
Agencies
4,000+ Standalone / Local Operators
Hospice
Agencies
Chains
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201713
©MatrixCareA Fork in the Road for Providers
Lead Follow
And Presenter’s Name & Date
Assume and Manage Be a Commodity
Risk in Care Delivery Supplier
to Those who Lead
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201714
©MatrixCareCare Evolution evidenced by Paradigm Shift
Time Stage of Care
1965-2004 EPISODIC CARE: Multiple Episodic Care States in Fee-for-Service
(provider paid to fix a condition caused by an Episodic Incident
2004-2016 LEGISLATIVE & REGULATION CARE: following President Bush’s
Executive Order to Digitize Healthcare, other regulations (ACA, HITECH,
IMPACT ACT, 21st Century Cures Act)
2017 – 2021 PREDICTIVE CARE: Predictive Care State where alerts are built from
existing clinical data to predict a clinical incident requiring intervention.
Future 2022 PREVENTATIVE CARE: Preventative Care State where trending clinical
data over time is analyzed, incorporated into eDesision software, and
presented to the professional provider to make an intervention to prevent a
potential incident with a focus on wellness and quality of life.
“Today this Paradigm Shift is an Evolution but if you don’t get started
it will become a Revolution”
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201715
©MatrixCareU.S. HealthCare System
Patients often
Care is more Complex do not get care they need
The growing population
further stresses a
By 2030 estimated that Provider’s Viability
over half people will
have at least one Caregivers have Limited
Chronic Disease Access to Information when
they need it
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201716
©MatrixCareU.S. HealthCare Financial Crisis
National
Expenditures
Hospice ??
on Medicaid
totaled
577.7 Billion
in 2016
Medicare provided coverage to
57.1 million seniors in 2016 –
project to grow to
82 million by 2030
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201717
©MatrixCareCSFs for Tomorrow’s LTPAC Providers
Clinical, Financial & Operational Excellence are now the starting line
Having a Clear Visor Overpowering Your Peers
• Leveraging enterprise-wide business • Marketing performance and value to
intelligence to inform executive decision- sources of patient/resident flow
making • Readmission Rates
• Five-Star Ratings
• Ability to drill down to root cause of • Satisfaction Ratings
variance on KPIs, core metrics • Driving occupancy and managing patient/resident
flow
Merging Successfully • Ensuring robust, intelligent patient/resident inflow and placement
• Maintain occupancy in a declining LOS environment
• Managing transitions of care
seamlessly and successfully
• Exchanging Personal Health Data Creating the Winning Team Buzz
• Reducing litigation from botched care transitions
• Empowering cross-trained staff with the most
• Collaboratively managing health and powerful and easiest-to-use tools
wellness • Less pointing and clicking, more impactful care
• Engaging virtual care teams, empowering Seniors
to participate in their wellness management • Building a Culture of Excellence and Performance
• Winners on a winning team
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201718
©MatrixCareWhat Can We Change / Control?
Declining Reimbursements? CNA/MT/RN
Production Constraints?
Current Labor Shortage? Margin Requirements? Immigration Constraints?
Operating Models? Wage Inflation Pressures?
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201719
©MatrixCareWhich operating model is more impactful?
• Reliance on sheer size of labor
force and supply chain
• Basic training
• Rudimentary tools and tactics
• Little to no teamwork
• Limited information sharing
• Centralized authority and decision
making
• Assumption of mass casualties
• Low morale, low pay
• Virtually no career path…
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201720
©MatrixCareWhich operating model is more impactful?
• Small labor force seeking a position of
extreme prestige
• Extreme vetting during onboarding
• Constant training and development,
specialization and multi-role
• State-of-the-art technology / tools and
advanced tactics
• Team-based execution with shared goals
• Real-time information visibility and
sharing across entire team
• Delegated authority and real-time mission
support
• Zero tolerance for casualties
• High morale, relatively high pay
• Clear career path with attractive long-
term career options
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201721
©MatrixCareTech-Enabled Operating Models – Fewer Soldiers, More Impact
Arbitrary Population Coverage
• Simple ordering of activity –
sequential, alphabetical, etc.
• No correlation between need
Arbitrary and order/priority
Population • Two-dimensional (latitude,
Coverage longitude) interventions
(powered by paper,
whiteboard,
• Randomized impact to outcomes
Gen1 HIT) • No caregiver leverage / margin
impact
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201722
©MatrixCareTech-Enabled Operating Models – Fewer Soldiers, More Impact
Dynamic Population Coverage
• Need-driven ordering of
activity
• Incorporating both actual and
predicted need
• Three-dimensional (latitude,
Dynamic longitude, TIME)
Population
interventions
Coverage
(powered by MatrixCare • Direct impact to outcomes
Connected Health,
Azure Machine • Maximum caregiver leverage
Learning,
CareAssist mobile)
/ margin impact
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201723
©MatrixCare6+ Million Connected
Health Devices for
managing Chronic
Sleep and
Respiratory diseases
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201724
©MatrixCareMatrixCare Mission & Core Values
Our Mission: Leveraging technology to improve the quality of life for America’s
seniors and those who care for them
• We Deliver Superior Customer Care
– Expectations matter
• We Are Accountable
– Outcomes matter
• We Act with a Sense of Urgency
– Speed matters
• We are Winners on a Winning Team
– Respect matters
• We Revel in our Work and in our Lives
– Happiness matters
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201725
©MatrixCareMatrixCare & Microsoft
Powering the next-generation of Senior Care
Unlimited scalability, availability, security & performance
• MatrixCare provisioning from the Azure hypercloud
• Elastic cloud architecture provides the horsepower necessary to make
Deep Machine Learning and Big Data analysis available in near real-time
True Big Data analysis capabilities on a robust LTPAC data set
• Joint development/deployment of PowerBI
• Gartner Magic Quadrant BI solution
• Powering MatrixCare MyData and MatrixCare MyAnalytics
Fueling innovation to increase collaboration and efficiency
• Embedding Microsoft Teams into CareCommunity portals for secure live
collaboration amongst virtual care team members
• Embedding Azure Deep Machine Learning into MatrixCare Clinical Decision
Support to augment best-practice recommendations
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201726
©MatrixCareSummary
• LTPAC is evolving as acute care did
• There will be winners and losers
• Workforce challenges seem
insurmountable
• The Winning Team Buzz is real Q&A /
• We have limited control / ability to Discussion
change macro factors
• Tech-enabled operating models can
achieve more impact with fewer
soldiers
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201727
©MatrixCareMajor 2019 Trends
1. Success through Quality & Payment for Value Care, Optimal Care Setting (Placement)
While quality has always been important, however the As payment and quality increasingly spans care settings and
consequences to poor are dramatic. Documented quality is crosses provider organizations, it is no longer enough to provide
essential to payment and remining on the right side of narrowing good and efficient care within your scope, but to partner in ways
networks. Drill down to root cause of variance on KPIs, core that maximize care coordination and minimize the risks of care
metrics (ex: CMS QMs). transitions. Virtual teams partner with each other and the
Payors are calling the shots, even CMS is being nimble. The old patient.
reimbursement model has ended. The new payment models are
changing everything from how Medicare calculates rates, to
expansion of Medicare Advantage and Managed Medicaid, to 5. Winners and Losers: Regional, Diversified, Integrated
payment risk under value-based payment and hospital Delivery Systems
readmission penalties.
A new wave of strong and growing providers are thriving in this
2. Staffing: Closing the care gap in a competitive labor time of change. They are using their combination of local
market presence and regional scale to succeed in all the above trends;
leveraging enterprise-wide business intelligence to inform
The demand for qualified staff has never been greater. The executive decision-making. They outperform their peers on
supply has never been tighter. High turnover is a vicious cycle quality, payment, staffing and patient satisfaction. They have
that leads to increased turnover and reduced quality of care. In mastered high acuity, short length of stay and greater patient
the SNF market there is a new level of SNF oversight with PBJ turnover. They are taking on risk through payment models
reporting. (BPCI) and health plans (managed care plans and SNP)s
3. Engaged Personal Wellness: Enabling aging in place 6. IT Vendors Are Business Partners
The new senior is not the old senior. Putting the person at the Provider scale and diversity demands partners who do more
center begins and ends in their home, extends across episodes than sell products, and products that are more than a single
and encounters, includes personal goals, activities and person- niche. To thrive, healthcare providers need enterprise-class
generated data and outcomes, managing chronic conditions and information platforms that are open and support innovative third-
preventing acute events. Switching from treating sickness to parties.
advancing health is a complete change in how healthcare
providers run their business. Health has always been part of the
story, now it is the story.
4. Integrated Care: Care Coordination & Transitions of
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201728
©MatrixCareHow MatrixCare Powered Providers
arePresenter’s
And Positioned for PDPM Success
Name & Date
March 6, 2019
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201729
©MatrixCarePDPM – The Market is a Buzz!!!
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201730
©MatrixCareP D P M
MatrixCare PDPM Solution
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201731
©MatrixCareMatrixCare PDPM Solution
What is
MatrixCare
Doing about
PDPM??
6+ Million Connected
Health Devices for
managing Chronic
Sleep and
Respiratory diseases
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201732
©MatrixCareMatrixCare Approach: Core Areas of PDPM Focus
Clinical Documentation
Billing/Financial
Intake Management/ TOC MDS & ICD-10 Coding Accuracy
Areas of
PDPM focus
Education/Communication Reporting/Analytics
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201733
©MatrixCareMatrixCare PDPM Architecture –
MDS & ICD10 Coding Accuracy
Clinical
Category
Mapping Embedded
PDPM Tool Rate
PDPM RUGS
Calculator
Comparison
tool
New MDS items
PDPM
New Codes PDPM MDS Diagnosis
Data
New Rates Access
Reports
New Schedules Real Time
Functional Status Monitoring
NTA Code &
MDS Data
Clinical Categories Real Time
Documentation
Entry
Monitoring Alerts in
Section GG Revisions ICD10 Code Real Time
Accuracy
Interim
Payment
Assessment
Tools
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201734
©MatrixCareMatrixCare PDPM Architecture –
Clinical Documentation
Assessment
Schedules Template
Assessments
& Progress
PDPM Notes
Mobile
Clinical Categories & Task
Solutions for
Physician
Primary Diagnosis Management and
Tools Pharmacist
Change in Condition
Restorative Change in
Condition
PDPM Assessments Alerts
Enhanced
Discharge
Restorative
Planning
Nursing
Workflows
Mobile
Charting
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201735
©MatrixCareMatrixCare PDPM Architecture –
Reporting / Analytics
Cost
of
Care Length of
Stay
PDPM
PDPM
New Rates Readmission
Category
using Billing
Clinical Categories Rates by information
Admitting
Primary Diagnosis Hospital
MDS Reporting Access to
UB 04 data
Diagnosis Reporting
Therapy
Utilization
MyData
MyAnalytics
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201736
©MatrixCareMatrixCare PDPM Architecture –
Intake Management/Transitions of Care
Pre-
Admission
Screening
Discharge
Planning
PDPM
Admission
assessment Care CCD
Community
Post Discharge
Med
management Reconciliation
Cost of Care
Scoring and
Quailty Outcomes Connect Now
Calculation
Pre-
Admission
Assessment
tools
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201737
©MatrixCareMatrixCare PDPM Architecture –
Billing/Financial
PDPM Reports
By Payor Seamless
By Resident
integration
By Date Range
PDPM HIPPS
Scores
VPD – Variable Per Diem
HIPPS Codes
Length of
Interim Payment Complex Payor Stay
Reimbursement Calculation
Assessment Reports
New Rates
Charge Calculator
New Calculations Billing Retro
Billing, Retro MDS
Upper Payment Limit Adjustments
3 day
Calculation interrupted Stay
Provision
PDPM Payment / AIDS
patients UB Claims
Requirements
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201738
©MatrixCareP D P M
PDPM TASK FORCE SUPPORT
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Confidential
©MatrixCare 2019 201739
©MatrixCareSupport for Your PDPM Task Force
Are you Current with All the Releases – Both Clinical/Financial
Is your entire staff trained and savvy with MatrixCare
Are you working smart with Care Plan Templates
Are you leveraging MatrixCare to Reduce Hospital Readmissions
Have you implemented an Audit process to Drive Results
Have you implemented the Best workflows for Pharmacy Integration
Have you streamlined your MDS workflows
Days Sales Outstanding – are you satisfied with Collections
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201740
©MatrixCareSupport for your PDPM Task force Continued
Are you Leveraging all the Widgets?
Have you maximized the interdisciplinary communication process
Are you maximizing the use of (Observations & Events)
Are you satisfied with quality of CNA charting? Are you capturing
everything?
For multi-sites, have you standardized across facilities
Do you have a process for determining root cause analysis
Have you leveraged MatrixCare for Managed Care functionality
Presentation Name | Presenter’s Name Confidential
Confidential
©MatrixCare 2019 201741
©MatrixCareMatrixCare Conference – Sign up for Directions
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Confidential
©MatrixCare 2019 201742
©MatrixCareMatrixCare CIO Summit
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Confidential
©MatrixCare 2019 201743
©MatrixCareMatrixCare – Where to See Us
2019 AJAS Annual Conference
March 31 - April 3
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Confidential
©MatrixCare 2019 201744
©MatrixCareMatrixCare Press Releases
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Confidential
©MatrixCare 2019 201745
©MatrixCareQ&A
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Confidential
©MatrixCare 2019 201746
©MatrixCareSee you at the AJAS Conference Mar 31 – April 3
Thank You
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Confidential
©MatrixCare 2019 201747
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