NxtCare
Streamline Patient Discharges and Boost Provider Accountability
NxtCare revolutionizes healthcare by seamlessly integrating advanced analytics with operational expertise. Our comprehensive solution transforms acute and post-acute care discharges, harmonizing processes and referral networks to increase efficiency and enhance patient outcomes.
NxtCare: A Managed SaaS Solution
NxtCare leverages analytics from discharge systems and post-acute providers to produce quantifiable solutions. Our services and analytics seamlessly integrate into your workflows. We partner with your healthcare teams and performance providers as an extension of your health system.
Healthcare Challenges
Fragmented Discharge Processes
Lack of coordination leads to poor transitions.
Inefficient Referral Management
Delays in patient care due to communication gaps.
Poor Provider Performance
Inconsistent quality across healthcare networks impacts outcomes.
Misaligned Analytics
Insufficient data utilization hinders decision-making processes.
NxtCare Solutions Overview
“Clinical and Financial Success Starts at Patient Discharge, Thrives in Care Transition, and Peaks with Provider Accountability”
Provider Network Development and Oversight
Identify top Performance Providers through a proprietary claims-based index to create a high-quality network. Build, maintain and manage provider networks to the benchmarked standards of the health system.
Discharge and Referral Optimization
Enhance discharge software and workflows by aligning communication and acceptance criteria to Performance Providers Networks. We reconcile discharge criteria with provider acceptance data to benchmark success.
Discharge and Referral Logistics
Build comprehensive referral packages and streamline patient care through "Patient Care Match" - a system that matches referral logistics such as geography, care complexity, capacity constraints and payer preference.
Population Health AI and Analytics
Historical claims-based data and real time analytics are benchmarked against discharge metrics and clinical outcomes metrics. This allows for ongoing reconciliation that supports monthly governance.
NxtCare Products and Services
NxtBase
Identifies top-performing post-acute care providers with our proprietary claims-based index to create a high-performance network with quarterly metric dashboards.
NxtPro
Builds and integrates the Performance Provider network while optimizing discharge management and referral workflows for aligning software seamlessly with the network.
NxtLive
Integrates NxtBase and NxtPro features with real-time data to provide daily and weekly oversight, ensuring efficient transfers, continuous care, and effective operational management
NxtSource
Complete outsourcing services to expertly handle every aspect of the discharge and referral process, ensuring seamless integration with the Performance Provider network.
NXTAnalytics: Proprietary Indices
1
Historical Claims Performance Provider Index
Identifies top-performing post-acute care providers using objective data.
2
Real-Time Discharge and Acceptance Reconciliation Index
Tracks provider performance in real-time against discharge expectations.
3
Live Value-Based Metrics Reconciliation Index
Aligns provider care outcomes with health system risk-sharing metrics.
4
Volume Concentration Index
Measures home health volume in relation to providers and correlates to hospital profits.
5
Provider Network Capacity Index
Tracks available resources and capacity of home health and SNF providers.
6
Post-Acute Care Optimization Index
Analyzes and measures the efficiency of transitions from acute care to post-acute care settings.
Industries Serviced
- Hospitals
- Accountable Care Organizations
- Ambulatory Clinics
- Major Health Insurers (e.g., United, Aetna, Humana)
- Medicare Advantage Entities
- Discharge Software Companies
- Post Acute Care Providers (Home Health, SNF and Hospice)
- Pharmacy Infusion
Value Creation
Shortened Length of Stays
Efficient discharge processes contribute to shorter hospital stays and better resource utilization.
Reduced Readmissions
NxtCare's approach aims to reduce hospital readmissions through comprehensive care coordination.
Increased Clinical and Financial Outcomes
Improved patient outcomes lead to lower rates of emergency room visits, enhancing overall healthcare efficiency.
Increased Satisfaction
Driving strong efficiency for case management with better results increases clinician satisfaction. Enhanced care coordination and better outcomes directly impact patient satisfaction, leading to a positive healthcare experience for everyone involved.
Proven Outcomes
The NxtCare model is designed to optimize discharge processes and enhance performance provider accountability. We conduct a thorough analysis of each health system's workflows and software systems, identifying opportunities to streamline operations and improve efficiency. The NxtCare Proprietary Provider Index (NPPI) is a powerful tool for evaluating Home Health Performance Providers. Leveraging CMS historical claims data, the NPPI assesses providers on service capabilities, quality of care, and staffing levels. This comprehensive evaluation results in a tiered categorization of providers, with Tier 1 representing the highest level of performance. To further refine discharge software systems, we develop detailed patient snapshots that incorporate demographic information and care complexity, ensuring alignment with patient discharge criteria and provider acceptance criteria. A comprehensive review of claims-based data on key clients who implemented the NxtCare solution revealed substantial improvement in financial and clinical outcomes. Annual Reduction Inpatient Length of Stay 0.8 Annual Inpatient Days Saved: 2,800 Days Annual Reduction in 30-Day Readmissions: 0.8% The CMS historical claims data captured above is from 6 hospitals from 2022 and 2023 CMS.
Leveraging 20+ Years of Post-Acute Care Expertise
With over twenty years of experience in home health and skilled nursing facility operations, our seasoned team has a profound understanding of patient care complexities. Our extensive experience within the post-acute care networks of leading university hospitals has equipped us with invaluable data-driven insights. These insights are the foundation of our proven solutions, which consistently yield strong financial and clinical results, ensuring a quantifiable return on investment supported by claims-based and real-time data.
Meet the Team
Bob Mikulak
Chief Executive Officer
Bob is a healthcare leader with over 20 years of experience improving patient outcomes. He is passionate about combining technology with operations to improve patient care. Bob understands the challenges faced by hospitals and post-acute care providers. He believes every day presents an opportunity to make a difference in people's lives.
Pete Hayward
Chief Technology Officer
Pete brings over two decades of experience in data analytics and innovative healthcare technology solutions to NxtCare. Prior to joining NxtCare, he held leadership positions at several leading healthcare technology companies, where he developed and implemented cutting-edge solutions to enhance patient care and improve operational efficiency.
David Lersch
Chief Operating Officer
David ensures the smooth execution of our solutions. He has over 10 years of experience in discharge management, patient portal operations, and transitional care operations. David is a skilled operations executive with a deep understanding of the complexities of healthcare transitions and a commitment to delivering exceptional patient care.
About Us
Mission and Vision:
- Vision: Change Lives by transforming healthcare through analytics, AI, and human ingenuity for optimized discharge and provider accountability.
- Mission: Revolutionize discharge processes to enhance patient transitions, optimize logistics, and ensure provider accountability for improved outcomes.
Our Core Values
Innovation We drive innovation to enhance patient care. Collaboration We partner with healthcare providers for exceptional outcomes. Accountability We hold ourselves accountable for delivering results. Compassion We treat every patient with respect and empathy. Transparency We communicate openly and honestly. Excellence We strive for the highest quality solutions. Data-Driven Trust We leverage data to build trust.
Differentiators:
Our distinct focus on the complexities of home health and skilled nursing facilities, combined with advanced operational analytics, distinguishes us. We blend operational expertise with benchmarked performance measures to effectively address and solve issues. NxtCare seamlessly integrates with client workflows, acting as an extension of your healthcare team. Discover how our solutions can enhance your discharge management processes
Contact Us
We are excited to hear from you! We are available to discuss your discharge management needs, explore potential solutions, or answer any questions you may have about our services.
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