Sophisticated Analysis Tools Focused on Today’s Hospital

Despite decreases in admission rates and length of stay, hospitals remain the biggest cost center for most managed care organizations. As hospitals have evolved, so too have the needs of managed care organizations for measuring and reporting on those hospitals. The Hospital software provides users with information about how hospitals in their network perform.

ProfSoft Hospital begins with fast, flexible and easy reporting of core measures. Drilling down into days/1000 and average length of stay are just the beginning. You can examine inpatient costs as part of a broader episode of care, track and analyze cost-shifting practices as well as find hospitals with high post-discharge costs.

The software includes “standard measures” like days/1000 and ER visits/1000, plus ETG-enriched measures like clinically related readmission rates.

Users can generate reports for hospital systems, individual hospitals, physician groups, employers, lines of business, disease and Diagnostic Related Groups. The software produces tables and graphs of information showing trends in a wide array of performance measures in each major hospital area, inpatient care, outpatient care, and ER care.

The result is a decision support tool that supports managers when they work with partner hospitals to provide more cost-effective care.

ProfSoft Hospital is especially well suited for calculation of case rates and analyses of cost shifting. This is truly the next generation of hospital analysis for managed care.

Highlights:

• Produces trend reports and graphs for all aspects of hospital activity.
• Identifies clinical related readmissions.
• Drill into days/1000 and average length of stay to find opportunities for improvement.
• Track cost-shifting and care-shifting practices.
• Analyze trends in outpatient surgery rates and costs.
• Build case rates that include professional, facility, pre-admit and post-discharge costs.
• Understand ER use as it relates to patient, facility, primary care provider, and diseases.