Spotlights Report Enhancements

In this article:

• Spotlights Overview

• Navigating the New View

• Hospital Readmission Report

• SNF Care Collaboration

• Multi-Visit Patient Report
   

Spotlights Overview

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Spotlights allows you to manage performance metrics for your patient population in near real-time to identify trends over a 12 month period. These reports are updated every 24 hours and will include events that occurred across the Bamboo Health network your patients had while they were active on your organization's roster. 

There are 3 Spotlights reports you will see in the platform: Hospital Readmission Rate, SNF Care Collaboration, and  Multi-Visit Patient.   

1. Hospital Readmission Report: Identifies trends in hospital readmissions month over month. 
    
2. SNF Care Collaboration Report: Allows you to streamline your regular performance reviews with network partners by using shared data and reports.  
    
3. Multi-Visit Patient Report: Identify high utilizers to efficiently direct care management resources. 

Navigating the New View

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We’ve recently updated our Spotlights reports! This change makes it easier to navigate between different report views, streamlining your reporting workflows. While the layout looks different, the underlying data and functionality remain the same. See below for a walk-through on navigating the new design!

Applying Filters to Spotlights Reports:

You can refine the data shown in these reports by using the available filters, which appear either above or to the right of the dashboard visualizations. To apply a filter, follow the steps outline below:

1. Select the desired filter criteria

2. Click Apply

   • The dashboard will update to show only data that matches your selections.

   • If you click outside of a filter without selecting Apply, your changes will not be saved, and you’ll need to reselect your criteria before applying them again.

Drilling Down on Spotlights Reports:

When you select a Spotlights Report from the Reporting dropdown in Pings, you’ll be directed to the corresponding report, which opens with a high-level aggregated view of the relevant data.

To explore the data in more detail, you can navigate through the different tabs located above the report’s visualizations. Any filters applied on the dashboard’s landing page will automatically carry over across all tabs within the same Spotlights Report.

Downloading Spotlights Reports:

You can download report data as an image, PDF, PowerPoint, or Crosstab (Excel or CSV file). To do this:

1.  Select the choose a format to download option located in the bottom-right corner of your browser window.
2. We recommend using the Crosstab → CSV option when exporting data, as it provides a clean export of the values shown in the visualization without the added formatting that can appear in Excel exports.
   • The Excel Crosstab option is also available, but may make analysis more difficult.
   • The other download options will generate a download of the corresponding file type that reflects the visualization displayed in the browser (PDF, PowerPoint, Image).

Hospital Readmissions

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The goal of this report is to help reduce 30-day hospital readmissions. By tracking these metrics, health systems and ACOs can better identify opportunities to improve care and take advantage of financial incentives to manage readmissions. 

With this report you can: 

1. Identify readmission rate trends over the past 12 months 
2. Monitor Readmissions rates in real-time before receiving the penalty 
3. Perform root cause analysis on specific patients’  30-day readmissions 
4. Design initiatives based on specific patient populations driving readmissions
5. Drill down to review hospital and patient-level details

Readmissions are defined as patients who are discharged from an inpatient hospital stay and are subsequently admitted to another inpatient encounter within 30 days. The readmission rate is calculated by dividing the number of hospital readmissions by the total number of hospital discharges. Within this report you can filter by the following criteria:

• Hospital: Facility where Initial Hospital Discharge Occurred 

• Program: Program Patient was attributed to according to submitted roster 

• SNF: Name of SNF where intermediary SNF encounter occurred 

• SNF_Stay: “Yes” displays readmission rate solely for initial hospital discharges with an intermediary SNF encounter. “No” displays readmission rate solely for initial hospital discharges without an intermediary SNF encounter.  

• Diagnosis- Filter by one of the diagnoses sets defined by the CMS Readmission Measures Methodology which are AMI, CHF, COPD and Pneumonia.

SNF Care Collaboration

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The purpose of the SNF Care Collaboration report is to help drive down Post- Acute Length of Stay and Improve PAC-driven outcomes to reduce costs and readmissions.  
 

With this report you can: 

1. Meet with your SNF partners on real-time Readmissions, LOS, and referral data. 
2. Level set conversations to ensure you’re on the same page. 
3. Follow-up with SNF Partners about adverse LOS or Readmission Outcomes for specific patients. 
4. Confirm referral volume is aligned with SNFs driving desired outcomes. 
5. View how SNF readmission rates, length of stay and utilization has trended over the past 12 months.

There are 3 key reports in this dashboard that you can drill into to review SNF and patient-level details. Readmissions, SNF Average Length of Stay (ALOS), and SNF admission volume.

Readmissions report: Reflects patients who are discharged from an inpatient hospital encounter, subsequently admitted to a SNF, and within 30 days of their initial discharge, begin an additional inpatient encounter.  

SNF Average Length of Stay (ALOS): The average number of days between the start and end of SNF encounters. This analysis excludes SNF Encounters over 90 days in length and Medical Leave of Absence Days

SNF Admission Volume: The total number of SNF encounters that started in the past 12 months. On this report, the Y axis is the total SNF admissions and X axis is the month of the SNF admission.

With these reports you can filter by the following criteria:

• Program: Program patient was attributed to according to submitted roster 

• Practice: Practice patient was attributed to according to submitted roster 

• SNF: Name of SNF where intermediary SNF encounter occurred 

• Your Approved SNFs: “Yes” displays data solely for your preferred SNF network. 

• Month: Reflects the month in which the SNF encounter ended.  

Multi-Visit Patients

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The goal of the Multi-Visit Report is to help you and your team reduce unnecessary emergency department and inpatient visits by identifying patients who use the hospital most frequently. 
 

With this report you can: 

1. Stratify your highest hospital utilizers in real-time over the last 12 months 
2. Act on the triaged list of patients to understand what’s driving them to the ED and IP in real-time 
3. Provide the patient with the resources they would need to feel safe not utilizing the ED 
4. Track their ongoing outcomes by creating a high risk patient roster in Pings  
5. Drill down to review hospital and patient-level details.

You can filter this report by the following criteria:

• Hospital: Limit data to visits that occurred at the selected hospital 

• Hospital Visit Count: The number of hospital visits patients had 

• Program: Program Patient was attributed to according to submitted roster 

• Date Range: Time window during which hospital visits occurred