A New Nursing Home Playbook

Demonstration of the power of data analytics, digital forensics and Electronic Medical Record (EMR) knowledge to uncover the true events in an elder abuse case. Overview of the roadblocks typically encountered, and the jargon used to identify relevant information sources.

Dive into the world of EMR systems with the help of visual aids to explain how information is stored, displayed, and printed. Suspicious of forged entries or back-dated information? Curious about the seemingly incomplete “complete medical record” you received? Real case examples of data forgery and obfuscation will be presented.

Electronic medical records do not fully represent the experience of your client. In this session you will learn about therapy tracking software, call light software, bed motion detector software and more.

How badly was the facility understaffed, and in which areas? Solve this problem with hard evidence from employee time card software. Did you know that this software also keeps an audit log of changes made after the fact?  Visual demonstration of how experts can change thousands of unusable pages of data into an easily explained visual diagram.

Understand how facilities manipulate data to inflate their star quality rating. Specific examples will be shown using real sources of data. Demonstration of how to use case-tested discovery to prove the inflation of the star rating. 

You will learn what to expect from audit logs, what data is actually stored in the system, and how these logs can expose tampering with evidence. Going beyond print and PDF, the utility of Excel for the audit logs export is explored, and how to understand what the terms in the audit logs means in relation to your case. Screen recording and other alternative methods for capturing relevant data will be demonstrated. HIPAA/HITECH and other Federal Regulatory Requirements for audit logs will be covered as part of this strategic session.

It’s about so much more than email. Overview of Rule 34 Standards and Protocols overview, as it applies to electronic communication methods. The use of smartphones, communication apps, call pendants, and other sources of communications information as they pertain to nursing home cases. You can’t just ask the IT person how everyone communicates anymore, because employees can make their own rules.

You have the opportunity to access the information you need from this facility. How do you strategize to ensure you receive the most useful data in a usable format? This two-part session covers EMR data, staffing, MDS, PDPM, PBJ, financial reports, and audit data.

Most important facets of the “Point Click Care” software regarding discovery and analysis of electronic medical records, staffing, and the audit log.

Most important facets of the software “Matrix Care” regarding discovery and analysis of electronic medical records, staffing, and the audit log.

The in-person inspection is the most effective and successful method of capturing the data you need, rather than the data they are choosing to provide you. Proven techniques to get your inspection demand approved, how to avoid a limiting order, and expectations of what you can accomplish with the inspection will be covered.

You can’t see that because of HIPAA … and other nonsense thrown around to prevent you from accessing information helpful to your case. We will go over what to expect, and how to prevail using novel techniques. Three party agreements and Business Associates Agreements may be necessary to convince a judge or discovery referee to allow your expert access to the data. In addition, the use of motions to compel corporate representative depositions and inspections will be demonstrated with actual motions/orders.

Use the data from the facility’s own systems to build the financial picture of the facility and their true owners. The finance reports panel of the nursing home management software has many useful reports to help show the difference between their operations and minimum required staffing.