Executive Overview
Reimbursement Increase
$1,224,450
Acuity Capture Increase
Staffing Star Risk
High
RN weekend coverage deficit (-12h)
QM Star Risk Radar
4
Active conditions threatening Quality Measures
Uncaptured Acuity
3
Clinical documentation missing from MDS assessments
Department Alerts
MDS Team
Unresolved alerts
1
SNF Physician
Unsigned physician orders
14
Dietary
Residents flagged for review
1
Unit 2A
Open care plan items
5
Rehab / Therapy
Pending reassessments
0
Unit 1A
Fall risk care plans overdue
4
Active QM Impact Events
Unit
Condition Trigger
QM Star Impact
Route / Action
Unit 2A
Weight Loss >5%
Long-Stay Nutritional
Unit 1A
Undocumented Fall
Falls w/ Major Injury
Unit 3B
ADL Decline
Worsening Mobility
Unit 2A
O2 Missing on MDS
Revenue Leakage
AI Insights
14 orders unsigned >24h across Units 1A, 2A, 3B → at risk for care plan non-compliance.
PBJ Alert: 12 additional RN hours needed this weekend to hit 4-Star HRD threshold.
Revenue & Clinical Integrity Engine
Baseline CMI vs. Documentation-Supported CMI