June 29, 2020

Scot Rifkin

Scott Rifkin is a Health Care Executive, Physician and a graduate of the University of Maryland Baltimore County (UMBC) and George Washington University School of Medicine.

With over 30 years of experience in the practice of internal medicine and clinical healthcare management, he has become a renowned professional in the healthcare field. He is certified in Internal Medicine and practices medicine in Maryland for 20 years. Besides, he was once the emergency medical director to various SNFs who sought assistance in different issues related to the quality of care and also founded AmericasDoctor.com, which was later sold to Essential Group Inc.

Scott runs various healthcare institution which aims at improving the health of vulnerable seniors in nursing facilities. Scott leads a team of dedicated and compassionate staff with a similar goal of doing good to the society. He is also a member of the Board of Directors for the University of Maryland Medical System that comprises ten hospitals. In 2017, he was named the Ernst and Young Entrepreneur of the year in the Mid-Atlantic Region. He was also named a UMBC Outstanding Alumnus of the year in 1995.

Scott Rifkin is a renowned healthcare entrepreneur and innovator with over 25 years of experience as a health executive and physician. He has founded several companies and served as the chairman of Provider Partners Health care. He is also the founder and managing partner of Mid-Atlantic Health Care, which aims at providing post-acute care to senior adults in a nurse home chain within the region.

Scot is also the founder and CEO of Mid-Atlantic Health Care LLC. Scott Rifkin oversees the operations of the Mid-Atlantic Care’s 21 skills nursing facilities. Under the leadership of Scott Rifkin, Mid-Atlantic has entered into various partnerships with hospitals and skills healthcare professionals to improve patient health outcomes and public health. These partnerships include the development of innovative strategies to reduce unnecessary and unavoidable hospitalization and return patients to home care whenever possible.

Mid-Atlantic Health Care LLC is also a renowned publisher of JMore, a magazine for the Jewish community residing in Howards and Baltimore. The magazine is a product of Maryland Jewish Media that was founded by Rifkin. The multimedia company provides monthly magazine, a website names jmoreliving.com and social media platforms that serve the Jewish community in the two regions. JMore has a full-time staff that comprises of nine and 20 freelance writers and reporters. Mid-Atlantic Health Care LLC also owns 21 skills nursing and rehabilitation facilities within Maryland and Pennsylvania, both overseen by Scott Rifkin.

Scot Rifkin has founded three new startups since founding Mid-Atlantic Health Care in 2003. These startups are tied to Mid-Atlantic Health care and include National Post-Acute Healthcare, Five Star Physician Services, and Real-Time Medical Systems. The National Post-Acute Healthcare managers bundled payment programs as in an authorized convener of the Center for Medicare and Medicare Innovation’s Model 3 Bundled Payments for Care Improvement Programs. The organization develops and manages post-acute SNF networks for various hospital systems. The next company is the Five Star Physician Services that has employed over 50 healthcare providers who offer services to various skilled nursing facilities. The last organization is Real-Time Medical Systems, which develops a predictive analysis and decision support tools that assist in developing better data-driven, analytical insights to decision-makers and health care providers. The organization ensures better care and financial gain for skilled nursing facilities.

Scott Rifkin innovated the Real-Time Medical System that offers an intuitive and convenient platform for healthcare institutions, including insurers, hospitals, and skills nursing facilities that use the platform to reduce patient hospitalization. The system uses daily data provided by EMR to identify and address critical interventional moments that enhance the prevention of health problems. Organizations and institutions that use the Real-Time Medical System have witnessed a reduction of patient admission to acute care by approximately 20% to 50%.

As outlined earlier, Scott is the chairman of Provider Partners Health Plan, which offers Medicare insurance for skilled nursing patients. PPHP issue rewards to healthcare providers who provide quality and better care to patients without compromising on revenue generation. Since quality care results in low use of healthcare services and lower costs for hospitals, operators who participate make considerable improvement in the care, they provide to patients. Besides, PPHP develops and operates Advantage plans referred to as Institutional Special Needs Plans (ISNPs) in Maryland and PA as well as Fiver Star Physician Services LLC that recruits high-quality medical providers for post-acute and long-term care facilities.

Dr. Scott Rifkin also founded AmericaDoctor.com Inc., an online health information platform that operates an interactive internet healthcare information destination for consumers. The company provides its consumers with free, real-time interaction with various healthcare professionals.As a unique pharmaceutical service company, the organization combines and integrates prominent physicians, researchers, strategic marketing and consumer outreach capabilities, distinguished hospitals and excellent internet resources to assist the pharmaceutical industry through the process of product development, positioning, and promotion. The company has since filed a registration statement with the Securities and Exchange Commission for an IPO seeking to raise approximately $60 million. The lead underwriter for the IPO offering is Warburg Dillion.

Scot considers his position as a managing partner of Mid-Atlantic Healthcare as personal. He and his family still reside within the neighborhood that surrounds the North Oaks retirement community.

June 22, 2020

Real Time identifies, analyzes signs of infectious disease in nursing homes

Analytics company Real Time Medical Systems can now provide infectious disease surveillance of nursing facilities for government and industry clients. This new service uses built-in links to extract data directly from electronic health records in use by over 95% of U.S. nursing homes.

Real Time identifies infectious disease warning signs including increased temperature, high respiratory rate, cough and shortness of breath. Ensuring individual patient data is protected, the company then provides facility-level data to government and industry clients to detect potential outbreaks in their nursing facility communities.

“This is the industry’s first surveillance program that can analyze data and can reach virtually every nursing facility in real-time,” says Scott Rifkin, M.D., founder and executive chairman. “This information identifies the hotspots of potential infectious outbreaks several days before they would normally be seen. We are currently in discussions with government and health industry organizations.”

The company announced its first surveillance client contract Tuesday. Montgomery County, PA, a Philadelphia suburb, will be using the service to monitor nursing facilities that volunteer to share their data.

Real Time already serves more than 1,000 nursing centers in 42 states using real-time data to provide interventional analytics. Using the system to report surveillance findings is an alternative to staff reports and conference calls to share information between locations.

“The Real Time Infection Surveillance program will reduce this operations function so that caregivers can spend more time with the right patients, with the right response,” said El Harris, chief marketing and sales officer. “It is the intention of Real Time’s Infection Surveillance service to identify both individuals that may be infected, as well as to identify potential ‘hotspots’ where possibly multiple residents are infected. … Our program will help all involved parties detect possible infections earlier so that they can hopefully reduce the spread that much faster to both their residents and staff.

Originally Published on McKnight’s by Kimberly Marselas on April 15th, 2020

June 21, 2020

Coronavirus Latest: Baltimore County Doctor Fronts Nursing Homes $240K To Buy Personal Protective Equipment

The coronavirus pandemic has forced some organizations to take on roles they’ve never done before, but businesses aren’t the only ones stepping up to the plate.

When a group of nursing homes needed money to secure personnel protective equipment, a private citizen stepped up to help.

While hundreds of parking spaces sat empty in a Columbia business complex, one office was very busy.

“Our members need it desperately,” Kevin Hefner, of LifeSpan Network, said.

Cars loaded up on PPE gear that could save hundreds of lives.

“Nursing homes without masks or without gowns… without gloves, it’s a non-starter,” Hefner said.

LifeSpan is a network of about 300 senior living facilities in Maryland and Washington, D.C. Some have been hit hard with nearly half of the COVID-19 deaths in the state occurring at nursing homes and long-term care facilities.

When the network received nearly 200,000 masks this week, there was relief.

Finding the PPE was one thing, but coming up with the money on short notice was another, so Baltimore County Dr. Scott Rifkin fronted about $240,000.

“If you can get equipment into those buildings, you protect the patients,” Rifkin said. “In those buildings, you protect the staff in those buildings and you protect the community.”

An Owings Mills marketing company shifted its mission and located the large stockpile.

“We are working around the clock nationwide,” Scott Stein, of Strategic Factory, said. “We received an order in just yesterday from Hawaii. Everybody needs PPE, it’s a global issue.”

One shipment down and more to come.

“You can’t expect staff to come to work every day, put their lives in danger and not get the equipment,” Rifkin said.

Originally published on CBS Baltimore by Ava-Joye Burnett on May 1, 2020

June 21, 2020

COVID-19 moves in silence through nursing homes across the U.S.

When the first case of COVID-19 was reported in Washington state, it didn’t take long for the virus to appear in a senior care facility.

As a result, Life Care Center of Kirkland, Washington became the country’s first hotspot for COVID-19 and has since killed at least 35 people. The facility now faces a fine of more than $600,000 and could lose federal funding because of its negligence.

In the month and a half since the outbreak in Kirkland, similar tragedies have occurred in senior care facilities across the U.S.

During her show that aired on April 8, MSNBC host, Rachel Maddow shared the experience of a nursing home where she grew up in Hayward, California. Of the 35 residents who tested positive for COVID-19 in the facility, six had died and many staff members were now testing positive too.

She reckoned looking at the local press from anywhere in the country would yield a similar story

“You will find at least one local story about a congregate living facility, particularly for disabled or elderly Americans, where they’ve got cases, where they’ve got deaths, where the staff is testing positive and they’ve got profound worries and they don’t know what they’re going to do,” she said.

Maddow pointed to local news because that’s where the hard data lies, not with the government.

So far, the federal government has not published figures on nursing home COVID-19 infections and state and local governments are a mixed bag.

Some are publishing data, but not enough to get a complete picture and others are refusing altogether.

According to some available stats gathered from states by The Guardian, at least one in five of the approximately 15,000 residential care facilities in the U.S. has been hit by COVID-19.

“However, health specialists warn that it is certainly an undercount,” wrote journalist Chris McGreal

Pennsylvania’s situation

Take Pennsylvania for example. Much of the state’s data on nursing home infections has been released by its counties and municipalities with varying levels of transparency

The most overall cases of COVID-19 are in Philadelphia. As of April 15, the city had 7,441 cases and 222 deaths. One hundred eleven of those deaths or 50% were residents of long-term care facilities.

In surrounding counties like Bucks, Delaware and Chester counties, COVID-19 data in nursing homes is not being released, but Bucks did confirm 30 cases in “congregated living facilities” and Chester said there were ten cases, including nine residents and one staff member, at a local nursing home.

Across the state, in Beaver county, a dire situation is also playing out at a senior care facility, where all 450 residents and 300 staff members are now presumed to have COVID-19 after an outbreak.

After consulting PA’s Health Department, Brighton Rehab stopped counting its cases, rather assuming everyone in the facility is positive.

“Thinking about the virus in this way allows us to be more protective of asymptomatic staff and residents,” the center said in a press release.

The state’s process on reporting outbreaks in nursing homes could also be playing a part in them becoming hotbeds.

It requires homes to report cases to state and local health authorities, but provides no official mechanism to report clusters of symptoms. Testing availability is getting better, but results still take three to five days to report.

“By five days, you went from two cases in a nursing home to everybody,” Scott Rifkin, founder and executive chairman of Real Time Medical Systems, told The Philadelphia Inquirer.

Rifkin’s company is partnering with Montgomery County — one of the only counties providing COVID-19 data for its senior care facilities — to enhance its ability to track the virus in its nursing homes.

Real Time will provide around-the-clock monitoring of COVID-19 symptoms. With them being reported, officials hope to be able to identify and deal with clusters much faster than before.

As of April 14, 364 residents and 223 staff members in Montgomery County’s 75 state-licensed facilities have been infected with coronavirus. Sixty-seven residents have died, making up 67% of the county’s total deaths.

Why nursing homes?

But as the data on nursing homes becomes more available, it still remains to be answered why they have become hotspots all over the U.S. for COVID-19.

For one, as McGreal wrote in his piece for The Guardian, “the industry is already notorious for creaming profits off while pleading poverty in order to pay a low-wage workforce.”

Because of its unlivable pay, many workers in the industry hold second or third jobs to pay the bills. That travel between different jobs is a contributing factor that not only transmits coronavirus outside of the long-term care facility, but also brings it in to spread like wildfire.

Beyond the workforce, that push for profit also inevitably affects the quality of life led by the residents.

In the case of Brighton Rehab in Beaver county, PA, both the family of a now-deceased resident and employee told the Pittsburgh Post-Gazette of the facility’s unsanitary conditions and lack of staff given the amount of residents.

“That place is terrible,” the employee said.

When coronavirus finishes its course through the U.S., Life Care Center in Kirkland, Washington likely won’t be alone with its $600,000 lawsuit. Its whole industry could be on the hook for the loss of life.

Originally Published on Al Dia News by Nigel Thompson on April 15, 2020

June 20, 2020

Investing in Skilled Nursing Tech Isn’t Worth Much Without Employee, Leadership Acceptance

Data continues to be the watchword in a skilled nursing marketplace where hospitals and other referral partners demand increasingly concrete information about post-acute outcomes.

In response, numerous tech companies have stepped into the fray to provide potential solutions — from data analytics tools that can identify serious health issues before they escalate to a hospitalization, to tracking software that alerts SNFs when one of their former residents shows up at a hospital.

But all of this flashy new technology doesn’t mean much if the frontline employees at a SNF don’t actually use it. For Scott Rifkin, founder and executive chairman of skilled nursing tech provider Real Time Medical Systems, this concept usually takes the form of an admonition from the operators to which he pitches his product.

“If you create more work for my staff, I’ll kill you,” Rifkin said, paraphrasing skeptical providers during a panel discussion at Zimmet Healthcare Services Group’s annual conference in Atlantic City, N.J. earlier this month.

Rifkin’s platform has seen rapid expansion in the last few months, with Real Time scoring a $10 million funding round in March and inking a deal to bring its platform to all of Creative Solutions in Healthcare’s more than 70 facilities in Texas earlier this month.

Real Time works by seeking to identify patterns in residents’ medical records and then using the information to intervene with treatments within the SNF — instead of waiting until the patient’s condition worsens to the point that a hospital transfer is necessary. So far, Rifkin — who developed the program during his time as a skilled nursing facility owner and operator — says the program has helped participating properties cut hospital readmissions by 40% to 50%, with 60,000 residents covered as of this past spring.

“If you create work for nursing staff, it’s not going to work. They’re not going to be able to do it,” Rifkin told SNN at the time of the $10 million funding round. “We understood that workflow. We built it for our own facilities.”

Reducing readmissions has long been a goal of tech providers; with the SNF Value-Based Purchasing (VBP) program penalizing operators for failing to reduce hospital admissions, and referral partners putting increasing pressure on SNFs to keep residents out of the hospital, the stat has proven to be a fruitful target for software innovation. But as the Patient-Driven Patient Model (PDPM) looms, there has been increasing focus on securing proper reimbursements under the new payment structure.

To that end, consulting firm Zimmet has positioned its new product, CORE Analytics, as a way to prevent missed PDPM reimbursement opportunities. Vincent Fedele, CORE’s chief operating officer, said the software has already located about $300 in lost payments per claim when used to analyze current data through a PDPM lens.

“A product that found a PDPM mistake could pay for it for the whole year,” Fedele said.

For Barry Munk, chief operating officer of the Brick, N.J.-based operator Marquis Health Services, ensuring that any tech solutions fit seamlessly into his buildings’ workflows is essential when he considers rolling out a new program.

While many technology and data providers throw around gaudy return-on-investment numbers when trying to pitch operators, Munk said he tends to view those figures as ephemeral; given the complex matrix of factors that go into a SNF’s bottom line, it can be incredibly difficult to pinpoint exactly how many dollars a given tech product saved.

“We like when the team embraces it and uses it,” Munk said. “And if there’s a software where we’re not really sure what the ROI is, but the team is using it, we’re going to keep it.”

That said, SNFs haven’t always had a choice when it comes to adopting data. Some hospital systems and referral partners, according to PointRight president and CEO Steve Scott, essentially have required skilled nursing operators to invest in data platforms in order to secure a spot in their preferred networks.

“They felt that since they were sending the referrals, that the operator should pay for that,” Scott said.

That isn’t necessarily a dealbreaker for operators, especially if the relationship with the referral partner is fruitful.

“You sign up with them, you’re in; you don’t sign up with them, you’re not in,” Munk said. “For us, it’s a price tag of being in a preferred network.”

Either way, the tide seems to be turning, with Scott — whose company offers a range of analytics services targeted at post-acute providers — noting that more and more acute networks and accountable care organizations (ACOs) are beginning to pick up the tab for rolling out tech platforms.

“We’re seeing more systems and ACOs and health plans now that are looking to provide that service as a value-add,” Scott said.

But no matter who eventually pays for the service, Munk emphasized that employee buy-in is the deciding factor in whether or not he elects to use a given program in his buildings.

“I must see utilization, with the team adopting it,” he said. “Scott promises a reduction in readmission rates; I think Scott agrees that it will only work if the team is using it.”

Originally Published on Skilled Nursing News by Alex Spanko, on 25th August, 2019

June 20, 2020

Nationwide COVID-19 Surveillance for Nursing Homes

BALTIMORE, June 18, 2020 /PRNewswire/ — Real Time Medical Systems, the industry-leading interventional analytics solution in healthcare, is officially announcing its launch of DiseaseWatch, a data collection service providing nursing facilities and health entities a centralized infection surveillance system to immediately detect hotspots of potential infectious diseases – from COVID-19 to influenza – days in advance. In May, it was announced that DiseaseWatch would be providing data to inform the Institute for Health Metrics and Evaluation’s COVID-19 modeling.

Partnering with nursing facility operators and state healthcare associations, DiseaseWatch captures and synthesizes leading indicators of infectious disease pulled directly from the nursing facility electronic health records (EHR) systems within hours of documentation. This real-time data gives operators a powerful tool for identifying early warning signs of infectious diseases days in advance of a potential outbreak. This evidence-based data enables facilities to share data with state agencies to direct resources where they’re most needed to safely and effectively treat patients and contain transmission.

“As influenza season approaches, it will become increasingly more difficult – but essential – for nursing facilities to differentiate between the flu and new cases of COVID-19, which present with similar signs and symptoms,” said Dr. Scott Rifkin, Real Time’s executive chairman, who is a physician, nursing facility operator, and patient advocate. “Having access to DiseaseWatch data will be imperative in providing evidence-based data to support prevention, intervention, and care improvement.”

With the Centers for Medicare and Medicaid Services (CMS) now requiring nursing facilities to report COVID-19 data to the CDC and the anticipated resurgence of the pandemic, it’s never been more important to have the ability to identify and respond to indications of a potential outbreak as early and accurately as possible. These new reporting guidelines come as nursing facility operators are already racing to comply with recent and significant regulatory changes from CMS made with limited corresponding guidance.

DiseaseWatch holds tremendous potential for health-related organizations of all sizes with a vested interest in monitoring the ongoing care and safety of nursing facility patients. Data provided by DiseaseWatch can help guide such entities in targeting testing, allocating resources, and ensuring that patient care is being provided consistently and appropriately across facilities, without government mandate. For more information visit realtimemed.com.

About Real Time Medical Systems

Real Time Medical Systems is the industry-leading Interventional Analytics solution that turns data into actionable insights. Serving healthcare organizations nationwide, Real Time improves clinical performance by reducing avoidable hospital readmissions, managing care coordination efforts, and detecting early warning signs of infectious disease.

Originally published on PrNewswire by Keri DeSalvo on June 18th, 2020

March 22, 2020

About Scott Rifkin

Scott Rifkin is a prominent entrepreneur and healthcare innovator who graduated with a Bachelor’s Degree in Medicine, with a specialization in internal medicine, from the University of George Washington School of Medicine in 1985 and additionally received a Biology Bachelor’s Degree from the Maryland Baltimore County University (UMBC) as an outstanding alumnus in 1995. Scott Rifkin has additionally worked as the emergency director of medicine for many SNFs seeking help on various issues of quality care.

Scott Rifkin has over 25 years of experience as a doctor and a healthcare manager. He established AmericasDoctor.com, an online health information provider in 1998, and he currently chairs its board of directors. With is internal medicine certification, he practices private internal medicine in Owings Mills, Maryland. He was named 'top doc' by Baltimore magazine in addition to being a frequent speaker on national and regional occasions. AmericasDoctor.com has filed for an initial public offering(IPO) and aims to raise $60 million.

He founded and leads Mid-Atlantic Health Care (MAHC), which provides nursing and rehabilitation in Maryland and Pennsylvania. In his leading position, Scott oversees the functioning of the 21 facilities of MAHC. Under his guidance, MAHC has created relationships with healthcare institutions and providers of skilled care to enhance the outcomes of the sick and the general public health through creative approaches to minimize needless re-admissions and keeping the ailing in a home environment at convenience.

Dr. Scott Rifkin has been named a publisher by JMore, a Jewish community magazine for the residents of Howard and Baltimore regions. The Maryland Jewish media, a new multimedia firm that Rifkin established, produces the monthly magazine, the jmoreliving.com website, and social media platforms for the Jewish communities in the region. Expectations are that JMore will have nine permanent employees and 20 temporary writers and reporters.

He also founded and chairs the board of Provider Partners Health Plan, Inc. (PPHP). The company develops and manages Advantage plans called Institutional Special Needs Plans (ISNPs) in Maryland and PA in addition to Five Star Physician Services, LLC, which supplies post-acute and extended period facilities with medical providers of high quality. PPHP provides medical insurance to patients of skilled nursing. The company rewards diligent operators who achieve better revenue. Good care results in a reduction of hospital use and reduced charges and participating operators significantly boost their skills.

Scott Rifkin founded Real Time Medical Systems (RTMS), which provides an intuitive and simple use software for hospitals, insurers, and organizations of skilled nursing making them minimize hospital admissions significantly. RTMS provides a predictive determination and support tools for makers of clinical decisions and caregivers- enabling enhancements in care and financial profits for skilled nursing organizations. Through the utilization of daily EMR data, our associates have witnessed 25-50 % admission reductions. We currently serve more than 500 SNFs and U.S. health systems.

Since establishing Mid-Atlantic Health Care, Scott he has started three new companies affiliated to MAHC. National Post-Acute Healthcare oversees the programs of bundled payment. It is a legit convener of the Medicare Center and Medicaid Innovation Center (“CMMI”)’s Model 3 Bundled Payments for Improving Care Program (‘BPCI). Besides, the it makes and controls hospital network systems for post-acute SNF.

Scott serves in different Boards in various capacities such as the University of Maryland Medical System and the Baltimore Zoo.

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