Services
Medical Director Services
ACO Health Solutions provides experienced, dedicated Medical Director services to Skilled Nursing Facilities across Massachusetts. Our physician-led team ensures every facility meets the highest clinical and regulatory standards. Our physicians hold hospital privileges at Morton Hospital, St. Anne's Hospital, and St. Luke's Hospital.
Benefits
- Leadership for clinical operations
- Weekly Medical Director reports
- Monthly QAPI participation
- Policy review & regulatory support
- Collaboration with DON/ADON and administration
Services
- Regulatory compliance guidance
- Survey preparation support
- Clinical quality improvement
Nurse Practitioner Coverage
Our Nurse Practitioners provide daily on-site clinical support to SNF residents, ensuring timely assessments, acute visit coverage, and ongoing follow-up care. They work collaboratively with the interdisciplinary team to support high-acuity residents and maintain continuity of care.
Benefits
- Daily clinical support
- Acute visits
- Follow-up assessments
- Interdisciplinary collaboration
- Support for high-acuity residents
Services
- Reduced emergency transfers
- Consistent clinical coverage
- Enhanced resident outcomes
Transitional Care & Readmission Reduction
ACO Health Solutions supports smooth transitions from hospital to skilled nursing facility, reducing the risk of readmission through proactive follow-up, medication reconciliation, and early identification of clinical decline.
Benefits
- Post-hospital follow-up
- Medication reconciliation
- Early identification of decline
- Communication with hospitals and families
Services
- Reduced 30-day readmissions
- Improved care transitions
- Enhanced family communication
EMR Integration with PointClickCare
ACO Health Solutions integrates seamlessly with PointClickCare to provide real-time documentation, survey-ready notes, and improved communication with facility staff, making EMR management efficient and compliant.
Benefits
- Seamless onboarding
- Real-time documentation
- Survey-ready notes
- Improved communication with facility staff
- Reduced hospitalizations
- Safer transitions of care
Services
- Reduced documentation burden
- Improved clinical accuracy
- Survey-readiness support
- PDPM Optimized
- QRP DRR Response Compliant
- DEA compliant prescribing
- Matrix integration compatible
Interdisciplinary Care Collaboration
Our providers actively participate in interdisciplinary care plan meetings, collaborating with PT, OT, speech therapy, wound care, and behavioral health teams to deliver coordinated, comprehensive resident care.
Benefits
- Participation in care plan meetings
- Coordination with PT/OT/ST
- Wound care collaboration
- Behavioral health coordination
Services
- Holistic resident care
- Improved clinical outcomes
- Streamlined team communication
Facility Partnership & Clinical Support
ACO Health Solutions works as a true partner with your facility, providing customized clinical workflows, survey support, regulatory readiness assistance, and clear communication pathways for nursing leadership.
Benefits
- Customized clinical workflows
- Support during surveys
- Assistance with regulatory readiness
- Communication pathways for nursing leadership
Services
- Improved facility survey outcomes
- Stronger nursing-provider relationships
- Tailored clinical support model
Rounding Physician Services
Our experienced physicians conduct routine medical rounds at your facility, providing timely, survey-ready documentation and active participation in care plan meetings. We manage both acute and chronic conditions with a patient-centered, proactive approach.
Benefits
- Consistent, scheduled rounding
- Comprehensive assessments
- Medication management
- Coordination with nursing staff
- Communication with families as needed
Services
- Timely clinical assessments
- Survey-ready documentation
- Proactive care planning
Chronic Care Management (CCM)
Our Chronic Care Management program is delivered monthly on the 1st of each month, supporting residents with multiple chronic conditions. CCM enhances quality metrics, reduces avoidable hospitalizations, and is fully compliant with CMS billing standards.
Benefits
- Monthly CCM completed on the 1st of each month
- Chronic disease monitoring
- Care coordination
- Documentation for compliance and quality metrics
Services
- Avoidable hospitalization reduction
- CMS billing compliance
- Improved quality metrics
SNF-Specific Documentation
CMS-compliant progress notes and PointClickCare (PCC) documentation with provider-specific templates.
Reduced Provider Burden
Accurate, timely documentation that reduces burnout and allows providers to focus on patient care.
Survey-Ready Standards
Consistent documentation quality that meets CMS survey standards across all partner facilities.