Introduction: Elevating Facility Care with Clinical Health Monitoring

In the world of long-term care, where staffing is tight and compliance is critical, assisted living and skilled nursing facilities must rethink how care is coordinated. Clinical Health Monitoring Solutions (CHMS) steps into this space with a powerful, clinician-led model designed to support health outcomes, optimize nursing efficiency, and unlock revenue opportunities through Chronic Care Management (CCM) and Remote Patient Management (RPM).

CHMS isn't just a software solution. It's a clinical partner that works directly with facilities, Medical Directors, and Primary Care Physicians to provide end-to-end care monitoring services that integrate seamlessly with systems like PointClickCare and Matrix Care.

What Is Clinical Health Monitoring?

Clinical Health Monitoring refers to the continuous oversight of vital signs, care plans, and clinical alerts outside of traditional physician visits. CHMS empowers facilities with:

• Ongoing assessment of chronic conditions

• 24/7 monitoring support for high-risk residents

• Intelligent alerts and reporting workflows

• Seamless coordination with nursing staff and providers

By shifting some of the clinical monitoring workload from overwhelmed nurses to trained CHMS teams, facilities can ensure more accurate interventions, fewer hospitalizations, and better documentation.

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CHMS Core Offerings: What You Get

1. Remote Patient Management (RPM)

• Real-time tracking of vitals like blood pressure, oxygen, and glucose levels

• Trained CHMS clinical staff monitor and escalate as needed

• All documentation is audit-ready and integrated into the EMR

2. Chronic Care Management (CCM)

• Monthly care coordination and health coaching for patients with 2+ chronic conditions

• Support for Medical Directors to meet Medicare billing requirements

• Improved continuity of care and enhanced patient engagement

3. Clinical Escalation & Alerting

• CHMS reviews incoming vitals and flags abnormalities

• Communicates directly with facility nurses and Medical Directors

• Help reduce ER visits and unnecessary transfers

4. Billing and Compliance Support

• Ensures documentation aligns with CMS requirements for RPM/CCM

• Tracks time spent on care management

• Creates clear, compliant pathways to recurring Medicare revenue

Revenue Opportunity for Facilities and Providers

CHMS programs are designed with a clear financial benefit:

• Each eligible resident enrolled in RPM or CCM creates a recurring Medicare reimbursement opportunity of $120–$170/month

• Medical Directors and Primary Care Physicians can bill for services already being delivered

• Facilities benefit from higher length of stay, improved outcomes, and family satisfaction

By supporting documentation, training, and billing workflows, CHMS empowers teams to capture value without increasing workload.

Find out how to get NEW Vital Signs Devices and VX Connect for FREE!!!

Who Benefits from CHMS?

• Skilled Nursing Homes and Assisted Living Facilities looking to increase revenue and improve care coordination

• Assisted Living Management teams seeking to reduce hospitalizations and streamline compliance

• Medical Directors and Primary Care Physicians aiming to expand RPM/CCM billing

• Post-Acute providers transitioning toward value-based models

• Nurses who want more time at the bedside and less time buried in paperwork

CHMS + Vitals Exchange: A Powerful Integration

When combined with Vitals Xchange, CHMS becomes an integrated solution that eliminates manual vitals entry. Vitals are captured automatically and flow directly into PointClickCare or Matrix Care, supporting both real-time interventions and RPM documentation.

This PointClickCare integration ensures seamless data access for CHMS care teams and providers — and supports a fully traceable care path for every resident.

Results That Speak for Themselves

• Up to 85% reduction in nurse time spent on vitals documentation

• Significant drops in ER visits and re-hospitalizations

• Enhanced survey readiness with clean, time-stamped vitals data

• Accelerated enrollment in RPM and CCM programs

CHMS doesn't just provide a service — it transforms workflows across clinical, operational, and financial dimensions.

Getting Started with CHMS

CHMS offers white-glove onboarding with:

• Nurse training and ongoing support

• Clinical consultation to identify eligible residents

• Billing setup and compliance tracking

Facilities can be live within days — and billing within the first 30 days.

Conclusion: A Clinical Ally for the Future of Long-Term Care

Clinical Health Monitoring Solutions offers the complete package: improved nursing productivity, real-time clinical oversight, and sustained Medicare revenue streams.

Whether you run a single assisted living facility or manage a network of skilled nursing homes, CHMS is the partner you need to thrive in the next era of facility care.

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