Vivlio Health
Book a 1:1 call

Glossary

Start of care

The date of the first billable home health visit, when the agency's clinician opens the episode, completes the Start of Care OASIS and begins the plan of care. Every clock in home health is measured from it, including the five days to the comprehensive assessment and the sixty-day certification period.

Also SOC, start-of-care visit, start-of-care date

The start of care is a date before it is anything else. It is the day the agency delivers its first billable visit and the day from which the regulations count. The initial assessment visit must happen within 48 hours of the referral or of the patient’s return home, or on the physician-ordered start-of-care date; the comprehensive assessment must be complete within five calendar days after the start of care; and the certification period of sixty days runs from it.

It is also a data point. The Start of Care OASIS is the first of the assessment time points, and the episode’s payment grouping and the agency’s publicly reported quality measures begin with what is recorded on it. CMS’s Timely Initiation of Care measure asks whether the start of care fell within two days of the referral or the hospital discharge.

What is often not in hand on that day is the patient’s history. The admitting nurse completes a drug regimen review with the medication list the patient can produce, records diagnoses from the referral and the patient’s account, and plans care from what the referral packet carried. Anything the hospital, the specialist or the prior physician holds and did not send is absent from the record the episode is built on, unless the agency went and got it first.

Where it is defined

Vivlio for home healthThe face-to-face note, orders, discharge summary and medications, assembled before the first visit.

Talk to us

Start a conversation about your medical records

Send your details and the calendar opens right here. Book thirty minutes and we will walk a record through the view you would actually use, or skip the call and we will come back in writing.

  1. Send your detailsTwo minutes. Your organization, name, email and phone, and the time records cost you; the rest is optional and helps us reply with something specific.
  2. Pick a timeThirty minutes, live, over synthetic records in the shape your team works in. No slides, and no discovery call before the demo.

Who this is for, and who it is not

  • Coverage comes firstVivlio retrieves from providers, hospitals and health systems it can reach through national exchange networks and direct connections. Name the facilities your patients come from on the form and we check coverage before anyone spends thirty minutes on a demo.
  • You can say what the chasing costsThe form asks how many hours a week your team loses to chasing records. If nobody can put a number near it, the case for Vivlio is not there yet, and we would rather say so than sell you a demo.
  • Patients and files at volumeThis is built for intake that runs every day. For one record, once, your patient can request it from the provider directly, and that will be faster than going through us.
  • Treatment, with the paperwork doneProduction access needs an NPI, a declared purpose of use and a signed BAA. Nobody swipes a card onto live PHI.

If none of those describe you, say so in the last field and we will come back in writing instead of booking a call.

Or call sales directly at 404-777-5772

Step 1 of 2

Send us your details

Three to five is plenty. We check coverage for them before the call, so nobody finds out afterwards.

We use your details to reply about Vivlio. No lists, no sharing.