Quality of Care

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With COMS Daylight IQ™ and Integrated Disease Management Clinical Intelligence, residents enjoy the benefits of improved Quality of Care, a reduction of up to 50% in re-admissions to hospitals, and the comfort of convalescing in a familiar and more home-like environment. 

The Challenge - Until now, there has been no healthcare delivery system based upon disease management, clinical outcomes measurement, and performance improvement for the unstable and/or recently hospitalized elderly.  Nursing facilities find it difficult, if not impossible, to manage the skilled care resident who has multiple acute and chronic diseases.  

Unfortunately, this translates into declining health for the elderly resident and an increased rate of hospital re-admissions.  The long-term care industry is beginning to recognize that the national trend of escalating re-admissions to the hospital must be addressed by nursing homes, from which nearly 30% of skilled residents are re-admitted.


The Daylight IQ Product Suite Solution - The Daylight IQ system, based upon more than 10 years of clinical experience in geriatric and skilled nursing care, features a disease management component which is a series of integrated, disease-based clinical protocols for physicians, directors of nursing, nursing supervisors, nurses and nurses aides. 

Based upon 17 defined disease categories representing the most common diseases and afflictions of residents in long-term care facilities, Daylight IQ follows the same workflow used by the nursing staff, and creates a closed loop of information and feedback.  Deployment of the Daylight IQ product suite leads to optimal team decision-making based upon the resident’s up-to-the-minute health status. 

The COMS product suite streamlines the entire quality of care process, and offers comprehensive assessments, which capture, compare, and analyze more than 100 vital signs and/or criteria.  Daylight IQ notifies and prompts all stakeholders (including physicians and the resident’s family) of every change in condition in real-time.  The assessment comparative module produces immediate reports and alerts, and recommends appropriate interventions at the moment a caregiver requires such information.


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Improved Stakeholder Satisfaction - Using Daylight IQ helps facilities enjoy better staff morale. Facilities also benefit from an improved care record, which drives word-of-mouth referrals and revenues.

Maximizing Performance - Facilities using the Daylight IQ suite are rated higher by local hospitals, as the staff more effectively manages residents with multiple acute and chronic diseases. This in turn leads to more referrals. Over a three-year period, facilities using the COMS System reported a referral rate increase well over 250%.

Strong Financial Outcomes - With the Daylight IQ system, residents remain in the skilled nursing facility for an average of ten additional days. Facilities using Daylight IQ have realized an increase in occupied skilled beds of up to 87%, and a skilled bed reimbursement increase of up to 247%.

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COMS Clients' Kudos

  • "I like the systematic approach it gives the nurses to follow- up with patient's primary diseases. And then, a systematic approach for management to see if we/ staff are doing a good job, and, if not, a way to fix it and/ or improve patient care results“
    - Greg Nijak, Administrator, Patriot Ridge Community
  • “My experience with the COMS system has been enlightening from an administrative perspective. I have seen a positive trend in reduction of returns to the acute hospital and also improvement in our processes for assessment and intervention. We have been able to take the data and analyze for trends relative to specific diseases, co-morbidities, referral sources and physician tendencies. Our analysis has developed some salient issues that we have used in changing our admission review process as well as certain interactions regarding our various attending physicians and provides supportive data to our Medical Director in his duties of physician relations. My experience has been positive and hopeful that technology will allow us to continue this process in as close to a real time environment as possible.”
    - Joe Abraham, Administrator, The Good Shepherd Home