Blood Pressure Monitoring for Skilled Nursing CCM — ALIS + CCN Health

BP Monitoring for Skilled Nursing CCM with ALIS and Ethizo

Skilled Nursing facilities using ALIS as their facility EHR often work with physicians who use Ethizo for their practice management. When implementing CCM with bp monitoring, this dual-EHR reality creates data flow challenges that CCN Health solves through bi-directional integration with both systems.

The Dual-EHR Challenge in Skilled Nursing

In skilled nursing settings with bp monitoring, it's common for:

• The facility to use ALIS for resident records, charting, and daily care documentation
• The physician to use Ethizo for orders, billing, and clinical decision-making
• BP Monitoring data to be needed in both systems for complete clinical documentation and billing

Without an integration bridge, bp monitoring readings exist in isolation — staff must manually transcribe data between systems, leading to documentation gaps and billing delays.

How BP Monitoring Works

FDA-cleared automated cuffs from Smart Meter (iBloodPressure), Omron, Bodytrace, and Telli Health measure systolic/diastolic pressure and heart rate with a single button press. Readings transmit automatically via cellular gateway to the CCN Health platform.

Data Captured

• Systolic blood pressure
• Diastolic blood pressure
• Heart rate
• Mean arterial pressure
• Pulse pressure

How CCN Health Bridges ALIS and Ethizo

CCN Health's platform serves as the central hub for all bp monitoring data in dual-EHR environments:

1. BP Monitoring data flows to CCN Health — Systolic blood pressure and other metrics are captured continuously by the monitoring system
2. ALIS receives resident records — Vital signs, alerts, and care documentation sync to ALIS resident charts automatically
3. Ethizo receives clinical summaries — The ordering physician gets CCM reports with bp monitoring data in their Ethizo workflow
4. Billing documentation routes correctly — Claims data with bp monitoring support goes to the billing entity via Ethizo

Data Flow: ALIS ↔ CCN Health ↔ Ethizo

Data Type	ALIS	CCN Health	Ethizo
Resident Demographics	Source	Syncs	Receives
Systolic blood pressure	Receives	Hub	Receives
BP Monitoring Alerts	Receives	Generates	Receives
Care Plans	Shared	Coordinates	Shared
Billing Documentation	Reference	Generates	Primary
CCM Time Tracking	Reference	Tracks	Primary

Benefits for Skilled Nursing Facilities

Combining bp monitoring with dual-EHR integration provides unique advantages for skilled nursing facilities:

Readmission Prevention

Continuous monitoring during the critical post-acute window reduces hospital readmissions and improves quality scores.

Quality Measures

Objective vital sign data supports CMS quality reporting and star rating improvement efforts.

BP Monitoring Advantages

• One-button operation — no technical skill required
• Automated cellular transmission eliminates manual recording

Billing Considerations for Dual-EHR BP Monitoring CCM

In dual-EHR environments with bp monitoring, billing typically flows through the physician practice (Ethizo):

CPT Code	Reimbursement	Billing Entity	Documentation Source
99490	~$62/mo	Physician (Ethizo)	CCN Health → Ethizo
99491	~$83/mo	Physician (Ethizo)	CCN Health → Ethizo

BP Monitoring data provides the clinical documentation needed to support CCM billing with objective, time-stamped readings that demonstrate monitoring compliance.

Frequently Asked Questions

How does bp monitoring data reach both EHR systems?

Data flows from the monitoring device to CCN Health's platform, then syncs bi-directionally with both ALIS (for resident care documentation) and Ethizo (for physician clinical records and billing).

Do both systems get the same bp monitoring data?

Both systems receive bp monitoring data, but formatted for each system's role. ALIS gets detailed resident charting, while Ethizo receives clinical summaries optimized for physician workflows and billing.

What is the implementation timeline for bp monitoring with dual-EHR?

Most skilled nursing facilities are fully operational within 4-6 weeks, including system deployment, dual-EHR integration setup, and nursing staff training. Both EHR connections are configured simultaneously.