EHR companion for skilled nursing

Increase your CMI to its clinically relevant maximum.

Jana is a reimbursement and documentation EHR companion that aligns daily care with MDS requirements to maximize CMI and strengthen operations for great care.

Works alongside your EHR without requiring a migration.

Proven results for skilled nursing operators

+$571K Annual upside across 6 facilities
+0.06 CMI Rounded CMI improvement
90 days Time to measurable outcomes

Why CMI gets missed

Facilities are providing care that supports a higher Case Mix Index than what ultimately appears in the Medicaid rate. Missed timing, incomplete documentation, and inconsistent restorative programs leave 6 to 12% of potential CMI uncaptured in most facilities.

Jana works alongside your EHR to ensure the care delivered in your facility is accurately documented, clinically supported, and reflected in reimbursement.

Timing

CMI is earned in the look-back period. If documentation isn't captured on time, it simply doesn't count.

Documentation

CMI reflects what is documented, not what happened. Missing detail directly reduces reimbursement.

Alignment

Documentation must match state rules, qualifiers, and MDS requirements, otherwise the resident's true acuity is not recognized.

Even when care is delivered correctly, these gaps lower CMI.

Jana aligns the daily work that drives your CMI.

Four core drivers account for the majority of missed reimbursement across most facilities.

01

Timing

Documentation recorded in the right windows so nothing falls out of your look-back periods.

02

Functional Scoring

Daily observations aligned with care plans and MDS expectations before the assessment window closes.

03

Restorative Consistency

Real-time tracking that ensures programs actually meet reimbursement requirements (6 days/week, 15 min/session).

04

Clinically Relevant Observations

Prompts surfacing high-value documentation at the right moments, like shortness of breath alongside a COPD diagnosis.

Jana supports every role in the documentation chain:

Predictable reimbursement and fewer last-minute scrambles.

When documentation, timing, and care delivery stay aligned, administrators finally have visibility they can trust. Outcomes become steadier, audits smoother, and facilities run with more confidence and less firefighting.

  • Facility-wide documentation alignment dashboard
  • Early-cycle MDS visibility
  • Restorative program tracking
  • Real-time CMI trajectory by facility

Less reconstruction, more verification.

Jana surfaces clinically relevant documentation throughout the cycle so MDS coordinators can work from complete, aligned data, not chase pieces at the end. Assessment timing becomes easier to manage and reimbursement becomes more predictable.

  • MDS alignment dashboard with deadline tracking
  • Function score deviation alerts
  • Restorative goal progress tracking
  • Documentation completeness checks before the window closes

Clear visibility into what's happening across the facility.

With functional status, timing, and documentation aligned earlier in the cycle, DONs gain clearer visibility across the facility and can support more consistent, coordinated care.

  • Real-time restorative compliance tracking
  • Alerts when function scores drift from baseline
  • Structured escalation paths from CNA to nurse
  • 3-day voiding study automation

Clarity and ease during daily care.

Jana supports CNAs by making it easier to know what's needed during a shift, improving communication with nurses, and simplifying documentation without changing how CNAs care for residents.

  • Shift-based task lists by resident
  • Plain-language documentation prompts
  • NFC room pucks for instant resident lookup
  • Real-time restorative session logging

A unified standard across every facility.

Jana makes documentation and restorative performance consistent across facilities, giving regional leaders comparable data, predictable workflows, and fewer outlier issues to triage.

  • Multi-facility CMI trend dashboards
  • Cross-facility restorative compliance tracking
  • Functional scoring comparisons across sites
  • Predictable Medicaid rate modeling across a portfolio

A simple layer that sits alongside your EHR.

No migration. No replacing systems. Jana enhances the record, it does not disrupt it.

EHR Jana MDS Medicaid Rate
  1. 1

    Connect

    Jana works alongside your existing FHIR complaint EHR and reviews clinical documentation, care plans, ADLs, restorative records, and assessment data to identify opportunities and inconsistencies.

  2. 2

    Guide

    Daily workflows surface in role-specific views. CNAs see their care tasks. Nurses see program oversight needs. Coordinators see documentation gaps and assessment deadlines.

  3. 3

    Capture

    As care is delivered, key updates are organized for your team throughout the cycle so required details are easier to review and complete.

  4. 4

    Optimize

    Jana continuously evaluates clinical data against MDS coding requirements and flags opportunities for more accurate reimbursement before each assessment window closes.

  5. 5

    Verify

    MDS coordinators review pre-organized, documentation-backed summaries by section. Submission is a verification step, not a reconstruction exercise.

The Jana Impact

What operators say after aligning care, documentation, and reimbursement with Jana.

Kansas operator • 6 buildings • 90 days

CMI increased from 1.02 to 1.08

This translated to +$6.35 per Medicaid resident per day and about $571K in annualized reimbursement across six facilities, without changing resident acuity, adding staff, or replacing the EHR.

+$571K Annualized upside
90 days To results
6/6 Buildings improved

"Before Jana, a lot of our work felt out of sync. Care was happening, documentation was happening, but the timing never quite lined up and issues were discovered after the fact. Jana brought everything together so we could focus on the parts of the MDS that actually matter."

Michelle, Chief Nursing Officer

"Compliance used to feel reactive. With Jana, we feel prepared. The way care and documentation stay aligned gives us the assurance we need for surveys and audits."

Kelly, Director of Nursing

"I've been a CNA for 12 years, and this is the first time I've felt like the system actually helps me do my job better. With Jana, I know exactly what to look for, and I know it's going directly to the people who need it."

Reimbursement is the foundation. Care is the goal.

Jana's core belief: when the financial foundation is strong, operators gain the stability and clarity needed to run great facilities, and the care environment improves for staff and residents alike.

Optimizing reimbursement isn't just a financial exercise. It's what enables better staffing decisions, smoother workflows, stronger documentation, and ultimately a healthier environment for everyone inside the facility.

Elevate Care Consistent, high-quality resident outcomes
Strengthen Operations Aligned teams, predictable workflows
Maximize Reimbursement Capture the dollars the care already earns

Ready to see what Jana could do for your facility?

Most facilities have 6 to 12% CMI upside before changing anything operationally. We can model yours using read-only EHR exports, with no commitment required.