Welcome Dr. Paul Padilla!

Welcome Dr. Paul Padilla!

Prone 2 Dream is pleased to welcome Dr. Paul Padilla to its leadership team as Director of Strategy.

Dr. Paul aims to support Prone 2 Dream’s culture of innovation, assisting in developing analytics solutions that serve the senior living industry. Leona Fink, Prone 2 Dream’s Founder and CIO said “Dr. Paul’s pioneering approach to the use of analytics in overcoming the industry’s staffing and regulatory challenges is refreshing. His stellar reputation and shared vision make him a valuable asset to our organization as we strive for continued growth and excellence.”

Dr. Paul began his healthcare career over twenty years ago, and possesses vast experience in the Long-term, Acute, and Home Healthcare industry. As a Doctor of Advanced Nursing Practice (DNP), Paul acquired the knowledge of disease processes and management, understanding of patient care outcomes, and the overall effect of healthcare to significantly impact quality service. As the quality service team lead for a multi-state clinical organization, Paul institutionalized a national and state metric system to bridge quality patient care pathways to provide economic sustainability.

Dr. Paul Padilla is a forward-thinking innovator who received his Graduate and Undergraduate degrees from Arizona State University. He currently resides in Dallas, TX with his wife, Jeni, and their two sons.

Join us in welcoming Dr. Paul Padilla!


Phone: 469-294-5233

Email: contactus@prone2dream.com

Office: Frisco, TX


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SNF Operators – Know Your PBJ Staffing Star Ratings… before they post

SNF Operators – Know Your PBJ Staffing Star Ratings… before they post

What would it mean to your organization if you could watch the trend of your CMS PBJ staffing star ratings … daily?

Payroll-Based Journal (PBJ) is the report used by the Centers for Medicare and Medicaid Services (CMS) to evaluate levels of staffing in a skilled nursing facility as it relates to quality measures. To determine the quarterly PBJ staffing star rating, the intricate formula calculates RN and overall staffing against census and complexity of the patients.

The formula, while intricate, can be a useful tool for SNF operators who wish to make a positive impact on their quarterly ratings. However, doing the calculations manually would be an onerous task. Filling out the quarterly report for CMS based on time clock data is complex enough without trying to manually figure the calculations.

At Prone 2 Dream, we believe there’s a better way – a prospective approach. By viewing timeclock data and census together on a daily basis, a SNF operator and their Director of Nursing can make evidence-based decisions when scheduling. Dream CORE Dashboards is a business intelligence solution that provides daily tracking of your time clock data, as well as Overtime Analysis, Earnings Reports, Wage Analysis, Labor Distribution and more.

By watching your DreamCORE Dashboards on a daily basis, you have actionable information to positively impact your PBJ staffing star ratings.

Missing an RN one day? Set your DreamCORE to alert you – so you can correct the situation before it becomes part of your permanent CMS record.

When you have access to your daily PBJ staffing star ratings and make data-driven decisions on a daily basis, you can:

> Optimize clinical staffing dollars

> Equip your team to stay ahead of timeclock data

> Gain insight on CMS adjustment trends

Daily visibility of PBJ star trends brings stability, and ultimately enables you to project what each quarter’s stars will be. DreamCORE takes the mystery out of PBJ reporting.

Contact us for a Live Demo.



PBJ Staffing Star Ratings Infographic

Role Based Access Control for Skilled Nursing Business Intelligence

Role Based Access Control for Skilled Nursing Business Intelligence

Data drives decisions, evidence-based decisions.


Yet, in the world of breathtakingly fast data analytics, how can you be certain that only the right people are seeing sensitive data? This is the purpose of Role-Based Control Access (RBAC) also known as Role-Based Security (RBS).


What is Role-Based Access Control (RBAC)?


Each person in an organization has a position or a role. RBAC sets a framework whereby each employee only has access to data that is pertinent to that role. If the individual has responsibility for budget decisions for a specific department, he/she has access to that data only and no access to other departments.


Prone 2 Dream Technologies deploys RBAC for its DreamCORE Dashboards. Skilled Nursing business intelligence is delivered in drillable dashboards with a focus on Census, Overtime, Receivables, and Expenses. These are the CORE of the business and where frontline department leaders are making decisions about how to spend the company’s revenue.


These leaders are expected to contribute to the overall profitability of the company. However, they typically have to wade through data overload by signing into multiple platforms or shuffling multiple spreadsheets to find what they need to make decisions.


DreamCORE Dashboards presents the plethora of skilled nursing data in a logical, relevant format, with infinite views. RBAC narrows the scope to each individual’s frame of reference – he or she only sees the data for areas where they can make an impact. They get the data they need… and ONLY the data they need.


Here’s the RBAC framework for DreamCORE Dashboards:


RBAC Framework



Examples of Role-Based Access Control


Culinary Manager – Sees payroll, overtime, and department budget adjusted daily per fluctuating census only for the facility’s culinary department


Director of Nursing – Sees payroll, overtime, and department budget adjusted daily per fluctuating census only for the facility’s nursing department. Plus, she sees a daily tracking of her CMS PBJ star rating – data only relevant to her role.


Facility Administrator – Sees all the data relevant to that specific property/location.

Regional Director – Sees all the data for the facilities he oversees.


Executive Team – All the data for all the facilities, as well as corporate financials, P&L, forecasts, Payroll Analysis, and more.


As a result, sensitive data remains secure, and each individual is aware that their focus is different from another within the company. Yet DreamCORE Dashboards provide one version of the truth, updated daily.


Two individuals in different roles, but who have access to the same dashboard page are both seeing the same data. For example, a regional director has a virtual meeting with a facility administrator. They are both seeing that facility’s “green data” – one version of the truth, updated daily.


Benefits of RBAC in DreamCORE Dashboards


  1. Protects sensitive payroll data. Most department leaders need to control schedules and overtime expense, yet need to keep wage rates secure. DreamCORE Dashboards provides that security while allowing leaders to make data-driven decisions.
  2. Protects patient data. DreamCORE Dashboards focus on the financial data of a patient’s stay and it’s only available to certain roles, as defined by executive leadership.
  3. Eliminates data overload at the front line. Narrowing the focus is the first step towards positive outcomes – DreamCORE Dashboards are a tool for front line success.
  4. Ease of change. Individuals’ roles change – whether they are adding responsibilities, moving to a different facility, or getting a promotion, changing access is as easy as contacting our support team.

Role-Based Security

Learn more about Prone 2 Dream’s Role-Based Security.


The Ease of Single Sign-on


Nobody needs yet another set of login credentials to gain access to their data. Prone 2 Dream is a Microsoft Partner, so with your current Microsoft account, your team simply logs in to their email account and access to their dashboards is a click away.


Our single sign-on feature mitigates the risk in accessing third-party sites, reduces time spent accessing multiple accounts, lowers the total cost of ownership of IT with fewer help desk / support ticket requests, and creates happy users.


Empower your front line leaders


Data drives decisions. If your facilities are wading in data overload or simply don’t have the time to shuffle through their various papers and platforms, book a demo of DreamCORE Dashboards today.


We understand that data can be intimidating, especially to department managers who were hired for their acumen in distinctly different areas. We take pride in providing onboarding and training for your teams and helping them learn to love their numbers.


SNF Operators – How to Manage HPPD

SNF Operators – How to Manage HPPD

SNF Operators can streamline their workflow and better manage their HPPD by using DreamCORE Intelligence Center, a tool that integrates the company time clock with its EHR and financial book of record. Prone 2 Dream’s innovative technology provides the critical data to meet both regulatory and financial obligations, within a user-friendly interface.

Role-Based Security ensures that all sensitive employee information remains restricted and users can only see data relevant to their role. This helps nursing schedulers make informed decisions using both historical data and predictive analytics, allowing them avoid paying Premium Overtime – the dollars in excess of payroll budgets.

DreamCORE’s single sign-on platform provides:

  • Overtime analysis
  • Bonus analysis
  • Agency analysis
  • A clear, current view of HPPD, including agency
  • A rolling punch analysis
  • A drill down to individuals on the time clock right now

Integrating these data sets also enables SNF Operators to manage their CMS staffing rating. DreamCORE provides a simple formula that projects the next quarter’s rating, and a desired rating can be achieved by managing the HPPD.

Overtime is just one of the controllables within a SNF’s financial management system. With DreamCORE (Census, Overtime, Receivable, Expenses) SNF operators can identify opportunities to make a financial impact on their bottom line, without waiting for end-of-month reporting.

Worth a look?

Book a live demo – Grab a spot on our calendar here.


SNF Operators – Effective Admissions for Better Client Experiences

SNF Operators – Effective Admissions for Better Client Experiences

Skilled Nursing Facility operators – Does your current Admissions process provide a comfortable transition for the new patient arrival?

Are you capturing the required verifications and authorizations?

Is ICD-10 coding a breeze for your MDS nurse?

Do you know the theoretical reimbursement benchmark? Do you know if you’re getting paid what you’ve earned or do you suspect you’re leaving money on the table?

Prone 2 Dream Technologies processes Admissions through 2 user-friendly apps. The Admissions app speeds the process of approving a new referral and communicating the start of the new patient’s journey to your team. The PDPM app calculates the theoretical reimbursement, and memorializes the patient’s journey in your center.

Check out the process in this easy infographic. Then contact us to see these steps in action.


Thinking About A Major Systems Update? Here’s How To Make The Transition Smoothly

Thinking About A Major Systems Update? Here’s How To Make The Transition Smoothly

How many software applications does it take to run your company?

You depend on each of these programs to perform at their highest level, and subsequently rely on the developers to continually upgrade their product. Upgrades have to be seamless and user-friendly so that your teams (the users) don’t skip a beat.

Periodically, a major systems upgrade is necessary within your own company. You may have decided a different EHR will better serve you. Or perhaps it’s a financial system that’s become outdated. Plus, you need your various software programs to be integrated … in a way that benefits your unique needs.

Making a decision about a major systems update is exciting! But thinking about how to pull it off can send you quickly into a state of overwhelm:

  • Where do we start?
  • How long will it take?
  • How will we accomplish the project?
  • How will we find the right experts to enlist?
  • Is it worth the disruption?

Let’s take a look at how to make it happen…

What does a major systems update look like?

Here’s the best news about taking on a major systems update: If you have not yet transitioned to cloud technology, now is the time! All the software programs you use are cloud-based, and by transitioning away from traditional hardware systems, you lower your total cost of ownership.

The purpose of deploying a major systems update goes beyond needing to update one or two of the programs you’re currently using. You’ll be integrating ALL your existing systems and programs, feeding them into your financial book of record.

Integration is the coding of the subsidiary ledgers to bring that data to the right general ledger line. The EHR is one of the largest subsidiary ledgers (census, payers). Your update migrates health information records by cross-mapping – integrating the clinical data with the financial data. 

First steps – Creating the Topography

Setting up the general ledger codes initiates your system. This is the topography of your system update as your financial book of record is the anchor. All subsidiary ledgers have to feed into the book of record. Your topography is the backbone or what’s known as the System Standup.

The topography is a structural technological document that shows how the systems will talk to each other. This becomes a template for all units. As you expand to add any new skilled nursing facilities, they will conform to this template. The goal is that all the software systems join into the topography in the same way, across multiple locations.

Continuity Planning and Disaster Recovery Plan

Continuity planning is the roadmap for setting the system up to work in integration with the subsidiary ledgers. When each relevant software is speaking to each other, you’re able to better track your financials, submit better reports to stakeholders, CMS, and other authorities, have successful audits, and ultimately, have the confidence that your numbers are accurate. 

Within every successful topography, you’ll need a formal structure of how to recover if/when something inevitably goes awry. Planning ahead for unforeseen events will keep the disruption to a minimum. 

Setting up migration teams for success

Then the work really begins. Once the topography is finalized, you need the humans who will write the upload utilities for data migration, database management, and all connectivity. This takes teams of experienced data managers, and many of your software providers will supply this support. They can migrate their program into your topography, but you will want integration experts to connect various programs together. 

Expanding and utilizing your existing technology

Is your company currently using Microsoft365? It’s a huge, powerful product that almost all companies all buy, but then only use the basic features. In reality, Microsoft 365 has the ability to provide the platform for the integrations. You may have been reading about all the ways Microsoft is entering the healthcare industry and empowering their users.

Microsoft for healthcare

How we help with a major system update

A major systems change is exciting! But we know how much work is involved.

We understand and have written successful topography, continuity planning, and connectivity systems. We have extensive experience in data migration and database management. We onboard your teams and provide ongoing training for their success.

Prone 2 Dream Technologies has been a Microsoft partner since 2016. MS wants the end user to be empowered, not restricted. That’s where P2D comes in – we’ve seen the underutilization of MS365 and want to show our clients how to maximize that investment.

Thinking about a major systems update? Call us for a complimentary consultation today.


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