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Your Verified Care Index,
from Dorthea

Dorthea anchors outcome data on a verified performance record — so families, discharge planners, health plans, ACOs, and regulators can verify what a facility actually delivers, not just what they claim.

See How It Works Request Partner Information
Facilities
SNF · AL · HHA · Hospice
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Verified Record
Multi-source validated
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Stakeholders
Families · Health Plans · Hospitals · Regulators
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Dorthea Index
Publicly queryable · Real-time

The Problem

Senior Care Quality Is Invisible

Discharge Planners
Send an average of 6.6 referrals per patient before securing one SNF placement. No real-time data on which facilities actually accept complex patients — they're flying blind on every discharge.
Families
Rely on cherry-picked reviews and biased referral services that earn commissions from facilities. No independent way to verify a facility's claims before placing a parent there.
Good Facilities
Buried under a broken 5-star rating system that captures snapshots, not trends. No way to prove their verified track record to Medicare Advantage networks or discharge teams.
Dorthea fixes this with an externally anchored record of how facilities actually perform — built from behavioral data, CMS claims, and sensor-generated metrics that facilities do not self-report.

The Dorthea Index

A Verified Innovation Score Built on 50+ Data Points

The Dorthea Index tracks facility performance across skilled nursing, assisted living, home health, and hospice. Every data point is categorized by source and validated across multiple external references. The result is a quality index built on multi-source data that no single facility, platform, or referral service controls.

Platform-Generated
Behavioral, not stated
Referral response times · Acceptance patterns by acuity · Time-to-admission · Referral rejection rates
Third-Party Independent
Externally verified
CMS 5-star ratings (trended) · Medicare claims data · State inspection records · 30-day readmission rates
Sensor / Device-Generated
System-generated
EVV visit verification · Fall detection alert response · AI companion engagement · Ambient isolation flags
Self-Reported
Independently verified against behavioral signals
Bed availability · Staff turnover — corroborated via external datasets before contributing to the index
Every event is recorded in a verified performance record.

Data Tracking Framework

What We Track — By Facility Type

Every metric is categorized by how it's generated — platform behavior, third-party claims data, sensor output, or self-report — and multi-source validated before contributing to the index.

Referral response time
Platform-generated · Exact minutes from referral sent to first response
Acceptance patterns by patient acuity
Platform-generated · Behavioral, not self-reported — validated across multiple data sources
30-day readmission rate
Third-party independent · CMS Medicare claims data, continuously updated
CMS 5-star rating (trended)
Third-party independent · Historical trend over 24 months, not just current snapshot
Verified specialty capability
Platform-generated · Vent, bariatric, behavioral — based on actual acceptance history, not stated capabilities
Fall detection alert response times
Sensor-generated · Time from alert trigger to documented staff response
AI companion engagement frequency
System-generated · Interaction logs from AI companion platforms, normalized by resident count
Loneliness and isolation flags
Sensor-generated · Ambient sensor data tracking social engagement and room isolation patterns
Staff response pattern consistency
Sensor-generated · Captured via ambient monitoring systems
Innovation Score (composite)
Platform-generated · Composite of verified ambient and behavioral data — the primary AL differentiator
EVV visit adherence
Sensor-generated · GPS-confirmed visit completion rate against scheduled visits
Clinician continuity index
Platform-generated · Percentage of visits with the same clinician across an episode of care
Start-of-care speed
Platform-generated · Time from referral acceptance to first confirmed visit
OASIS functional improvement index
Third-party independent · Corroborated via CMS published OASIS outcome data
30-day rehospitalization rate
Third-party independent · Medicare claims data, validated across multiple data sources
Referral response time
Platform-generated · Time from referral sent to first hospice nurse contact — critical in end-of-life transitions
Live discharge rate
Platform-generated · Percentage of patients discharged alive — corroborated via CMS published hospice data
Median length of enrollment
Third-party independent · CMS claims data — identifies agencies with very short enrollments that may signal late referrals
Continuous home care rate
Third-party independent · CMS claims — percentage of crisis care hours delivered, indicating responsiveness at end of life
Visit frequency in final days
Sensor-generated · EVV-confirmed visit patterns in the last 7 days of life — a key quality indicator for hospice agencies
Family caregiver support index
Platform-generated · Derived from bereavement contact records and caregiver check-in frequency — behavioral, not self-reported

Stakeholders

Built for Every Stakeholder

The Dorthea Index creates aligned incentives across every party in the senior care ecosystem — because verified quality data benefits everyone except facilities that are hiding poor performance.

Discharge Planners
  • Real-time referral response data — see which SNFs actually respond fast
  • Verified acceptance patterns by acuity — know which facilities genuinely take complex patients
  • End-to-end outcome trail — link every referral sent to what happened 30 days later
Facilities (SNF / AL / HHA)
  • Break out of broken star ratings — prove quality CMS metrics can't capture
  • Win MA preferred network status with verified outcomes
  • Fill beds faster — families trust a verified Innovation Score
  • Passive participation — data auto-generates from existing workflows
Health Plans, MA Plans & ACOs
  • Build preferred SNF networks on verified outcome data — not just CMS star ratings or cost
  • Reduce readmissions and post-acute overstays with real-time facility quality monitoring
  • Access dorthea indexs for your entire SNF network — updated continuously, not quarterly
  • Pilot program available — validate correlation between dorthea indexs and your claims outcomes in 90 days
Families
  • Independently verify facility claims before choosing care
  • See verified track records, not marketing
  • Free, public access — no subscription, no commissioned referrals
Senior Living Technology Platforms
  • Turn internal care data into external credibility
  • Innovation Score as a sales and occupancy tool for partner communities
  • Dorthea verifies, platforms own customer relationships
Nonprofits & Regulators
  • Access verified facility performance data — monitor care quality independently
  • Evidence-based advocacy with aggregated verified outcome data
  • No cost to access — verified performance data is a public good

Integration & Partnership

Three Ways to Integrate Dorthea

Whether you're a technology platform, an ambient monitoring company, or a facility operator, Dorthea meets you where your data already lives.

Integration 01
Data Layer Integration
For platforms like WellSky, Aidin, Epic
  • API access to verified outcome data
  • White-label Innovation Score widget
  • Per-call licensing or subscription model
  • Your platform owns the customer relationship; Dorthea owns the verified data layer
Integration 02
Sensor Data Partnership
For ambient monitoring platforms
  • Ingest fall detection, isolation, and engagement data
  • External verification of internal care metrics
  • Innovation Score becomes a public-facing sales tool for partner communities
  • Your sensor data earns verified third-party credibility
Integration 03
Direct Facility Participation
For SNFs, assisted living, and home health agencies
  • Join the verified network directly
  • Passive data generation from existing workflows — no new systems
  • Public Innovation Score and externally anchored performance record
  • Differentiate from competitors using unverified CMS data alone

Technology

How It Works — Tamper-Evident by Design

Three steps from care event to verified public index. No manual entry. No facility self-reporting on their own performance.

1
Care Event Happens
A referral is sent. A visit is completed. A fall alert fires. A readmission occurs. The event is captured automatically from existing platform, sensor, or claims data.
Auto-captured · No manual entry
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2
Event Anchored on Public Ledger
The event is timestamped and written to a verified performance record. Data is sourced independently — facilities do not control or submit their own indexs.
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3
Index Calculated & Published
The publicly queryable Innovation Score updates in real time. Families, discharge planners, payors, and regulators can query any facility's verified performance history at any time.
Real-time · Publicly queryable
Verified performance records are independently sourced. No facility controls the data that determines their own index.

Market Timing

The Market Is Moving

Six converging forces are creating an irreversible demand for verified quality infrastructure in senior care.

Health plans have active procurement budgets for network quality tools right now. Medicare Advantage plans and ACOs are moving from annual CMS star snapshots to continuous, real-time quality monitoring — and they are paying for it.
CMS is mandating outcome transparency in post-acute care. Verified quality data is becoming a compliance requirement — facilities that don't have it will lose preferred network status.
Medicare Advantage preferred networks are selecting SNF partners on quality data. Facilities without verified outcome data will increasingly be excluded from the highest-value referral channels.
AI companion systems, fall detection sensors, and robotic monitoring platforms are rapidly scaling across assisted living — generating massive streams of behavioral data with no independent verification layer.
Verified performance data infrastructure has matured. Real-time, multi-source validated data collection is now economically viable at the scale senior care requires.
Significant institutional capital is flowing into senior living technology platforms — creating natural data partnership opportunities with platforms that need external verification to prove ROI to facilities.
A Place for Mom's Senate investigation has created a regulatory vacuum. Families are actively seeking a verified, non-commission-based alternative. That alternative does not yet exist.
Partner With Dorthea

Join the verified quality
infrastructure for senior care

Whether you are a hospital system, Medicare Advantage plan, senior living technology platform, or facility operator — Dorthea has a partnership path designed for your integration needs. Reach out to start the conversation.

Request Partner Information
For Platforms
API access · White-label Innovation Score · Data layer integration
For Facilities
Join the verified network · Passive data generation · Public Innovation Score
For Families
Free public access · Verified index scores · No commissioned referrals