The Insights section of any analyze page will contain the most relevant metrics for the selected provider. These metrics will allow you to make a quick evaluation of the selected facility to determine whether to dig deeper or move to another facility.
In each Insights box, you will see a clipboard icon and an "i" in a circle, . Clicking the clipboard will add the selected Insights metric to the clipboard. The "i" will reveal the definition for the selected Insights metric.
Understanding the Metrics
30 Day Readmission Rate
A readmission is a multi claim event where a patient is discharged from an inpatient stay at a short term acute care hospital and is readmitted to inpatient care again within 30 days. This readmission scenario could include a post-acute stay, or multiple post-acute stays during that 30 day period. It could also include multiple inpatient stays. The goal of a readmit rate is to evaluate each facility's success at keeping patients out of the hospital.
For a hospital, this rate reflects all inpatient discharges that are readmitted within 30 days.
For any other post-acute facility, (primarily SNFs on this page), the rate is the percentage of all admissions who are readmitted to inpatient care within 30 days of a prior inpatient discharge. If the post-acute admission did not follow an inpatient discharge, there is no possibility of a readmission.
In most cases, Trella Health readmission rates are based on a two year reporting period, that is, we calculate the percentage for all appropriate claim events that occur within two years, aligned with the end of the data set. Trended Readmit rates found on the same analyze page are calculated using a one year reporting period.
A lower readmit rate indicates that the agency is providing care that keeps patients out of the hospital, avoiding readmission penalties. If you compare agencies with similar patient demographics, the agency with the lower rate is more successful. For a specific agency, it is helpful to compare their readmit rate to the county and state benchmarks.
For more information, see Readmit Rates and Hospitalization.
This is the Top hospice destination for the selected facility. We identify the hospice agency that admits the highest number of inpatient and outpatient patients from the selected facility and then we produce the percentage using the following equation.
|The image to the right provides a visual to show how we calculate this percentage.|
Patient Risk Score
Each metric is the average Hierarchical Condition Category (HCC) Risk Score for this facility for the specified claim type with a subjective evaluation of the level of risk the score represents.
For more information, see Risk Scores and HCC.