Overview

The Patient Population tab of the Physician Analyze Page of the Trella Health Marketscape for Hospice provides detailed patient demographics for the patients admitted to the selected hospice. These metrics are found under the Patient Population Tab.

In this article

• Chart View
• Patient Volume
• Patient Locations - County
• Market Share: County
• Patient Diagnostic Mix
• Chronic Conditions
• Patient Age

Chart View

At the top left of the page you will find a toggle icon that allows you to turn chart view on and off. With chart view on, some content will be shown as a chart, with chart view off, most content on the page will be shown in tables.

Not all tables have a chart view, and some charts don't have a table view.

Chart View On	Chart View Off
Legend - Some charts have a legend that identifies the elements in the chart. Each different identifier in the legend can be toggled on and off to display or hide the matching elements in the chart. Hovering over an identifier highlights the related elements in the chart. In the left image, the legend is highlighted by the box. All three identifiers are active, and three trend lines are displayed in the chart. In the right image, we clicked on the identifier for the County Average. The County identifier is grayed out, and the trend line for the County Average is not displayed. This feature allows you to customize what is displayed in the chart.

Patient Volume

The Patient Volume table shows trended counts of patients admitted to the selected hospice.

Chart View and Table View

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When you hover over a column in the Patient Volume chart, the metrics for the different patient counts represented in that column are displayed.

With chart view on the Patient Volume chart has a legend that identifies the elements in the chart. Each different identifier in the legend can be toggled on and off to display or hide the matching elements in the chart. Hovering over an identifier highlights the related elements in the chart. In the left image, the legend is highlighted by the box. All seven identifiers are active, and seven trend lines are displayed in the chart. In the right image, we clicked on the identifier for Distinct Patients Enrolled in Hospice. The identifier is grayed out, and the trend line for the Distinct Patients Enrolled in Hospice is not displayed. This feature allows you to customize what is displayed in the chart.
Chart Legend	Legend Customize

Understanding the Metrics

The table shows patient counts for the most recent year of available data and counts for the most recent 8 quarters. Each row includes metrics for a different set of patients admitted to the selected hospice.

Columns
Metric Name	Description
Annual Patient Count (FFS)	For each row, this column provides distinct patient counts for the most recent year of Medicare FFS data available. The most recent data sets are identified at the top right of every page in Marketscape Insights.
20YY QX	For each row, this column displays distinct Medicare FFS patient counts for the quarter listed in the header.
Rows
Distinct Patients Enrolled in Hospice	The count of distinct Medicare FFS patients enrolled in the selected hospice during the period listed with at least one claim during the specified period. Distinct patients are only counted once even if enrolled more than once in the specified period.
Dual-Eligible Patients	The count of distinct Medicare FFS Patients treated by the selected hospice who were also eligible for Medicaid coverage during the period identified in the header
Distinct Patients Admitted to Hospice	The count of distinct Medicare FFS patients admitted to the selected hospice during the specified period.
Patient Days	The sum of days spent in hospice care for Medicare FFS patients who were treated by the selected hospice during the period identified in the header.
Admits	The count of distinct Medicare FFS hospice admissions to the selected hospice during the specified period.
Discharges	The count of distinct Medicare FFS hospice discharges from the selected hospice during the specified quarter.
Mortalities	The count of distinct hospice patients who died during the specified period who were discharged from the selected hospice within one year of death.

Patient Locations - County

The Patient Location - County shows the percentage of patients treated by the selected facility within the one-year reference period who resided in the listed county at the time their initial hospice admission claim was filed. The one-year reference period aligns with the end of the last quarter for the most recent data set included in Marketscape Insights.

Chart View and Table View

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On	PatLoc On
When you hover over a sector in the Patient Location - County chart, the metrics for that sector are displayed.	PatLoc hover

Understanding the Metrics

County

For the selected hospice, this table contains the names of the counties and the percentage of patients for each county from the facility's total patient count.

State

For providers that serve multiple states, sometimes there might be two counties in different states with the same name. We have added the state in which the county resides to differentiate the counties in this situation. 

Since these metrics are based on the patients' place of residence, it is possible to have counties from states other than the state of the facility's location. This will be especially true for facilities located in smaller states or near state lines. Those "out of state" counties will only be included in this table if there is a sufficient count of patients.

Aggregated INS Counties and "Other"

• Any and all counties where the percentage was calculated from a count of less than 11 patients will not be identified in the table but will be aggregated into the row titled, "Aggregated INS County."
• For example, if the facility had 100 patients in the reporting period, any county with 10% of the total or less would represent less than eleven patients in that location and therefore, that location will not be identified, but would be combined with all other locations also not specified.

Unspecified State

Not every claim contains a location of residence for the patient. Those claims are combined into this row/sector.

Market Share: County

The Market Share - County table contains counts of patients and market share percentages for the selected hospice in the county you selected. There are 8 quarters of metrics that allow you to see long range trends.

Chart View and Table View

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On	There is no chart for this content

Understanding the Metrics

Metric Name	Description
Hospice Agency/NPI	The name and NPI of the selected hospice as listed in the CMS Provider Data file.
Patient Location	The county and state of residence for the patients for whom the metrics in each row apply
Recent Four Quarters and   Quarterly columns - 20XX QY The annual metrics and the quarterly metrics are calculated the same way.   Top/Bottom - Each Cell includes two metrics	Two metrics Top - This is the percentage of all patients who resided in the listed state/county who were admitted to the selected hospice during the year or quarter identified in the header. In short, this is the market share of hospice patients admitted to the selected hospice for the listed county. Bottom - This is the count of the patients who resided in the selected county who were admitted to the selected hospice during the year or quarter identified in the header.
Market Share Change	This metric is the change in market share between the most recent four quarters compared to the previous four quarters.
% Change Admits	This is the percent of growth or loss of patient census for the hospice year over year.
For a lot more information about market share metrics, see HOS - Reports - Market Share tab.

Patient Diagnostic Mix

The Patient Diagnostic Mix table contains metrics related to patients treated by the selected hospice broken out by diagnoses that align with the listed  Trella Health Diagnostic Groupings.

Table and Chart View

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When you hover over a bar in the Patient Diagnostic Mix chart, the metrics for the patient count represented in the bar is displayed.	Hover

There is no Legend on this table.

Understanding the Metrics

Metric Name		Description
Trella Diagnostic Group		The Trella diagnostic group, determined by the primary diagnosis on the claim for the patients counted
Top 3 Diagnosis		This column lists the top three diagnoses (based on the primary ICD-10-CM diagnosis code) for patients treated by the the selected hospice that fall within the listed Trella diagnostic group. All of the Trella Health Diagnostic Groups have far more diagnosis codes. Use these as a general guideline. For details, see the article listed below.
Annual Patient Count		The count of distinct patients admitted to the selected hospice who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
Percentage of Patients	This HHA	"This" refers to the selected hospice. The percentage of all patients admitted to the selected hospice who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
	County Average	The percentage of patients admitted to all hospices in the same county as the selected hospice who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
	State Average	The percentage of patients admitted to all hospices in the same state as the selected hospice who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
Low Acuity		The count of patients evaluated as low acuity who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
Medium Acuity		The count of patients evaluated as medium acuity who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
High Acuity		The count of patients evaluated as high acuity who had a diagnosis on their claim that aligns with the listed Trella Health Diagnostic Grouping.
For more on how Trella Health evaluates patient acuity, see Trella Health Patient Acuity.

For more information on Trella Diagnostic Groups, see Trella Health Diagnostic Groupings.

Chronic Conditions

The Chronic Conditions table contains metrics related to patients treated by the selected hospice broken out by chronic conditions.

Table View

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When you hover over a bar in the Chronic Conditions chart, the metric for the patient count represented in the bar is displayed.	Hover

Understanding the Metrics

Metric Name	Description
Chronic Condition	Name of the chronic condition developed from CCW Chronic Condition algorithms that search the CMS administrative claims data for specific diagnosis codes, MS-DRG codes, or procedure codes. For more information, see CCW Chronic Condition.
Annual Patient Count	The count of distinct patients treated by the selected hospice during the one-year reporting period who met the criteria for the listed chronic condition based on the CCW Chronic Condition algorithm.
Percentage of Patients	The percentage of distinct patients treated by the selected hospice who had a diagnosis on the claim that met the criteria for the listed chronic condition based on the CCW Chronic Condition algorithm.
Admissions	The count of admissions to the selected hospice during the one-year reporting period who met the criteria for the listed chronic condition based on the CCW Chronic Condition algorithm.
Discharges	The count of discharges from the selected hospice during the one-year reporting period who met the criteria for the listed chronic condition based on the CCW Chronic Condition algorithm.
Patient Days	The sum of patient days for patients treated during the one-year reporting period who met the criteria for the listed chronic condition based on the CCW Chronic Condition.
Average Length of Stay	The average length of stay for patients discharged during the one-year reporting period who met the criteria for the listed chronic condition based on the CCW Chronic Condition.
For more information on how Trella Health calculates average length of stay metrics, see Average Length of Stay.

Patient Age

This table shows the age breakdown for patients treated by the selected hospice agency by percentage for each listed age grouping.

Chart View and Table View

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On	There is no chart view for these metrics