Overview

The Patient Population section of the Facility Analyze Page contains patient demographics that make you the expert on your selected facility's patients. These metrics are found under the Patient Population tab.

In this article

• Chart View
• Patient Volume - Trended counts of patients over eight quarters
• Inpatient CMS Payer Mix - Distinct Patients - inpatient patient counts for Medicare FFS, Medicare Advantage, and Medicaid discharged from the selected facility
• Outpatient CMS Payer Mix - Distinct Patients - outpatient patient counts for Medicare FFS, Medicare Advantage, and Medicaid discharged from the selected facility
• Patient Locations - County - percentage of patient's county of residence.
• Diagnostic Breakout by Stay - counts of patient stays by Trella Health Diagnostic Group or MS-DRG for HHA patients discharged from the selected facility.
• Chronic Conditions - Breakdown of patients by chronic condition diagnoses
• Patient Age Groups - Breakdown of patients by 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 Table

The Patient Volume table shows trended counts of patients treated by the selected facility.

Chart View and Table View

Off
Filter Dropdown The dropdown at the top left of the table allows you to choose the claim type for the metrics in the table. Tap on the claim type you want to see in the table
On
When you hover over a line in the Patient Volume chart, the metrics for the different patient counts represented in the chart 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 the Patient Days. The identifier is grayed out, and the trend line for the Patient Days is not displayed. This feature allows you to customize what is displayed in the chart.
Chart Legend	Legend Customize
For this chart in particular, it is a good idea to turn off the Patient Days as shown in the example. The metric is not similar to the other metrics, all of which are patient counts. As you can see in the example above, with Patient Days included, the other metrics are unreadable and provide no useful visual meaning. With Patient Days off, all of the patient count trends are easier to see.

Metric Details

In the Marketscape In sights for Home Health, the most recent quarter volume will always show a number that is unexpectedly small in comparison to previous recent quarters. CMS assigns home health claims to a quarter based on the through date, not the start date. Trella Health assigns claims based on start date. Thus if the claim was not completed during the quarter shown in the table, the CMS data will not reflect that claim until the following quarter, at which point we retroactively update the counts for the given quarter.

Inpatient CMS Payer Mix - Distinct Patients

This table shows distinct patient counts of inpatient patients treated by the selected facility for the most recent year where comparative metrics can be displayed for Medicare FFS, Medicare Advantage, and Medicaid. The data for the listed year are broken out by quarter to show trends.

Chart View and Table View

Off
On
When you hover over a line in the Inpatient CMS Payer Mix chart, the metrics for the different patient counts represented in the column are displayed.

With chart view on the Inpatient CMS Payer Mix 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 three identifiers are active, and three trend lines are displayed in the chart. In the right image, we clicked on the identifier for Medicaid. The identifier is grayed out, and the trend line for the Medicaid is not displayed. This feature allows you to customize what is displayed in the chart.
Chart Legend	Legend Customize

Metric Details

The metrics in this table are about 2 years old because complete Medicare Advantage data is only available after that period. Medicare FFS metrics and Medicaid metrics are shown for the same periods in order to make comparisons meaningful. 

Outpatient CMS Payer Mix - Distinct Patients

This table shows distinct patient counts of outpatient patients treated by the selected facility for the most recent year where comparative metrics can be displayed for Medicare FFS, Medicare Advantage, and Medicaid. The data for the listed year are broken out by quarter to show trends.

Chart View and Table View

Off
On
When you hover over a line in the Outpatient CMS Payer Mix chart, the metrics for the different patient counts represented in the column are displayed.

With chart view on the Outpatient CMS Payer Mix 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 three identifiers are active, and three trend lines are displayed in the chart. In the right image, we clicked on the identifier for Medicaid. The identifier is grayed out, and the trend line for the Medicaid is not displayed. This feature allows you to customize what is displayed in the chart.
Chart Legend	Legend Customize

Metric Details

The metrics in this table are about 2 years old because complete Medicare Advantage data is only available after that period. Medicare FFS metrics and Medicaid metrics are shown for the same periods in order to make comparisons meaningful.

Patient Locations - County

This table 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 facility admission claim was filed. The one-year reference period aligns with the end of the last quarter for the data set included in Marketscape Insights.

Chart View and Table View

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

The patient percentages in this table are calculated from all Medicare claims for the selected facility, not just patients with HHA related claims.

County

For the selected facility, 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 who 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 agency 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.

Diagnostic Breakout by Stay

Chart View and Table View

The Diagnostic Breakout by Stay has both a chart and a table view.

Off
On
When you hover over a bar in the Diagnostic Breakout by Stay chart, the metrics for that bar are displayed.

Details

This table provides a percentage breakout by two different diagnosis models. For each diagnosis in either model, we provide a percentage of patient stays where the primary diagnosis on the claim aligns with the listed diagnostic category.

Use the dropdown to choose which diagnosis model to display in the table.

• Trella Health Diagnostic Grouping - This is Trella Health's unique diagnostic grouping model based on the ICD-10 Chapters. There are 20 different groups for all diagnoses, making this model very general.
• Diagnostic Related Group (DRG) - CMS uses this diagnostic grouping model as the model for billing under IPPS. There are more than 450 DRGs, so using this model allows you to identify the mix of diagnoses for your selected hospital in a high level of detail.

Trella Health Diagnostic Groupings

Use this diagnostic grouping model to identify broad areas of specialization as a connection between the selected facility and your agency.

Any and all diagnostic categories 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 diagnostic categories."

For more information see, Trella Health Diagnostic Groupings.

Inpatient DRG

As you can see from the image, using the Inpatient DRG diagnostic model provides a much more detailed view of the diagnoses for patients discharged from the selected hospital.

Not all DRG's will be available in this table. We only include DRGs where the diagnosis represents >=11 distinct patients and more than 1% of the the total distinct patients.

These diagnoses percentages only apply to patients discharged from inpatient care at the selected hospital.

CC is Complication or Comorbidity, MCC is Major Complication or Comorbidity.

Chronic Conditions

This table shows distinct patient counts of patients treated by the selected facility who were diagnosed with the listed chronic conditions.

Chart View and Table View

Off
On
When you hover over a bar in the Chronic Conditions chart, the metrics for that bar are displayed.

Metric Details

The percentages in the table will not add up to 100% since many patients will be identified with a diagnosis included in more than one row.

Patient Age

This table gives a simple breakout of the patients treated by the selected facility during the reporting period by age.

Chart View and Table View

Off
On
When you hover over a sector in the Patient Age chart, the metrics for that bar are displayed.