The average length of stay metrics in Marketscape for Home Health are calculated from all discharge claims submitted by the home health during the standard one year reporting period. We count the number of days from the time of patient admission to discharge.
To get the average, we add up the count of days from all eligible stays and divide by the number of stays.
The index event would be a discharge claim submitted during the most recent one year reporting period. The counting period for counting the length of stay would be up to three years. This means that the longest length of stay would be from a patient who was discharged on the last day of the current data set but who was admitted on or before the first day three years back from the end of the current reporting period. This maximum is 1095 days (or 1096 if there is a leap year.) We do not count back past the three year reference period, so any patients who were in home care care prior to that time will receive a count of the maximum possible days within the reference period.
The skinny red rectangles represent the home health stays. As long as the discharge (D/C) occurs during the one year reporting period, we count back up to three years to get a length of stay in days.
The yellow represents our standard reporting period, the period from which we gather our index events; in this case, discharges from home health. This one-year period aligns with the end of our current data set. That is, if the most recent data set end with 2019-Q3, this reporting period ends in the same quarter.
The blue is our counting period - we go back three years from the end of the reporting period to count the full length of stay for patients discharged during the reporting period. To be counted, start of care must be in this period. As you can see from the image, a stay can begin any time within the entire 3 year period, but must end in the one-year reporting period.
Length of stay calculations in the Marketscape include only patient stays where the patient has been discharged. As a result, length of stay metrics might be shorter in Marketscape than what you will find in other data references. For example: a patient who has been in post-acute care for over a year, but not discharged, would not appear in our length of stay metrics even though that could extend the length of stay average.
On the Analyze page for facilities there is a table named, Home Health Agency Length of Stay Post-Discharge. This table includes four quarters of length of stay data that we calculate in the same way, with one exception. The reporting period from which we look for home health discharges is a quarter rather than from the entire year.
To get the trended quarters, we look at each quarter in our one year reporting period for discharges within the quarter. We then look back through a three year counting period that aligns with the end of the quarter. As you can see from the image below, we offset the beginning of the counting period to make the quarterly metrics comparable.
The above image only shows two quarters. The earlier two quarters will offset the three year period even further.