Overview
The Facilities Explore table allows you to find facilities of numerous types in your available markets.
For an overview of the features and tools on the Explore page, see The Explore page.
Understanding the Metrics
| Metric | Description |
| Name, NPI | Facility name and NPI, as listed in the CMS Provider (NPI) file. An alias can be added to this name that is searchable throughout Marketscape. |
| County, ZIP, City, State | THese are the county, ZIP code, city, and State of the facility, as listed in the CMS Provider NPI file. |
| Facility Type |
The facility type describes the taxonomy code listed for this NPI in the CMS Provider NPI file.
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| Claim Type |
The Claim type is determined by the setting from which the claim was submitted (INP, OUTP, SNF, HHA, HOS, and others)
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| Star Rating | CMS created the five-star quality rating system to measure the experiences Medicare beneficiaries have with their health plan and health care system on a scale of 1 to 5 stars, with 5 being the highest quality. |
| Medicare Patients | Number of distinct Medicare patients treated by the facility in each row during the one-year reporting period. |
| All Patients Entering HH w/in 30 days of D/C | This metric is the count of distinct patients admitted to home health within 30 days of discharge from the facility listed in each row. |
| Average Days of Care Per HH Billing Episode |
This metric is the mean average number of days per episode patients treated by the home health agency in the row spent receiving HHA services, for patients who were discharged from home health during the one year reporting period.
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| Patients Coded for Home Health | This number is the count of patients discharged from the facility in each row with a status code in the discharge claim that indicates a need for Home Health. |
| Patients Coded for Hospice | This metric is the count of patients discharged from the facility in each row with a status code in the discharge claim that indicates a need for Hospice. |
| Patients Coded for SNF | This number is the count of patients discharged from the facility in each row with a status code in the discharge claim that indicates a need for SNF. |
| Patients Coded for Home or No PAC | This number is the count of patients discharged from the facility in each row with a status code in the discharge claim that indicates no need for post-acute care. |
| Non-Admit % |
This metric is the percentage of patients discharged from care at the facility in the row with a discharge code that indicates a need for Home Health care who did not go into Home Health care within 30 days of discharge from this facility.
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| Readmit OR Hospitalization + 30 Rate |
This column can include one of two different metrics, depending on the criteria below (in italics): Readmit Rate - If the facility is hospital inpatient - The metric will be the percent of distinct patients re-admitted to any inpatient facility within 30 days of discharge from the hospital listed in the row during the one year reporting period. Hospitalization Rate: + 30 - If the facility is any type other than a hospital - The metric will be the percentage of patients admitted to the facility listed in the row who were admitted to an inpatient setting during their stay or within 30 days of Discharge.
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| Risk Score and Risk Category |
These two metrics reflect the Average Hierarchical Condition Category (HCC) Risk Score for the given NPI and a categorization of this NPI's Risk Score in comparison to all NPI's of this type.
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To see all possible facility types, open the Facility type filter.
Be careful, This is a non adherence metric. Every other Adherence metric in Marketscape reflects successful adherence.
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