Overview 

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 agency to determine whether to dig deeper or move to another agency.

 Hospitalization Rate

This metric is the rate at which patients being treated by the selected agency were were admitted to a short-term acute stay during the course of treatment (includes transfers) OR within 30 days of home health discharge. This metric is calculated from data collected during a two year reporting period.

 A lower hospitalization rate indicates that the agency is providing care that keeps patients out of the hospital. 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 hospitalization rate to the county and state benchmarks.

30 Day Readmit 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.

 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.

 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.

 For more information, see Readmit Rates and Hospitalization.

Total Cost of Care

This metrics is the average Medicare spend for patients treated at the agency during the 12 month period after admission to this home health agency. This includes all Part A & B claims, lab claims, and durable medical equipment costs (DME).

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