Overview

The Trella Inferred Parent Network (TIPN) Analyze page includes numerous tables of metrics related to the TIPN that you selected on the Market Share report page. (list shown below.)

You can open a TIPN Analyze page on the Reports page under the Market Share tab in the Medicare FFS - State Market Share with Trella Inferred Parent Networks table 

 To open the TIPN Analyze page for a specific parent network, click on the name of the TIPN listed in the table.

Let's get Oriented

There are eight tables of metrics under three tabs. The tables under each tab are listed below, with links to the detailed content for each table.

Tabs

There are four tabs on the TIPN Analyze page.

The Insights tab is the default landing page when you first navigate to the TIPN Analyze page.

Insights tab

There is one table under the Insights tab:

• Overall Home Health Medicare FFS Market Share - Coming Soon! Sample below

Network Details tab

There are four tables included on the TIPN Analyze page under the Networks tab:

• Home Health Network
• Skilled Nursing Network
• Hospice Network
• Hospital Network

Some parent networks do not include organizations for all four of the possible entity types shown above. In those cases, the corresponding table will be empty - the alert "No records available" will appear in the table.

Destinations tab

There are three tables under the Destinations tab:

• FFS Skilled Nursing Destinations - <<Source Type>>
• FFS Home Health Destinations - <<Source Type>>
• FFS Hospice Destinations - <<Source Type>>

Sources tab

There is one table under the Sources tab:

• Hospice Facility Sources

Header

The top of the TIPN Analyze page displays some basic information about the selected parent network.

The image above shows the current tabs available for the TIPN Analyze page.

In this article

• Insights tab
  • Overall Home Health Medicare FFS Market Share - Coming Soon! Sample below
• Network tab
  • Home Health Network
  • Skilled Nursing Network
  • Hospice Network
  • Hospital Network
• Destinations tab
  • Filters, Titles, Sources, Destinations, and Metric Definitions
  • FFS Skilled Nursing Destinations - <<Source Type>>
  • FFS Home Health Destinations - <<Source Type>>
  • FFS Hospice Destinations - <<Source Type>>
• Sources tab
  • HHA FFS Facility Sources

Insights tab

Overall Home Health Medicare FFS Market Share

The Insights tab includes one table. The sample content below is a mockup of the upcoming table. It is possible that changes could occur as we further develop the content under the Insights tab.

The Overall Home Health Medicare FFS Market Share table shows the selected TIPN's overall presence in the national, state, and county level markets. The metrics allow you to get the truest sense of the networks penetration at three regional levels.

The three rows in the table contain national, state, and county metrics.

Network Details tab

• Click on the Network Details tab to see the tables included under the tab.

There are four tables under the Network Details tab. Details for each table are included below.

Home Health Network

The Home Health Network table displays all home health agencies aligned with the selected TIPN.

This table allows you to evaluate and compare critical metrics for the home health agencies aligned with the selected TIPN.

Understanding the Metrics

Skilled Nursing Network

The Skilled Nursing Network table displays all hospices aligned with the selected TIPN.

This table allows you to evaluate and compare critical metrics for the skilled nursing facilities aligned with the selected TIPN.

Hospice Network

The Hospice Network table displays all hospices aligned with the selected TIPN.

This table allows you to evaluate and compare critical metrics for the hospices aligned with the selected TIPN.

Hospital Network

The Hospital Network table displays all hospitals aligned with the selected TIPN.

This table allows you to evaluate and compare critical metrics for the hospitals aligned with the selected TIPN.

Destinations tab

Overview

There are three tables under the Destinations tab. There is a table for skilled nursing facilities, a table for home health agencies, and a table for hospices. Each post-acute care entity listed in these tables admitted patients for care who were discharged from specific organization types aligned with the selected Trella Inferred Parent Network.

Parallel reference

For those of you who are familiar with Destinations tables under other Analyze pages in Marketscape Insights, this tab is similar and different. It is similar in that these tables display metrics that trace populations of patients through the continuum of care that are admitted to the organizations listed in the tables. The difference is that elsewhere in Marketscape Insights, the patients are traced from individual providers, and under this tab, the patients include those discharged/treated by multiple organizations aligned with the selected TIPN. This provides a macro view of the care continuum. You will select a single organization type as the source for patients admitted to the entries in the destinations tables.

Filters, Titles, Sources, Destinations, and Metric Definitions

Filter By

At the top of the Destinations tab Analyze page, above the first table, there is a "Filter By" Patient Source dropdown that allows you to choose the source type (organization) that you want to use for the tables under the Destinations tab. All metrics in the tables under the Destinations tab will reflect patients discharged from the care setting you choose in the dropdown.

The following image shows the options available in the filter dropdown.

Details

• Some TIPN Analyze Destinations pages will not include all of the options shown above
• It is possible that you can select a source that will not produce any results in one or more of the tables on the page
• Even though the filter uses checkboxes instead of radio buttons, you can only choose one filter option at a time

This feature allows you to trace patient flows through the continuum of care with greater specificity by choosing a single care setting as the patient source.

• Click on the option you want to use to populate the tables under the Destinations tab.
• Click on the "Apply Filters" button to activate your choice.

Table Titles

The image above displays the title of the the FFS Skilled Nursing Destinations table. (arrow) The table title will change to show, after the hyphen "-," the organization source type that is currently active on the page. Another example is shown below.

• Destinations: Skilled Nursing Facilities - identifies the organization listed in each row in the table.
• Sources: Hospitals, counts from inpatient claims admitted to skilled nursing care

Count Definitions

The tables show metrics for the specific destination and source organization types displayed in the table. The tables include many different annual and quarterly patient counts for patients discharged from the source type and admitted to the destination type.

The definitions that open when you click on the "i" button - in the column header for counts in all tables are similar to what follows:

"Aggregated count of Medicare FFS patients who were discharged from any hospital/agency/facility in the TIPN and admitted to the listed <destination org> within 30 days after discharge during the (period listed in the header)"

In order to keep things simple, all count definitions follow the above pattern, the three elements listed in color above will change slightly. In order to keep things straight, follow these guidelines

• Blue Source - This is a reference to the organization source type listed in the table title. (This is also the source type you can select with the "Filter By" Patient Source dropdown filter.
• Red Destination - This is a reference to the organization destination type which is listed in the table title. Each entry named in a row of the table is a destination.
• Green Reporting Period - This will always be the reporting period listed in the column header.

Why all this definition detail?

Trella Health uses specific terms to refer to specific organization types, but sometimes these terms are used differently for different lines of business. One example: in Marketscape Insights for Hospice, the term "facility" is used for source organizations for patients entering care at a hospice. In the hospice line of business, a "facility" source could be a hospital, inpatient or outpatient, or a home health agency, or a skilled nursing facility. However! In Marketscape Insights for Skilled Nursing, the word "facility" is used only as a reference to a skilled nursing facility. In the SNF line of business, patients sources are specified; hospital, or home health agency.

On the TIPN Analyze page, we are looking at Trella Inferred Parent Networks! Yes! These networks include hospitals, home health agencies, hospices, and skilled nursing facilities. In order to make a single, more general, definition for use in the destinations tables, we use generic terms in the definitions, and sometimes they do not comply with the "official" definition used elsewhere in the same Marketscape Insights module.

But... if you remember to match the source and destination types (as suggested here) to the table title, the definitions will make sense.

Sorry, one more thing. Since any table you are viewing might be different from the examples included below, we include a more general definition that aligns with the destinations, which are fixed, but the sources are identified as "from any organization associated with the selected TIPN of the type listed as the source in the table title."

FFS Skilled Nursing Destinations - <<Source Type>>

The FFS Skilled Nursing Destinations table will show metrics related to the skilled nursing facilities listed in the table. Keep in mind that since the listed destinations are admitting patients from a network of organizations, not only will the numbers be higher than in destination tables for a single source organization, but also, the destinations could potentially slop over into a much larger region than in other destination tables, even into additional states.

Source Type - Remember - The organization source type for metrics in this table will depend on the choice you made using the Filter By Patient Source dropdown at the top of the page.

Although the following image shows the Destinations table for Inpatient and Outpatient Hospitals as a source, the metrics and definitions below will be similar for each source type you choose. The only exception is the count definitions as described above.

Understanding the Metrics

FFS Home Health Destinations - <<Source Type>>

The FFS Home Health Destinations table will show metrics related to the home health agencies listed in the table. Keep in mind that since the listed destinations are admitting patients from a network of organizations, not only will the numbers be higher than in destination tables for a single source organization, but also, the destinations could potentially slop over into a much larger region than in other destination tables, even into additional states.

Source Type - Remember - The organization source type for metrics in this table will depend on the choice you made using the Filter By Patient Source dropdown at the top of the page.

Although the following image shows the Destinations table for Inpatient and Outpatient Hospitals as a source, the metrics and definitions below will be similar for each source type you choose. The only exception is the count definitions as described above.

Understanding the Metrics

FFS Hospice Destinations - <<Source Type>>

The FFS Hospice Destinations table will show metrics related to the hospices listed in the table. Keep in mind that since the listed destinations are admitting patients from a network of organizations, not only will the numbers be higher than in destination tables for a single source organization, but also, the destinations could potentially slop over into a much larger region than in other destination tables, even into additional states.

Source Type - Remember - The organization source type for metrics in this table will depend on the choice you made using the Filter By Patient Source dropdown at the top of the page.

Although the following image shows the Destinations table for Inpatient and Outpatient Hospitals as a source, the metrics and definitions below will be similar for each source type you choose. The only exception is the count definitions as described above.

Understanding the Metrics

Sources tab

The sources listed in this table are facilities that discharged patients who were admitted to a home health agency in the selected TIPN. Some facilities listed are part of the same TIPN and other facilities are not.

Metric Name		Description
Facility Name/NPI		The name and NPI of the facility for which the metrics in the same row are displayed. The possible facilities represented in this table could be skilled nursing facilities.
All Home Health Agencies	HHA Patients (Inpatient/Outpatient)	The count of distinct Medicare FFS patients discharged from the listed facility and admitted to any home health agency within 30 days after discharge and during the one-year reporting period.
	Patients Coded for Home Health (intended)	The count of distinct Medicare FFS patients discharged from the listed facility with a discharge status code indicating a need for home health services during the one-year reporting period.
	Patients who Received Home Health (Actual)	The count of distinct Medicare FFS patients discharged from the listed facility with a discharge status code indicating a need for home health services who received home health services within 30 days after discharge during the one-year reporting period.
Each entry in the FFS Facility Sources table relates to a patient source for home health agencies. The table shows some comparative metrics. (See image below) All Home Health Agencies - this section displays counts of patients from the facility listed in each row to all home health agencies that admitted those patients. This TIPN (the selected TIPN) - this section displays counts of patients from the facility listed in each row to home health agencies in the selected TIPN that admitted those patients.
This TIPN	The word "this" has no reference. The section of the table labeled "This TIPN" contains metrics specific to the selected TIPN for which the Analyze page is open.
	HHA Patients (Inpatient/Outpatient)	The count of distinct Medicare FFS patients discharged from the listed facility who were admitted to a home health agency within the selected TIPN within 30 days after discharge during the one-year reporting period
	HHA Affiliation %	The percentage of distinct Medicare FFS patients discharged from the listed facility who were admitted to a home health agency within the selected TIPN within 30 days after discharge during the one-year reporting period
	Patients who received Home Health (Actual)	The count of distinct Medicare FFS patients who were discharged from the listed facility with a discharge status code indicating a need for home health services who were admitted to home health services at an HHA within the selected TIPN within 30 days after discharge during the one-year reporting period.
Patient Counts	20YY QX	The count of distinct patients discharged from the listed facility who were admitted to a home health agency within the selected TIPN during the quarter listed in the header.