Overview
The Hospitals and Agencies Explore table contains all facilities in your available markets. The following tools will assist you in finding facilities that match criteria of your choice.
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, Street Address, City, State | These are the County, ZIP code, street address, 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. To see all possible facility types, open the Facility Type filter. |
Claim Type |
The Claim type is determined by the setting from which the claim was submitted (INP, OUTP, SNF, HHA, and HOS). You can see the possible claim types by clicking on the Claim Type filter. A hospital will have INP and OUTP, Skilled Nursing Facilities will have SNF and OUTP, Home Health should only have HHA, and hospices should only have HOS. Exceptions are possible, but are possibly coding errors. |
Assigned User | This column will contain the user from your company who is assigned to the listed facility. |
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. For more information, see Star Rating. |
Medicare Patients | This is the count of distinct Medicare patients treated by the facility in each row during the one-year reporting period. |
All Patients Entering SNF w/in 30 days of D/C | This metric is the count of distinct Medicare patients treated at the listed hospital or agency that received SNF care within 30 days of discharge. |
Average Medicare Days per SNF Stay | This is the average count of Medicare days per stay the listed facility’s patients received SNF services. The counts for this metric only include SNF patients discharged during the most recent four quarters. |
Patients coded for Home Health Care |
This metric is the count of patients discharged from care at the listed hospital or agency with a discharge code for Home Health care. For more information, see How does Trella Health Identify Discharge Status Coding?. |
Non-Admit % |
This is the percentage of patients discharged from care at the listed facility with a discharge code for SNF care who did not go into SNF care within 30 days of discharge from this facility. Please note that this metric might be confusing. Every other adherence metric in Marketscape measures adherence, not non-adherence, as this metric does. |
Readmit OR Hospitalization +30 Rate |
Readmit: For inpatient facilities, the percentage of patients readmitted into any hospital within 30 days of their discharge from the listed inpatient facility during the two-year reporting period. Hospitalization +30: For listed post-acute facilities, the percentage of patients from the listed facility who were admitted to any hospital during their post-acute stay, or within 30 days of discharge from post-acute care. |
Patient 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. For more information, see Risk Scores and HCC. |
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