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 physician to determine whether to dig deeper or move to another physician.
Understanding the Metrics
Physician Total Followed Patients
This insight is the count of distinct patients who received SNF services during the most recent four quarters with the selected physician listed as the certifying physician on the SNF final claim.
Physician SNF Utilization - 3 Months Prior
This metric is the percentage of the selected physician's patients who were admitted to SNF care during the one year reporting period and who were treated by the physician within 3 months prior to admission to home health.
In sum, this metric is the percentage of the named physician's recent patients who were admitted to SNF care.
The equation in the graphic above shows how two metrics from the Home Health Utilization table (screenshot above) are used to calculate this utilization percent.
Top Facility Affiliation
This is the top facility affiliation for this physician. This is the facility through which the selected physician presented the highest volume of their claims. Calculating the percentages for a physician's affiliation includes both inpatient and outpatient claims.
A complete list of facility affiliations can be found below Insights in the Practice Details tab in the Facility Affiliation table.
Patient Risk Score
Average Hierarchical Condition Category (HCC) Patient Risk Score for the named physician. The High/Medium/Low beneath the number is the Risk Category, which is the categorization of this physician's Patient Risk Score in comparison to all Physicians with the same specialty.