Tab Name

Description

Insights

The focus of this tab is patient demographics for patients treated by the selected facility. The following tables are included:

• Patient Volume - counts of patients to evaluate the referral potential of the facility
• CMS Payer Mix - Trended patient counts over the most recent available year of metrics comparing Medicare Advantage, Medicaid, and Medicare FFS. Since Medicare Advantage metrics lag by two years, the metrics in the table are all two years old to provide a meaningful comparison.
• Patient Locations - breakdown of patient residence by county
• Patient Acuity/Diagnostic Mix - break down of patient counts by primary diagnoses based on the Trella Health Diagnostic Categories. 
• Chronic Conditions - annual patient counts and percentages of patients treated by the selected skilled nursing facility broken out by chronic conditions
• Patient Age - percentage of patients treated by the selected skilled nursing facility by age broken out by age
• Market Share - County - Trended counts of Medicare FFS patients treated by the selected skilled nursing facility for the most recent eight quarters broken out by county of residence

The Quality tab contains tables with performance metrics you can use to evaluate the quality of care provided by the selected skilled nursing facility. The following tables are included:

• Trended Hospitalization Rates - trended hospitalization rates for the selected skilled nursing facility over the most recent four quarters of available data
• Trended Readmission Rates - trended thirty, sixty, and ninety day readmission rates for the selected skilled nursing facility over the most recent four quarters of available data
• BPCI Groups - annual patient counts and related metrics broken out by BPCI groups
• Readmission Rates - readmission rates for the selected skilled nursing facility along with county and state benchmarks broken out by Trella Health Diagnostic groups. Each diagnostic group is further broken out by acuity.
• Hospitalization Rates within 30 Days from Start of Care by Acuity - 30 day Hospitalization rates for the selected skilled nursing facility are broken out by Trella Diagnostic group and acuity. County and state benchmarks are included for each metric.
• Hospitalization Rates within 60 Days from Start of Care by Acuity - 60 day Hospitalization rates for the selected skilled nursing facility are broken out by Trella Diagnostic group and acuity. County and state benchmarks are included for each metric.
• Hospitalization Rates within 90 Days from Start of Care by Acuity - 90 day Hospitalization rates for the selected skilled nursing facility are broken out by Trella Diagnostic group and acuity. County and state benchmarks are included for each metric.
• Length of Stay by Trella Diagnostic Group - mean and median length of stay metrics are shown for the skilled nursing facility , broken out by Trella Diagnostic group. County and state benchmarks are included for each metric.
• Length of Stay & Readmission Rates - by Clinical Group - this table shows mean lengths of stay and readmission metric broken out by MS-DRG, Readmission Groups, and BPCI. County and state benchmarks are included for each metric.

This section contains one table

• SNF's Summary - a spread of the selected skilled nursing facility's metrics

In Trella Health Marketscape Insights, sources are physicians and organizations that treated patients who were subsequently admitted to the selected skilled nursing facility.

• FFS Hospital & Agency Sources - this table includes all organizations that submitted Medicare FFS claims for patients within 30 days of being admitted to the selected skilled nursing facility. Since patients can be treated by different organizations prior to SNF admission, these sources can hospitals, home health agencies or other skilled nursing facilities.
• CMS Medicare Advantage Hospital & Agency Sources by Payer - 100% Complete - this table shows all organizations that submitted Medicare Advantage claims for patients within 30 days of being admitted to the selected skilled nursing facility. For each organization listed, a table can be expanded to show the MA payer for those patients. Source organizations can be hospitals, home health agencies or other skilled nursing facilities.
• FFS Physician Sources - this table contains all physicians who submitted Medicare FFA claims for patients who were admitted to the selected skilled nursing facility. SNF patients are only included in the metrics for this table if the physician submitted the last claim for the patient prior to SNF admission, submitted a claim within 90 days of admission, or was the attending physician for the patient's SNF care.
• CMS Medicare Advantage Physician Sources by Payer - 100% Complete - this table contains all physicians who submitted Medicare Advantage claims for patients who were admitted to the selected skilled nursing facility. SNF patients are only included in the metrics for this table if the physician submitted the last claim for the patient prior to SNF admission, submitted a claim within 90 days of admission, or was the attending physician for the patient's SNF care. For each physician listed, a table can be expanded to show the MA payer for those patients.

Destinations

Home Health

Since every skilled nursing facility can potentially be a patient source for home health agencies, this tab includes a single table of home health destinations for patients treated by the selected skilled nursing facility.

• Home Health Destinations: SNF - this table shows a list of home health agencies that admitted patients discharged from the selected SNF withing 30 days of home health start of care

There is one table under this tab

• CMS Medicare Advantage Patient Volume - 100% Complete - this table shows Medicare Advantage payers for patients treated by the selected skilled nursing facility

There is one table under this tab

• PDPM Summary - this table includes patient counts and metrics for the selected patients broken out by PDPM clinical categories.