The Home Health Utilization table provides a helpful comparison of a physician's basic Home Health usage metrics with the state averages for physicians in the same specialty. Three sections break down the counts and percentages by the familiar claim categories: All patients, 3 Months Prior and Last Claimed.
Wide variances from the average highlight specialization for that physician's practice. Any time that a physician falls below the state average may indicate an opportunity to provide assistance to integrate home health more deeply into the overall care plan. This is especially true for the 3 Months Prior Home Health Utilization that isolates the utilization rate to patients that have recently seen the physician.
In all cases, the state comparison is an average of the same metric for all physicians in the state with the same specialty.
Total Home Care Statistics
|Number of Patients||This is the count of distinct Medicare patients treated by this physician during the one year reporting period (last four quarters).|
|Number of Patients who received Home Health in the last 12 months||This count is the distinct patients treated by this physician who received Home care during the reporting period. This includes patients who were already receiving home care prior to the beginning of the reporting period, that is, they were admitted outside of the reporting period.|
|Home Health Utilization||The percentage of a physician's Medicare patients that received home health calculated as the second row divided by the first row. Note that this statistic shows the utilization of the physician's patient population and not necessarily the utilization of the physician.|
|Average Patient Age.||This is the average age of the Medicare patients who were treated by the physician.|
3 Months Prior and Last Claimed Sections
Calculations are the same for these sections, except the row "Number of Patients who received Home Health in the last 12 months" is further constrained. For that row, the patient counts have the additional constraint of the physician having seen the patient in the reference period specified for the section.