The Hospice Summary table on the Hospice detail page includes all of the metrics from the Hospices page Main table with one additional statistic, MLOS. The statistics in this table provide a summary view of this hospice's overall performance.
Last Four and Quarterly Counts
These five columns provide counts of distinct patients who received hospice care for the period listed in the column header. Since the count is for distinct patients, a sum of the four quarters will not equal the number in the "Last Four" column.
These counts provide two important measures for the hospice on the page: 1) An overall patient count which provides a sense of the size of the hospice as well as hospice revenue. and 2) The four quarters provide a glimpse of growth or decline over the four quarters listed. Remember that patient counts alone are not as significant an indicator as actual relative growth or decline against the rest of the market. For more on this, see Hospice Detail Page - Market Share: County.
ALOS and MLOS
The average length of stay columns contain two different averages related to the time period from patient admission to discharge for the hospice patients treated by this hospice during the reporting period. Based on these Lengths of Stay we have calculated two Averages: ALOS is the mean average where the total patient days are divided by the total patients. MLOS is the median average where we identify the length of stay that is the center of the data set, that is, there are as many numbers in the overall set below the center number as there are above the center number.
With regard to length of stay, financially, hospice providers reach the break even point after providing about three weeks of care. In addition, shorter lengths of stay don't allow the hospice staff to provide the levels of oversight, comfort care and bereavement preparation that are the hallmark of excellent hospice care. With that in mind, an evaluation of length of stay metrics will provide insights into measures that should be taken to improve patient length of stay.
This metric is a sum of all days of care provided by the hospice during the one year reporting period. It provides a useful comparative baseline for overall care provided and revenues generated during the reporting period.
% Readmitted: + 30 days
This is the percentage of patients who came from an inpatient setting into hospice and were subsequently readmitted to any inpatient setting within 30 days of the first inpatient discharge.
% Hospitalized: + 30 days
This is the percentage of patients from the hospice who were admitted to any hospital during their hospice stay or within 30 days of discharge from hospice care. It is calculated using a two year reporting period.