There are three tables in the Home Health Detail Page that contain summary metrics for the Home Health Agency on the page. These metrics allow you to develop a picture of the agency's overall performance and compare that performance to county and state averages of all other agencies.
Home Health Agency's Summary
The Home Health Agency's Summary table includes all of the metrics from the Home Health Agencies page Main table for the specific Home Health Agency on the page with the addition of the single metric "Median Days per Stay."
|Agency Identification||Agency Name/NPI||This is the agency name and NPI as listed in the CMS Provider Data (NPI) file. A searchable alias can be added to the contact information for any home health agency if the agency is known by another name.|
|County/ZIP Code||Primary County/ZIP code of the home health agency, as listed in the NPI file. In this table, counts are placed in the ZIP code of the agency, not the residence of the patients.|
|Patients Admitted||One Year Total||This is the total number of patients admitted during the one year reporting period. Because some patients might have new episodes in more than one quarter, this column might not be a sum of the four quarters listed.|
|Listed Year and Quarter||
This is the count of patients admitted to the Home Health Agency during the period listed in the header.
Please note that the most recent quarter will show a smaller count than the true number. CMS assigns home health claims to a quarter based on the through date, not the start date. Trella Health assigns claims based on the start date, thus if the claim was not completed during the most recent quarter, the CMS data will not include that claim until the following quarter data release.
|Averages||Days per Episode||The average number of days per episode this HHA’s patients spent receiving HHA services, for patients that completed episodes during the one year reporting period.|
|Episodes per Patient||The average number of 60 day episodes per patient stay.|
|Medians||Median Days per Stay||The median number of days per stay this HHA’s patients spent receiving HHA services, for patients that completed stays during the one year reporting period. The median is the number 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.|
|Average Visits per Episode||Nurses||The average number of visits per episode for patients receiving services at this HHA, for patients that completed episodes during the one year reporting period.|
|Therapist||The average number of visits per episode for patients receiving services at this HHA, for patients that completed episodes during the one year reporting period.|
|% Readmitted: 30 Days||Percentage of patients who came from an inpatient setting into home health and were subsequently readmitted to any inpatient setting within 30 days of the first inpatient discharge|
|% Hospitalized: + 30 days||Home Health Agency’s two year overall rate of hospitalization (where this agency’s patients were admitted to a short-term acute stay during an HH services episode (includes transfers) OR within 30 days of Home Health discharge)|
This table contains some general metrics with county and state comparisons.
|Hospitalization||Home Health Agency’s two year overall rate of hospitalization (where this agency’s patients were admitted to a short-term acute stay during an HH services episode (includes transfers) OR within 30 days of Home Health discharge) For the comparative County and State numbers see the next table.|
|% of Deaths||This is the percent of patients who expired during an HH services episode or within the same one year reporting period as the discharge from Home Health service.|
|Average Patient Age||The mean average of all patients who received treatment during the reporting period for the Home Health Agency on the page.|
Home Health Agency's Quality Metrics
Each of the metrics in this table represents a key performance measure for the Home Health Agency on the page. For every metric, we have included the comparative county and state averages.
|Average Days from Facility Discharge to 1st HHA Visit||The mean average number of days between the most recent discharge and the Start of Care (SOC) for patients treated by this agency. (The discharge can be from any facility type as long as the patient is coded for home Health - number 6 in box 17, and this metric only includes the most recent discharge prior to the patient's admission to home health care.)|
|Average HHA Visits within 14 days of episode start||The average number of visits performed within the first 14 days of the Start of Care by this agency.|
|Percent of HHA Episodes Started on a weekend||The percentage of HHA episodes for this agency where the Start of Care took place on a weekend. This metric only includes start of care for the first episode in the patient's stay.|
|Average # of Nursing Visits per HHA Episode||The average number of skilled nursing visits (both RN and LPN) per episode performed by this agency|
|Average # of Therapy Visits per HHA Episode||The average number of therapy visits (PT, OT, SLP) per episode performed by this agency|
|% Readmitted: 30 days||Percentage of patients who began home health immediately following an inpatient stay and were subsequently readmitted to an inpatient stay at an acute care facility within 30 days of the inpatient discharge|
|% Hospitalized: +30 days||Home Health Agency’s two year overall rate of hospitalization (where this agency’s patients were admitted to a short-term acute stay during an HH services episode (includes transfers) OR within 30 days of Home Health discharge)|
Average Days from Discharge to 1st Visit
Home Health Agencies must conduct an initial assessment visit within 48 hours of patient referral. Currently, Trella Health does not have access to the referral dates. As a result, for this number, we determine the difference, in days, between the discharge date and the first visit. For this reason, this metric should not be construed as an indicator of timely vs. untimely start of care for the HHA. Nevertheless, the metric is helpful in assessing the agencies performance overall. See Home Health - Why are the Average Days to First Visit Too High?.