The Trella Health Solutions provide an inside view of the aggregate flow of patients through the medical continuum of care. The physicians and facilities main tables include destination tables that show where the patients received subsequent post acute care. Conversely, the hospices and home health agencies main table have drop down tables that show the facility and physician sources for their patients. In addition, all detail pages include relevant source and destination tables. See Patient Sources and Destinations.
This is great, but sometimes the numbers don't seem to make sense, and sometimes the tables don't match! What is going on?
Look at the following simple example:
Image from the Facilities Page
Image from the detail page for Crystal Oaks
Both of these tables show a single SNF source with multiple destinations. At first glance, this has some problems:
- First image: How can Crystal Oaks have 15 patients (source) that grow into 17 at Mercy Hospital?
- First image: What do we do about the other patients in addition to the 17 that are in the <11 counts for the other 4 hospices?
- Bottom image: Why doesn't this data match the data in the first table? Aren't these both SNF to Hospices?
Resolving the Destinations Dropdown Table
Clicking on the Green square with the white triangle opens the destinations dropdown table for any listed facility. The table title reads, "Hospice Destinations for this facility - Includes SNF and OUTP." In other examples, the table might read "INP and OUTP." This is the key to the growth of patients from 15 to 17+ in the first image above. The SNF, Crystal Oaks, also submits claims for outpatient services, which we see in the image directly below:
- Note that the NPI is the same as the facility on the SNF tab. This means that the SNF is providing outpatient care and submitting claims
- More to the point, you can see where the additional Hospice patients come from and how the destination counts can be higher than the source count.
- The total pool of patients from Crystal Oaks is the count from SNF claims plus the Outpatient claims 12 + 15 = 27 patients.
Off to the Detail Page for that SNF
Now that we understand the counts from the main table, the detail page makes more sense. The top image includes only counts where the claim is for care at the SNF, not outpatient. Those 12 outpatient claims are distributed between the two hospices shown on the Outpatient tab of the same table. If we were to show the identical data from the main page, it would need to be in a tab called "all" in order to show all of the sources together.
And in conclusion
This same number "mismatch" will be visible for all inpatient, outpatient and SNF facilities because of the addition of outpatient counts that are "hidden" in the background.