These two counts are similar yet different. The reason is that each of these tables is trying to convey a different perspective on a physician and the patients treated.
The Patient Metrics (at the top) is a parallel table to the Physicians page main table. The purpose of this table is to show the "informal referral relationship" between the physicians and the post-acute care their patients receive. For this reason, the Home Health Patients metric is the total of distinct patients using the three claim categories below; 3 Months Prior, Last Claimed, and Followed. The goal is to identify physicians who work with populations of home health appropriate patients. The close proximity between home care admission and prior care by the physician identifies physicians who are likely sources of home health referrals. This metric, then, shows the connection between the physician and home care admission.
The Home Health Utilization table is focused on identifying the broader perspective of each physician's use of home care for the relative patient population. For this reason, we identify ALL of the physician's patients who have received home health care during the same year as the physician submitted a claim for treating each patient. This metric answers the broad question, "How many home care patients does this physician have."
|Patient Metrics||Patients who Received Home Health|
|Event||Home Health Admission Date||Physician Claim Date|
|Reporting Period||Last 12 months||Last 12 months|
Physician had last claim prior to the event
Physician had a claim in the 3 months prior to the event
Physician was the certifying physician on the home health claim in the event
|Patient received Home Health Service in the last 12 months|