Two metrics show up repeatedly throughout the Trella Health Solutions - % Readmitted and % Hospitalized. Each of these metrics is a strong indicator of the performance of a hospital or post-acute care provider.
The reference period for hospitalization and readmission is described in the table header wherever the metric appears. A patient can be admitted to a hospital at any time and there are important reference events or periods that are important to keep in mind:
- Was the patient admitted to a hospital within 30 days of discharge from an inpatient facility? If so, that is a readmission and would tally against the hospital's readmission penalty.
- Was the patient receiving post-acute care at the time they were admitted?
- We also track if the patient was admitted to a hospital within 30 days of discharge from post-acute care?
Depending on these factors, we could use different titles to describe the metrics.
- % Readmitted: 30 days. This will always be the header for any readmission metric because, by definition, readmission only counts if hospital admission occurs within 30 days of discharge.
- % Hospitalized - Since the hospitalization metric does not depend on prior care or a prior discharge, % hospitalized would be counted against single patient stays - from admission to discharge.
- % Hospitalized: + 30 days - this metric will include hospitalizations that took place during a single patient stay and during the 30 days after discharge from post-acute care.
This metric is the percentage of patients from the named inpatient facility who were re-admitted to any hospital within 30 days of discharge from this facility.
The following video provides an overview of Readmission as it appears in the Trella Health Solutions.
Although this definition is sometimes adapted to match which facility in the definition is the focus of the metric, the basic definition for % Hospitalized: + 30 days is: The 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).
It is a good idea to view the column definitions in the header of each column to identify the specific focus of the hospitalization metric.
The following video provides an overview of Hospitalization as it appears in the Trella Health Solutions. (Please note that some of this content is out of date, that is, the Hospitalization table no longer exists.)