Charge Comparison - Peer CareScience

This analysis evaluates Charge outcomes for a defined population and compares them to the same outcomes in a defined peer group. Use this analysis to measure your Charge outcome performance to that of your peers.

Select Population Tab:

There are 4 required prompts that you must select before running this analysis.

Required Prompts:

  • Facilities
  • Time (1 year is selected by default.)
  • Inpatient/Outpatient (Inpatient is selected by default. You should not select Outpatient for this analysis because risk-adjusted metrics are calculated for inpatients only.)
  • Peer (You must choose at least five facilities and comply with the External Peer Methodology in order for peer data to appear on the analysis.)

Optional Prompts:

  • Diagnoses (ICD-10)
  • Procedures (ICD-10)
  • Inlier/Outlier
  • Patient Types
  • Patient Demographics
  • Standard Practitioner Specialties
  • Patient Visits
  • Resources
  • Standard Primary Payers
  • Standard Secondary Payers
  • Patient Qualifications

Set Up Analysis Tab:

Row Header Prompt

  • MS-DRG is selected by default. However, you can select any attribute(s) you want.

Expected Values on CareScience Analyses

CareScience analyses have two risk-calculation modes for the Expected value:Standard Practice andSelect Practice. However, for Charge, only Standard Practice Expected values are calculated. Standard Practice is the only option available in the Page-By.

For more information, see Standard and Select Practice.

Default Metrics

The following metrics appear in the grid when the analysis returns:

  • Facility Outcome Cases - The number of cases for the Charge/Case outcome that qualified for risk adjustment. Based on the Outcome Case methodology, some cases may not qualify for risk adjustment.
  • Facility Geometric Observed - The charge/case for the Charge Outcome Cases.
  • Facility Geometric Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology and the geometric mean.
  • Facility Geometric Variation - The Observed value minus the Expected value.
  • Facility Geometric SS - Asterisks display only if the Variation is statistically significant. The number of asterisks indicates the confidence level that the outcome's variation is not due to chance: 1 asterisk = 75%, 2 asterisks = 95%, 3 asterisks = 99%. Green asterisks = the outcome’s variance is statistically better than expected. Red asterisks = the outcome’s variance is statistically worse than expected. Total lines do not have values for Statistical Significance.
  • Facility Geometric O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.

The following metrics represent the aggregated data for the selections at the Peer prompt:

  • Peer Outcome Cases - The number of cases for the Charge/Case outcome that qualified for risk adjustment. Based on the Outcome Case methodology, some cases may not qualify for risk adjustment.
  • Peer Geometric Observed - The charge/case for the Charge Outcome Cases.
  • Peer Geometric Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology and the geometric mean.
  • Peer Geometric Variation - The Observed value minus the Expected value.
  • Peer Geometric O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.
  • Peer Geometric SS - Asterisks display only if the Variation is statistically significant. The number of asterisks indicates the confidence level that the outcome's variation is not due to chance: 1 asterisk = 75%, 2 asterisks = 95%, 3 asterisks = 99%. Green asterisks = the outcome’s variance is statistically better than expected. Red asterisks = the outcome’s variance is statistically worse than expected. Total lines do not have values for Statistical Significance.

For more information, see Metrics on the Risk-Adjusted Analyses.

Metrics in Report Objects

Report Objects allows you to add metrics to the grid. Click the button in the Tools toolbar to see the metrics in Report Objects. You can drag-and-drop the following metrics on the grid for this analysis:

  • Facility CMS HAC Cases After Admit - The number of patients with at least one CMS Hospital Acquired Condition (HAC) after admission.
  • Facility Arithmetic Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology and the arithmetic mean.
  • Facility Arithmetic O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.
  • Facility Arithmetic Observed - The charge/case for the Charge Outcome Cases.
  • Facility Arithmetic SS - Asterisks display only if the Variation is statistically significant. The number of asterisks indicates the confidence level that the outcome's variation is not due to chance: 1 asterisk = 75%, 2 asterisks = 95%, 3 asterisks = 99%. Green asterisks = the outcome’s variance is statistically better than expected. Red asterisks = the outcome’s variance is statistically worse than expected. Total lines do not have values for Statistical Significance.
  • Facility Arithmetic Variation - The Observed value minus the Expected value.
  • Facility Opportunity (Arith Charge) - The calculation of the Variation multiplied by Charge/Case Outcome Cases. There must be at least one charge opportunity dollar for a value to display. Charge opportunities are rounded to the nearest dollar.
  • Facility Opportunity (Geo Charge) - The calculation of the Variation multiplied by Charge/Case Outcome Cases. There must be at least one charge opportunity dollar for a value to display. Charge opportunities are rounded to the nearest dollar.
  • FacilityTotal Cases - All cases that qualified for the analysis.
  • Facility Total Charges - The total charges for the Charge/Case Total Cases.
  • Facility Total Charges for Outcome Cases - The total charges for the Charge/Case Outcome Cases.

The following metrics represent the aggregated data for the selections at the Peer prompt:

  • Peer CMS HAC Cases After Admit - The number of patients with at least one CMS Hospital Acquired Condition (HAC) after admission.
  • Peer Arithmetic Expected - The expected value for the Outcome Cases, calculated using the CareScience Analytics risk-adjustment methodology and the arithmetic mean.
  • Peer Arithmetic O/E - The Observed value divided by the Expected value. Less than 1 = performing better than expected. Greater than 1 = performing worse than expected.
  • Peer Arithmetic Observed - The charge/case for the Charge Outcome Cases.
  • Peer Arithmetic SS - Asterisks display only if the Variation is statistically significant. The number of asterisks indicates the confidence level that the outcome's variation is not due to chance: 1 asterisk = 75%, 2 asterisks = 95%, 3 asterisks = 99%. Green asterisks = the outcome’s variance is statistically better than expected. Red asterisks = the outcome’s variance is statistically worse than expected. Total lines do not have values for Statistical Significance.
  • Peer Arithmetic Variation - The Observed value minus the Expected value.
  • PeerTotal Cases - All cases that qualified for the analysis.
  • Peer Total Charges - The total charges for the Charge/Case Total Cases.
  • Peer Total Charges for Outcome Cases - The total charges for the Charge/Case Outcome Cases.

For more information, see Metrics on the Risk-Adjusted Analyses.

Analysis Sample

Drilling to Patient Details

Facility All Patient Detail Analysis

Note: Only patients for the facilities selected at the Facilities prompt are included in patient detail drilldown analyses.

This analysis allows you to drill to the Facility All Patient Detail Analysis, which includes all the patients that match the criteria entered at the prompts.

To access this drilldown, right-click on the column header or the rows and select Drill > Drill to Patient Detail Analysis > Facility All Patient Detail Analysis.

For more details, see Facility All Patient Detail Analysis.