Index Opportunity - Facility CareScience

This analysis is designed to help you quickly identify areas of opportunity for both diagnosis and outcome. The report uses color coding to show you at-a-glance how each specific diagnosis at a facility is performing per outcome.

The analysis includes one row for each MS-DRG that has a case volume greater than zero. It also has columns for the following outcomes: LOS, Cost per Case, Readmissions, Mortality, and Complications. Also included are columns for Observed/Expected and Statistical Significance.

  • O/E results less than .98 indicate the MS-DRG is performing better than expected, and are colored green
  • O/E results between .98 and 1.02 are within range, and are colored yellow
  • O/E results greater than 1.02 indicate the MS-DRG is performing worse than expected, and are colored red

For example, the diagnosis for "Acute Kidney Injury" may be performing well in each outcome category except for Mortality. On the Index Opportunity report, the row for the Acute Kidney Injury diagnosis would be colored mostly green across the outcomes, but then colored red in the Mortality column. You can quickly see that the facility shows an area for improvement in mortality for acute kidney injuries.

Report Sample

Note: The analysis is preset to return MS-DRGs for this methodology so the Setup Analysis Tab has been removed.

There are 3 required prompts that you must select before running this analysis.

Required Prompts:

  • Facilities
  • Time (1 year is selected by default)
  • Inpatient/Outpatient (Inpatient only, this report is not applicable to outpatients)

Optional Prompts:

  • Diagnoses (ICD-10)
  • Procedures (ICD-10)
  • Inlier/Outlier
  • Patient Types
  • Patient Demographics
  • Patient Origination
  • Patient
  • Practitioners
  • Patient Visits
  • Resources - SPL
  • Facility Payers
  • Standard Primary Payers
  • Standard Secondary Payers
  • Patient Qualifications

Default Metrics

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

  • Total Cases (Results are sorted by volume, from high to low.)

  • Geo LOS O/E - CS Std

  • Geo LOS SS - CS Std

  • Geo Cost/Case O/E - CS Std

  • Geo Cost/Case SS - CS Std

  • Readmissions O/E - CS Std (HWR 2024)

  • Readmissions O/E - SS Std (HWR 2024)

  • Readmissions O/E - CS Std (HWR 2023)

  • Readmissions O/E - SS Std (HWR 2023)

  • Mortality O/E - CS Std

  • Mortality SS - CS Std

  • Complication O/E Std

  • Complication SS - CS Std

You are able to toggle between Standard and Select.

Analysis Sample