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Analyze home health episodes

Draft — 2026-09-26

Drafted from the screen's code on main (kareIntelligence 7455702). Not yet reviewed against a live session. Roles listed are the defaults the app's role matrix (@collabkare/ability 0.12.0) gives this screen's route; your organization's role overrides can change them.

Utilization → Home Health shows home health agency episodes, cost, length of stay and 30-day readmissions.

Tabs​

  • Overview — episodes, home-health paid, average length of stay, cost per episode (total paid ÷ episodes), and how many discharge-known episodes led to an inpatient stay within 30 days. Monthly episodes and spend are keyed on the episode start month.
  • By Provider — PCP panels with home-health episodes per 1,000 attributed members, listed most episodes first. Panels with zero episodes are kept in the list.

How an episode is counted​

An episode is one institutional claim with a home place of service (POS 12). The mart has no bill-type or revenue-center columns, so interim bills appear as separate episodes.

Honest states​

  • No home health claims in this population's window — the connected population has no home-health claim lines in the filtered window. Zero episodes is a real measurement served by the mart, not an error.
  • Episodes without a discharge date are excluded from average length of stay, and the screen says how many.
  • PDGM payment-group analysis is not shown: it needs assessment (HIPPS) columns the mart does not carry, and no grouping is invented in the meantime.

Reading the screen​

Episodes rising while paid stays flat means shorter or lighter home-health use — check length of stay. A readmission-rate jump concentrated in a few panels shows up on By Provider.