Level 1 · Enterprise
Admissions and ED volume per 1,000 eligibles, post-discharge follow-up and 60-day readmissions. Drill from market into practice and provider in one table.
Year month (Sep 2026) drives the volume, funnel, distribution and scorecard measures. Census/1K and "no follow-up appointment" are always current, and the monthly /1K trend always shows the trailing 12 months. Event type (IP) drives the funnel, days-to-visit and readmission-by-appointment panels only.
48 patients in facility now · current
Discharges with no appointment or no completed visit · current
7 IP admissions · Sep 2026
3 ED visits · Sep 2026
Of 20 discharges · Sep 2026
0% of IP admissions · Sep 2026
Trailing 12 months, per 1,000 eligibles · not affected by the filters above
Discharge → appointment scheduled → visit completed → visit ≤7 days · Inpatient · Sep 2026
The target outcome
Inpatient discharges · Sep 2026
60-day readmission rate, discharges with vs. without a scheduled PCP appointment
Patients currently in each care setting
| Setting | In facility now |
|---|---|
| IP | 20 |
| Obs | 3 |
| ED | 0 |
| SNF | 11 |
| Home Health | 14 |
Home health census is partial in the source system; hospice is not yet included.
Expand a market to see its practices, then its providers · Sep 2026
| Market / Practice / Provider | Panel size | Admits | Admit status | ER visits | ER status | Admit cap <250 | Admit cap <300 | ER cap <350 | ER cap <400 | PCP visit ≤7d | 60d readmit |
|---|---|---|---|---|---|---|---|---|---|---|---|
Desert RidgeMarket | 87 | 1 | 1 | 2 | 2 | 3 | 3 | 0% | 0% | ||
Gulf CoastMarket | 98 | 0 | 1 | 2 | 2 | 3 | 3 | 0% | 0% | ||
North ValleyMarket | 150 | 5 | 1 | 3 | 4 | 4 | 5 | 0% | 0% | ||
PiedmontMarket | 165 | 1 | 0 | 3 | 4 | 5 | 6 | 0% | 0% |
Caps convert the per-1,000-per-year goal into a raw monthly count for each panel. Green = under the tighter cap (admits <250 / ER <350), amber = under the looser cap, red = over.