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Hospice Clinical

Discharges, length of stay, and clinical census risk across hospice agencies.

Length of Stay Report

January 2022 – May 2026 · 0 patients on service · No agencies

Patients

0

ALOS (days)

0.0

Median LOS

0

> 365 days

0 (0.0%)

> 730 days

0.0%

Avg BP at admit

0.00

LOS distribution by Medicare risk band

Bands per CMS PEPPER long-stay thresholds · With us

Census risk heatmap by agency

Risk score = weighted % of census in each band (typical 0, moderate 0.25, extended 1, high 2, extreme 3, late-referral 0.5). Higher = greater long-LOS / Medicare cap exposure.

AgencyCensus0-78-9091-180181-365366-730731+Risk

Monthly admits vs. average daily census

Admit-to-census ratio (admits ÷ ADC) tracks growth velocity and turnover pressure.

Risk methodology

  • Source guidance: CMS PEPPER long-stay indicators, MedPAC hospice reports, and NHPCO Facts & Figures (median LOS ~18 days, mean ~92 days).
  • Bands: 0–7d late referral · 8–90d typical · 91–180d moderate · 181–365d extended · 366–730d high-risk · >730d extreme.
  • Risk score: Σ (band weight × % of census). Weights chosen so an agency with all typical-LOS patients scores 0 and one with all >730d patients scores 3.
  • With us vs. total life: "With us" = SOC → discharge (or today). "Total life" adds prior-period offsets per BP at admission (BP1=0, BP2=60, BP3=120, +90/period thereafter).