Utilization diagnostics

ADM/K Deep-Dive

Every candidate reason, laid out layer by layer. Lit reasons are the drivers.

+35

ADM/K increase

260295 admits per 1,000

Dominant driver

Practice — Northside Primary

34% of the increase

Leading gap

No follow-up within 14 days

26% of the increase

#1 recommended action

Repeat admitters (2+)

Owner: · +15.8 ADM/K

The question

Why did ADM/K move 260 → 295?

Question → Layers → Drivers → Action

Reason tree

Impacted Not a driver

Total

Total ADM/K increase

+35.0

admits per 1,000

01 · Where

02 · Who

03 · What type

04 · Before

05 · After

Layer 01 · Where

Is the increase broad-based, or concentrated?

260 → 295 admits per 1,000 over the past six months.

Δ ADM/K
+35.0
Admits
147
Members
104
Class
Partly actionable

Patient details

Members inside Total ADM/K increase · 104 members · 147 admits · +35.0 ADM/K

Showing 6 of 104 · illustrative

MemberAgePrimary dxAdmitsAvg LOSRiskLast admit
S. IbarraMBR-36275866COPD17dRising22 Jan
K. FitzgeraldMBR-18907573Diabetes35dHigh22 Feb
T. IbarraMBR-64443959Behavioral health12dRising3 Mar
A. AlvarezMBR-34930167Diabetes28dHigh15 Apr
K. FitzgeraldMBR-67537073CKD45dModerate19 May
A. BrooksMBR-57301555Diabetes42dHigh10 Jun