The system-wide weighted average FSHR is 42.5%, but individual hospital performance ranges from 32.2% (Baptist Walker) to 57.1% (Baptist Citizens). This 24.9 percentage point spread represents significant, actionable variation in post-acute network performance across Orlando Health that is not yet fully visible within the current care management infrastructure.

15 priority target SNFs serve 945 patients system-wide with above-average FSHR rates. The top target, Orlando Health & Rehabilitation Center, carries a 59.9% FSHR — 17.4 percentage points above the system average. These facilities represent the highest-leverage engagement opportunities for Orlando Health's post-acute network management program.

139 SNFs receive patients from 2 or more Orlando Health hospitals, creating system-level leverage for preferred network conversations. The highest-volume cross-system SNF, South Lake Hospital Skilled Nursing Unit, serves 198 patients across 3 hospitals. Coordinated engagement at these facilities allows Orlando Health to move network-wide performance with a single partnership conversation.

Orlando Health's 12 active hospitals collectively discharge to 349 distinct SNF destinations. Many SNF relationships lack facility-level FSHR data due to CMS suppression thresholds for small-volume relationships. This limited visibility constrains Orlando Health's ability to systematically identify underperforming partners and build a high-performing preferred post-acute network. Structured SNF engagement and preferred network designation would create the monitoring infrastructure needed to close this gap.

The Orlando Health downtown flagship reports Medicare FFS SNF discharges under a single CCN (100006) that covers Orlando Regional Medical Center (808 beds) and five subpart campuses: Arnold Palmer Hospital for Children, Winnie Palmer Hospital for Women & Babies, Dr. P. Phillips Hospital, Jewett Orthopedic Institute, and Cancer Institute Downtown. Horizon West and Lake Mary (opened Jan 2025, replacing South Seminole) have no separate CCN in CMS Care Compare, so their Medicare discharges likely report under an existing Orlando Health CCN. The dashboard’s ORMC tile therefore represents the combined downtown post-acute footprint, not a single-address building. Sebastian River Hospital (acquired Oct 2024 from Steward) now carries rated FSHR in the current CMS FFS Claims window (39.1% across 4 rated SNF destinations), so all Florida hospitals are measured on the same basis.