Data Source

All post-acute performance data in this report is derived from CMS Medicare Fee-for-Service (FFS) Claims. This is the same claims data used in CMS star ratings, value-based purchasing programs, and public quality reporting. Data reflects discharges from Orlando Health hospitals to skilled nursing facilities during the period Q1 2025 – Q4 2025 (CMS Medicare FFS Claims).

Facility Hospitalization Rate (FSHR)

FSHR (Facility Hospitalization Rate) measures the percentage of SNF patient-days that result in an acute hospital readmission, calculated at the SNF-hospital relationship level. Unlike simple 30-day readmission rates, FSHR captures rehospitalization across the full SNF stay, providing a more comprehensive view of post-acute performance. The Orlando Health system-wide weighted average FSHR is 42.1% for Q1 2025 – Q4 2025 (CMS Medicare FFS Claims). For context, the Florida state average 30-day SNF readmission rate is approximately 17.1% and Alabama’s is approximately 15.4% — FSHR is a distinct metric that covers the full SNF stay rather than a fixed 30-day window, so system-average FSHR is the primary internal reference throughout this portal.

Priority Score Methodology

Priority scores combine three factors: (1) FSHR magnitude above the system average, (2) total patient volume at the facility, and (3) multi-hospital presence within Orlando Health. SNFs appearing at 2+ hospitals receive a multiplier reflecting their system-wide engagement leverage. Scores are relative within the Orlando Health system.

CMS Suppression & Data Availability

CMS suppresses FSHR values for SNF-hospital relationships with fewer than 11 patients in the measurement period. Of Orlando Health’s 188 unique SNF destinations, only those with sufficient volume carry FSHR data. Downtown Orlando: CCN 100006 aggregates ORMC plus seven subpart campuses (Arnold Palmer, Winnie Palmer, Dr. P. Phillips, Jewett Orthopedic, Cancer Institute Downtown, Horizon West, Lake Mary) into one CMS billing record per AHD.com, so the ORMC tile represents the combined downtown SNF-discharge footprint. Sebastian River Hospital (Steward acquisition, Oct 2024) is an acknowledged FSHR exception: patient volume is captured but every top SNF destination row returned suppressed FSHR values in the current CMS FFS pull, a legacy Steward-billing artifact. “Suppressed” SNF destinations are counted but not rated in this analysis. All 12 of 12 Orlando Health CCN-registered hospitals drive measurable FFS post-acute data.

FSHR Color Coding

Throughout this portal, FSHR values are color-coded relative to the Orlando Health system average (42.1%): Red = ≥47.1% (5+ pp above system); Amber = ≥44.1% (2+ pp above); Green = ≤39.1% (3+ pp below). Uncolored values are within ±2–3 pp of system average.

Prepared By

This analysis was prepared by Puzzle Healthcare using CMS Medicare FFS Claims data. For questions about methodology, data access, or the preferred network engagement program, contact your Puzzle Healthcare account team.