Caradell Home Health
Care episodes, in-home visits, OASIS outcomes, and payer reimbursement
About Caradell Home Health
Industry
Home Health Agency
Company size
Regional agency with 6 branches and about 40 clinicians and aides, with every branch staffing its own clinician in each discipline
Patient census
About 220 to 390 patients on service per month once the opening book is fully ramped, averaging about 290
Episodes
About 4,000 sixty-day episodes of care, roughly 2,000 per year
In-home visits
About 51,800 visits, roughly 25,900 per year
Annual reimbursement
About 6.0 to 6.2 million dollars per year in episode payments
Care model
Skilled nursing, physical, occupational, and speech therapy, home health aide, and medical social work
Caradell Home Health is a fictional regional home health agency created for synthetic BI analysis. The story is built around referrals that become 60-day episodes of care, the nurses, therapists, and aides who travel to patients' homes, the OASIS assessments that track outcomes, the payers who authorize and reimburse episodes, and the monthly census that ties it together. Everything is invented, and the kit contains no protected health information. Patients appear only as privacy-safe analytical segments, and OASIS is modeled as summarized outcome scores rather than item-level responses.
Operating Profile
- Delivers the standard home-health episode model: a referral is admitted, a Start of Care OASIS assessment is completed, and a 60-day episode follows.
- Emphasizes census growth, visit volume and discipline mix, clinician productivity, episode outcomes, authorizations, and payer reimbursement.
- Each episode carries a branch, payer, referral source, patient segment, primary discipline, and case-mix group, and rolls up its delivered visits.
- Excludes in-clinic encounters, lab specimens, medication lists, clinical notes, OASIS item-level data, payroll, and tax filings.
Recent Business Events
- 1The agency opened its first branch and steadily expanded skilled-nursing and therapy coverage across the region.
- 2Home health aide and medical social work services were added so episodes reflect a fuller interdisciplinary visit mix.
- 3A managed-care growth push widened the payer mix beyond traditional Medicare, raising the share of episodes that require prior authorization and visit tracking.
- 4Leadership moved to structured dashboards monitoring visit volume, length of stay, OASIS improvement, and payer reimbursement.
These are the operating questions this kit is optimized to answer first.
Patients on service, admissions, and discharges by branch and payer
Visit volume and minutes by discipline across the episode
Clinician completed-versus-missed visits and productivity against target
Episode length of stay, status mix, and case-mix group
OASIS functional improvement, hospitalization-risk band, and discharge disposition
Episode reimbursement, revenue per visit, and authorization utilization
Embedded Analytical Stories
Seasonal census
Active census rises through winter respiratory season and eases in summer, instead of following a flat line.
Discipline mix
Skilled nursing and physical therapy carry most visits, and the mix shifts by condition: wound care nurse-led, ortho and neuro therapy-led.
Revenue per visit
Episode reimbursement traces to the visits actually delivered, from payer down to episode and visit detail.
Authorization tension
Managed-care authorizations meet the visits recorded against them, so over-authorization is a real finding.
Productivity against target
Clinicians carry weekly visit targets by employment type, and the busier branches run genuinely over.
Outcomes improve
Functional scores rise and hospitalization-risk scores fall from Start of Care to Discharge across the episode.