Hospital Referral Region (HRR)

A geographic area defined by Medicare based on patterns of patient referral for tertiary care services, typically centered around one or more high-volume hospitals.

 

Healthcare Market

The area served by hospitals within an HRR, encompassing both urban and rural communities, and defined by patient referrals and healthcare utilization patterns.

 

Primary Service Area (PSA)

The geographic region from which a hospital draws the majority of its patients, often corresponding closely with the boundaries of an HRR.

 

Patient Leakage

The phenomenon where patients residing within an HRR seek healthcare services outside of their primary service area, potentially impacting the financial stability and service quality of local hospitals.

 

Market Share

The proportion of patients within an HRR that utilize a particular hospital or healthcare provider for their medical needs, indicating the provider’s dominance in the local healthcare market.

 

Tertiary Care

Specialized medical services, such as cardiac surgery, neurosurgery, and transplant procedures, often provided by large, specialized hospitals located within HRRs.

 

Physician Referral Patterns

The tendencies of healthcare providers, including primary care physicians and specialists, to refer patients to specific hospitals or facilities within an HRR for specialized care or treatment.

 

Risk-Adjusted Outcomes

Measures of healthcare quality that account for variations in patient populations and health risks within an HRR, ensuring fair comparisons of hospitals’ performance and outcomes.

 

Healthcare Integration

The process of aligning healthcare delivery systems, including hospitals, physician groups, and other healthcare entities within an HRR, to improve coordination, efficiency, and patient outcomes.

 

Healthcare Access Disparities

Disparities in healthcare access and outcomes within an HRR, often influenced by socioeconomic factors, geography, and the availability of healthcare resources, requiring targeted interventions to address equity issues.