PSYCHIATRY METRICS
The reports

Two reports. One evidentiary standard.

Both are delivered as PDFs. Both carry a full Data & Methodology page, source citations with dataset IDs, and a disclaimer on every page.

Product 01

Single-Facility Report

For: a matter concerning one inpatient psychiatric facility, identified by its CMS Certification Number (CCN).

The report establishes what the public record says about that facility, how it compares to national and state figures and to the median for its chain, and which of those findings are CMS-published rather than computed.

What is in it

  • Executive summary, including a bottom line for litigation
  • Litigation-relevant flags at HIGH and MEDIUM, each with a note on what it is relevant to
  • Key signals versus national
  • Restraint and seclusion comparison — facility against national, state, and chain median, with percentile rank and reporting volume
  • 30-day readmission detail — with confidence interval and the national Better / No Different / Worse distribution
  • State comparison across every measure
  • Five-year trend
  • Ownership and enforcement context
  • Data & Methodology page, in full
  • Source citations with CMS dataset IDs
  • Disclaimer on every page
Product 02

Chain Intelligence Report

For: a matter that reaches past one building — where the question is whether a pattern is systemic to the operator or confined to a single facility. Chain-level reports are available for major operators.

It contains everything in the Single-Facility Report, at chain scale, and adds the analysis that only exists once you can see every covered facility at once.

What it adds

  • Coverage transparency — how many of the operator’s facilities are covered, and how many are not yet mapped, stated plainly at the front of the report
  • Chain aggregate scores
  • Comparison against national, for-profit, and non-profit medians
  • Distribution across percentile tiers
  • Year-over-year chain trend
  • Chain pattern analysis — separating systemic patterns, present chain-wide in every comparable year, from facility-specific problems; with geographic concentration and the observed restraint-to-readmission association
  • Top outlier facilities
  • Facility-by-facility breakdown
  • Everything in the Single-Facility Report, applied chain-wide

An association reported between two measures is an association. It is not a finding of causation, and the report says so where it appears.

Illustrative

What a flag looks like.

Below are two flags for Example Behavioral Hospital, a facility that does not exist. The values are invented to show the format. Note that each flag states what it is relevant to, and where it came from.

High

30-day readmission: worse than the national rate

CMS places this facility in its “Worse than the national rate” category for the 30-day all-cause unplanned readmission measure (READM-30-IPF), based on 412 eligible discharges.

Relevant to: discharge planning, continuity of care, and the adequacy of follow-up arrangements after inpatient treatment.

CMS-PUBLISHED FINDING  ·  Directly citable to the CMS Provider Data Catalog. This is a category CMS assigns, not a threshold we applied.

Medium

Physical restraint rate at or above twice the national facility median

The facility’s reported physical restraint rate (HBIPS-2) is at or above twice the national facility median for the same reporting year — the middle value across reporting facilities, where each facility counts once. That is a different number from the CMS-published national rate, which is case-weighted; the report names which comparator every figure uses. Rates are per 1,000 psychiatric inpatient patient-hours. Reporting volume is shown alongside the figure.

Relevant to: restraint policy, staffing, de-escalation practice, and training — where those are at issue in the matter.

PRODUCT-COMPUTED  ·  A threshold we applied to CMS-reported values. Cite the underlying rates, not this flag.

Flags support a line of inquiry. They do not establish liability, negligence, or causation, and nothing in a report constitutes legal advice.

Pricing

Priced by the work, which is the verification.

Pulling a CMS value takes a second. Establishing that the value belongs to the facility you think it does, and that the facility belongs to the operator you intend to name, is the work. A chain report is priced on how many facilities that has to be done for.

Single-Facility Report

One CCN, five years, all eleven measures, national and state comparators, methodology appendix.
First facility$1,750
Each additional facility in the same matter — benchmarks and comparators are already computed$1,200
Three or more facilities in one matter20% off

Chain Intelligence Report

Everything above, chain-wide, plus pattern analysis, outlier profiles, and a coverage audit.
Base fee — chain aggregate analysis, coverage audit, methodology, and up to 10 attributed facilities$3,500
Each attributed facility beyond the first 10 — attribution verified against CMS by street address, plus per-facility data validation$150

Worked examples. The facility count is the number of facilities we can attribute to the operator and verify — not the number the operator advertises.

Attributed facilitiesIllustrative operatorFee
10 or fewera single-state operator$3,500
17a regional operator$4,550
30a mid-size national operator$6,500
50a major national operator$9,500
More than 60—Quoted

Refresh, rush, and custom work

Annual refresh — rebuilt when CMS publishes the next IPFQR cycle, with attribution re-verified and changes of ownership flagged45% of the original fee
Rush delivery — five business days+30%
Custom cohort — a defined facility set: every facility in a state, a venue, or a named defendant listFrom $2,500
Authentication and deposition supportBy arrangement

Turnaround

Single facility, three business days. Chain, seven to ten business days from a confirmed facility list. Rush is available on both.

What is delivered

A PDF report, and the underlying CSV extract behind every figure in it. You can open the CMS source, filter to the CCN, and confirm the number yourself before it goes near a filing.

If we cannot verify it

A facility we cannot attribute on the evidence is not billed and not included. It is named in the coverage statement, with the reason. We would rather hand you a smaller report than a wrong one.

Prices are per matter, per firm, in US dollars, and exclude applicable taxes. A report is licensed to the purchasing firm for use in the matter it was prepared for. Nothing on this page is an offer of legal services.

Before you buy

Sample reports are available on request.

Samples are redacted and illustrative. Read the methodology alongside them — it is the same page that ships inside every report, and it is the page opposing counsel will read.

Request a sample report Data & methodology