Unplanned Hospital Readmission Rates
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The rate per 1,000 separations of unplanned and unexpected hospital readmissions to the same public hospital within 28 days for selected surgical procedures. Presented per 1,000 separations.
Numerator
Number of separations for public hospitals which meet all of the following criteria: the separation is a readmission to the same hospital following a separation in which one of the following procedures was performed: knee replacement, hip replacement, tonsillectomy and adenoidectomy, hysterectomy, prostatectomy, cataract surgery, or appendicectomy.
Denominator
Number of separations in which one of the following surgical procedures was undertaken: knee replacement, hip replacement, tonsillectomy and adenoidectomy, hysterectomy, prostatectomy, cataract surgery, appendicectomy.
Exclusions
Separations where the patient died in hospital.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By specified procedures, by peer group, Indigenous status, remoteness (Australian Statistical Geography Standard (ASGS) Remoteness Structure), SEIFA IRSD quintiles.
Data Attributes
Type of Data Collection
Data Collection Methods
The National Hospital Morbidity Database (NHMD) is compiled from data supplied by the state and territory health authorities. It is a collection of electronic confidentialised summary records for separations (that is, episodes of care) in public and private hospitals in Australia, including public and private acute and psychiatric hospitals, free-standing day hospital facilities, alcohol and drug treatment hospitals and dental hospitals. Data are collected at each hospital from patient administrative and clinical record systems. Hospitals forward data to the relevant state or territory health authority on a regular basis (e.g. monthly). State and territory health authorities provide the data to the Australian Institute of Health and Welfare for national collation, on an annual basis.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Australian Health Performance Framework reporting, AIHW website.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Australian Health Performance Framework: meteor.aihw.gov.au/content/728347 National Healthcare Agreement: meteor.aihw.gov.au/content/742756 Reported on www.pc.gov.au/ongoing/report-on-government-services/2023/health/public-hospitals