Surgical Patients Readmitted to Hospital/30-Day Surgical Readmission

Identifying Attributes

Care Settings
Care Transitions
Country
Canada
Publishing Organisation
Canadian Institute for Health Information (CIHI)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

Defining Attributes

Definition

Risk-adjusted rate of urgent readmission for the surgical patient group.

Numerator

Cases within the denominator with a non-elective readmission within 30 days of discharge after the index episode of care.

Denominator

Number of surgical episodes of care discharged between April 1 and March 1 of the fiscal year.

Exclusions

Numerator: Delivery; Chemotherapy for neoplasm; Admission for mental illness; Admission for palliative care; Medical assistance in dying; Records with an invalid admission date Denominator: Records with an invalid health card number/invalid code for province issuing health card number/invalid admission date or time/invalid discharge date or time/admission category of cadaveric donor or stillbirth; Episodes with discharge as death; Presence of at least one record in the episode with Mental Diseases and Disorders/Pregnancy and Childbirth/palliative care coded as most responsible diagnosis.

Use of Risk Adjustment
Yes
Risk Adjustments

Age group; Sex; Urgent admission; number of acute care hospitalisations in previous 6 months; Charlson score; COVID-19; case mix group (those that account for the top 80% of the total number of readmissions among surgical patients).

Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Discharge Abstract Database, Hospital Morbidity Database, National Ambulatory Care Reporting System.

Frequency of Data Collection
Quarterly submission targets of 60 days after the end of each quarter
Frequency of Data Collection in Days
91
Reporting Methods

CIHI website: The Health Indicators e-Publication (at regional, provincial/territorial and national levels, calculated by place of residence), webtools Your Health System: In Depth (available to public) and Your Health System: Insight (available to available to health care organisations, including hospitals, health regions and ministries/departments of health).

Reporting Frequency
Every year in Your Health System: In Depth; every month in Your Health System: Insight
Reporting Frequency in Days
30-365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025