30-Day All Cause Hospital Readmission Rate For Medical And Surgical Patients

Identifying Attributes

Care Settings
Care Transitions
Country
Canada
Publishing Organisation
Health Quality Ontario
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

Defining Attributes

Definition

The rate (per 100 patient discharges) of unplanned returns to a hospital within 30 days of discharge. It includes medical patients who were hospitalised for non-surgical treatment, and patients who had surgery while in hospital. Alternate Name: Hospital Readmission Rate Within 30 Days Of Leaving Hospital For Medical Or Surgical Treatment.

Numerator

The number of episodes of care for medical and surgical patients with an urgent readmission within 30 days of previous discharge.

Denominator

The number of episodes of care discharged between April 1 and March 1 of the fiscal year for surgical and medical patients.

Exclusions

Numerator: Delivery; Chemotherapy for neoplasm as most responsible diagnosis; Admission for mental illness; Admission for palliative care coded as most responsible diagnosis; and records with an invalid admission date. Denominator: Records with an invalid health card number/ invalid date of birth/invalid admission date or time/invalid discharge date or time/ admission category of still birth or cadaveric donor; Episodes with a discharge of death or self sign-out; Presence of at least one record in the episode with Mental Diseases and Disorder/palliative care coded as most responsible diagnosis/Pregnancy and Childbirth.

Use of Risk Adjustment
Yes
Risk Adjustments

Age group, sex, acute care hospitalisation in previous six months, urgent admission, Charlson Comorbidity score group and selected Case Mix Group.

Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Discharge Abstract Database and National Ambulatory Care Reporting System. Discharge Abstract Database (DAD) captures administrative, clinical and demographic information on hospital discharges (including deaths, sign-outs and transfers). Data is received directly from acute care facilities or from their respective health/regional authority or ministry/department of health. National Ambulatory Care Reporting System (NACRS) is a national database designed to capture information on client visits to facility- and community-based ambulatory care. Data about visits is collected at the time of service in participating facilities.

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

Reported on CIHI website.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Tate K, Lee S, Rowe BH, Cummings GE, Holroyd-Leduc J, Reid RC, El-Bialy R, Bakal J, Estabrooks CA, Anderson C, & Cummings GG. (2022). Quality Indicators for Older Persons’ Transitions in Care: A Systematic Review and Delphi Process. Canadian Journal on Aging / La Revue canadienne du vieillissement 41(1), 40–54. doi.org/10.1017/S0714980820000446 taken from Health Quality Ontario. (2021). System performance: Indicator library. Retrieved 26 January 2021 from web.archive.org/web/20250113160658/https://www.hqontario.ca/System-Performance.

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