30-Day Readmission Rate After Leaving Hospital For Selected Conditions
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Rate of un-planned hospital readmissions within 30 days of discharge after hospitalisation for any of the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions. Alternate Name: Hospital Readmission Rate Within 30 Days Of Leaving Hospital For Selected Conditions.
Numerator
Number of subsequent non-elective (all-cause) readmissions to an acute care hospital within 30 days of discharge after hospitalisation for any of the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions.
Denominator
Total number of hospital discharges after hospitalisation for any of the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions.
Exclusions
Readmissions coded as an acute transfer by the receiving hospital (unless the readmission was coded as a transfer from the same hospital) or there is missing or invalid data for discharge date, admission date, Ontario health card number, age or gender.
Use of Risk Adjustment
Risk Adjustments
Health Based Allocation Model Inpatient Grouper (HIG) conditions, age, gender, prior hospitalisations (within 1, 2 and 3 months), quarterly seasonality (calendar year) and the Charlson co-morbidity adjustment index score.
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database (DAD) Data provided to HQO by Ministry of Health and Long-Term Care (MOHLTC). 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.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reported on CIHI website.