Unplanned, 30-day, risk-standardised readmission rate for patients discharged from an inpatient psychiatric facility with a principal discharge diagnosis of a psychiatric disorder or dementia/Alzheimer's disease.

Discharges from inpatient psychiatric facilities that result in readmissions to general medical acute care facilities or inpatient psychiatric facilities within 30-days of discharge.

Adult Medicare fee-for-service beneficiaries discharged from an inpatient psychiatric facility with a principal diagnosis that indicates psychiatric disorder; discharged alive; and age 18 or older at admission.

Discharged against medical advice; unreliable demographic and vital status data defined as the following: Age greater than 115 years, Missing gender, Discharge status of "dead" but with subsequent admissions, Death date prior to admission date, Death date within the admission and discharge dates but the discharge status was not "dead"; Readmissions on the day of discharge or day following discharge because those readmissions are likely transfers to another inpatient facility. The hospital that discharges the patient to home or a non-acute care setting is accountable for subsequent readmissions.

Risk adjusted using a hierarchical logistic regression model. The risk adjustment is based on patient's age, gender, principal discharge diagnosis for the index admission, medical and psychiatric comorbidities, history of suicide attempt/self-harm, history of aggression, or history of being discharged against medical advice. The comorbidity and history risk factors are based on claims from the index admission and from the twelve months prior to admission.

Medicare fee-for-service (FFS) claims data.

Inpatient Psychiatric Facility Quality Reporting Program (CMS and Providers) CMS Care Compare - Hospitals and Provider Compare (Publicly reported).

Benjenk I, Shields M, Chen J. Measures of Care Coordination at Inpatient Psychiatric Facilities and the Medicare 30-Day All-Cause Readmission Rate. Psychiatr Serv. 2020 Oct 1;71(10):1031-1038. doi: 10.1176/appi.ps.201900360. Epub 2020 Aug 25. PMID: 32838680; PMCID: PMC7837251. Winterstein AG, Bussing R, Goodin A, Xu D, Keenan M, Turner K, Meyyur V, Duseja R, Campbell K. Development and Validation of an Administrative Claims-based Measure for All-cause 30-day Risk-standardized Readmissions After Discharge From Inpatient Psychiatric Facilities. Med Care. 2020 Mar;58(3):225-233. doi: 10.1097/MLR.0000000000001275. PMID: 32106165. data.cms.gov/provider-data/topics/hospitals/psychiatric-unit-services data.cms.gov/provider-data/topics/hospitals/measures-and-current-data-collection-periods

cmit.cms.gov/cmit/#/MeasureView?variantId=1930&sectionNumber=1 Technical details: Benjenk I, Shields M, Chen J. Measures of Care Coordination at Inpatient Psychiatric Facilities and the Medicare 30-Day All-Cause Readmission Rate. Psychiatr Serv. 2020 Oct 1;71(10):1031-1038. doi: 10.1176/appi.ps.201900360. Epub 2020 Aug 25. PMID: 32838680; PMCID: PMC7837251. www.qualityreportingcenter.com/globalassets/ipf-tools-and-resources/181203fy2019ipfqrcbmspecs_508.pdf. (not accessible)