30-Day Unplanned Readmissions for Cancer Patients

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

Defining Attributes

Definition

The rate at which adult cancer patients have an unplanned readmission within 30 days of discharge from an acute care hospital.

Numerator

All eligible unplanned readmissions to any short-term acute care hospital within 30 days of the discharge date from an index admission that is included in the denominator.

Denominator

Inpatient admissions where the patient is discharged from a short-term acute care hospital with a principal or secondary diagnosis (i.e., not admitting diagnosis) of malignant cancer within the defined measurement period.

Exclusions

Numerator: Readmissions for patients with progression of disease (using a principal diagnosis of metastatic disease as a proxy) and for patients with planned admissions for treatment (defined as a principal diagnosis of chemotherapy or radiation therapy) Denominator: 1) Less than 18 years of age; 2) Patients who died during the index admission; 3) Patients discharged AMA; 4) Patients transferred to another acute care hospital during the index admission; 5) Patients discharged with a planned readmission; 6) Patients having missing or incomplete data; and, 7) Patients not admitted to an inpatient bed.

Use of Risk Adjustment
Yes
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Claims data.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program (CMS and Providers) CMS Provider Compare (Publicly reported) data.cms.gov/provider-data/dataset/jfnd-nl7s.

Reporting Frequency
Annually
Reporting Frequency in Days
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