30-Day Unplanned Readmissions for Cancer Patients
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Claims data.
Frequency of Data Collection
Frequency of Data Collection in Days
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.