Facility-Level 7-Day Hospital Visits After General Surgery Procedures Performed at Ambulatory Surgical Centres
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Facility-level rate of risk-standardised, all-cause, unplanned hospital visits within 7 days of a general surgery at an Ambulatory Surgical Centre among Medicare fee-for-service patients aged 65 years and older.
Numerator
All-cause, unplanned hospital visits within 7 days of a qualifying outpatient general surgery.
Denominator
Medicare fee-for-service patients aged 65 years and older undergoing outpatient general procedures at ambulatory surgical centres.
Exclusions
Procedures for patients who survived at least 7 days, but were not continuously enrolled in Medicare fee-for-service Parts A and B in the 7 days after the surgery.
Use of Risk Adjustment
Risk Adjustments
Adjusts for differences across facilities in patient demographics, clinical factors, and surgery-related risk. The risk-adjustment model has 19 patient-level variables (age and 18 comorbidity variables), six procedure types, and work relative value units to adjust for surgical complexity.
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Medicare administrative claims and enrolment data.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Ambulatory Surgical Centre Quality Reporting Program (CMS and Providers) CMS Care Compare and CMS Provider Compare (Publicly reported).