Facility-Level 7-Day Hospital Visits After General Surgery Procedures Performed at Ambulatory Surgical Centres

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Ambulatory Surgical Center Quality Reporting Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

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
Yes
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
Administrative data
Data Collection Methods

Medicare administrative claims and enrolment data.

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

Ambulatory Surgical Centre Quality Reporting Program (CMS and Providers) CMS Care Compare and CMS Provider Compare (Publicly reported).

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