Hospital Visits After Orthopaedic Ambulatory Surgical Centre Procedures
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 orthopaedic 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 orthopaedic surgery.
Denominator
Medicare fee-for-service patients aged 65 years and older undergoing outpatient orthopaedic surgeries, typically performed by an orthopaedist, at ambulatory surgical centres.
Exclusions
Surgeries for patients who survived at least 7 days, but were not continuously enrolled in Medicare fee-for-service Parts A and B for at least 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 28 patient-level variables (age and 27 comorbidity variables) 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) CMP Provider Compare - Ambulatory Surgical Centre Quality Measures (Publicly reported) Not reported on CMS Care Compare.