Hospital-Wide 30-Day, All-Cause, Risk-Standardised Readmission Rate Following Hospitalisation
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Hospital-level, 30-day risk-standardised readmission rate for patients discharged from the hospital after an admission for any eligible condition. The index admission is the eligible hospitalisation to which the readmission outcome is attributed.
Numerator
30-day, all-cause readmissions - dichotomous yes or no outcome of whether each admitted patient has an unplanned readmission within 30 days. If a patient has more than one unplanned admission (for any reason) within 30 days after discharge from the index admission, only the first one is counted as a readmission.
Denominator
Admissions that meet all of the following criteria: aged 65 or over; discharged alive; and not transferred to another acute care facility.
Exclusions
Index admissions for patients: 1. Admitted to a PPS-exempt cancer hospital; 2. Without at least 30 days of post-discharge enrolment in Medicare fee-for-service (in the case of patients who are not VA beneficiaries); 3. Admitted for primary psychiatric diagnosis; 4. Admitted for rehabilitation; 5. Admitted for medical treatment of cancer; 6. Discharged against medical advice; 7. With a principal diagnosis code of COVID-19 or with a secondary diagnosis code of COVID-19 coded as present on admission on the index admission claim.
Use of Risk Adjustment
Risk Adjustments
Adjusted both for case mix differences (clinical status of the patient, accounted for by adjusting for comorbidities) and service mix differences (the types of conditions/procedures cared for by the hospital, accounted for by adjusting for the discharge condition category).
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Medicare administrative claims and enrolment information.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Hospital Inpatient Quality Reporting Program (CMS and Providers) CMS Provider Compare and CMS Care Compare - Hospitals (Publicly reported) Contributes to Overall Hospital Star Quality Rating.