Hospital-Wide, 30-Day, All-Cause Unplanned Readmission Rate for the Merit-Based Incentive Payment Program Groups
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Risk-adjusted readmission rate of unplanned readmission within 30 days of hospital discharge for any condition, developed for patients 65 years and older using Medicare claims.
Numerator
Unplanned all-cause 30-day readmission. Readmission is defined as a subsequent inpatient admission to any acute care facility which occurs within 30 days of the discharge date of an eligible index admission. Any readmission is eligible to be counted as an outcome.
Denominator
Patients with an index admission hospitalisation to which the readmission outcome is attributed and includes admissions for patients: aged 65 or over; discharged alive; and not transferred to an acute care facility.
Exclusions
Numerator: planned readmissions Denominator: Patients discharged against medical advice; Admissions for patients to a PPS-exempt cancer hospital; Admissions primarily for medical treatment of cancer; Admissions primarily for psychiatric disease; Admissions for "rehabilitation care; fitting of prostheses and adjustment devices"; Admissions where patient cannot be attributed to a clinician group.
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
Merit-Based Incentive Payment System Program (CMS and Providers) CMS Provider Compare - Doctors & Clinicians (Publicly reported).