Risk-standardised rate of unplanned, potentially preventable readmissions for Skilled Nursing Facility patients within 30 days of discharge from the Skilled Nursing Facility.

The risk-adjusted estimate of the number of unplanned readmissions that occurred within 30 days of discharge from the Skilled Nursing Facility.

The risk-adjusted expected number of potentially preventable readmissions.

1.Patients/residents who died during the SNF/IRF/LTCH stay. 2.Patients/residents less than 18 years old. 3.Patients/residents who were transferred at the end of a stay to another SNF/IRF/LTCH or short-term acute care hospitals. 4.Patients/residents who were not continuously enrolled in Part A fee-for-service Medicare for the 12 months prior to the SNF/IRF/LTCH admission date, and at least 30 days after SNF/IRF/LTCH discharge date. 5. Patients/residents who did not have a short-term acute-care stay within 30 days prior to a SNF/IRF/LTCH admission date. 6.Patients/residents discharged against medical advice (AMA). 7.Patients/residents for whom the prior short-term acute-care stay was for nonsurgical treatment of cancer. 8.SNF/IRF/LTCH stays with data that are problematic (e.g., anomalous records for hospital stays that overlap wholly or in part, or are otherwise erroneous or contradictory). This also includes SNF stays for residents who exhausted their Medicare benefits for SNF coverage. 9.SNF stays in which the prior proximal hospitalisation was for pregnancy.

Patient/resident characteristics and a statistical estimate of the PAC provider's effect, beyond patient/resident case mix. Variables include age, sex, original reason for Medicare entitlement, surgery category if present, receiving dialysis in prior short-term stay, principal diagnosis, comorbidities )Hierarchical Condition Categories), Length of stay in the prior short-term hospital stay, Prior acute ICU/CCU utilisation (days), Count of prior short-term discharges in the prior year.

Medicare claims data submitted for Medicare Fee-For-Service residents.

Skilled Nursing Facilities Quality Reporting Program (CMS and Providers) CMS Care Compare - Nursing Homes and CMS Provider Compare (CMS, providers and publicly reported) Contributes to star ratings.

Terry S. Field, Hassan Fouayzi, Sybil Crawford, Alok Kapoor, Cassandra Saphirak, Steven M. Handler, Kimberly Fisher, Florence Johnson, Ann Spenard, Ning Zhang, Jerry H. Gurwitz, The Association of Nursing Home Characteristics and Quality with Adverse Events After a Hospitalization, Journal of the American Medical Directors Association, Volume 22, Issue 10, 2021, Pages 2196-2200, ISSN 1525-8610, doi.org/10.1016/j.jamda.2021.02.027. www.cms.gov/medicare/quality/snf-quality-reporting-program/public-reporting www.cms.gov/medicare/quality/snf-quality-reporting-program/measures-and-technical-information www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/downloads/usersguide.pdf

cmit.cms.gov/cmit/#/MeasureView?variantId=2046&sectionNumber=1 Technical details: www.cms.gov/files/document/snf-quality-measure-calculations-and-reporting-users-manual-v40.pdf www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Downloads/Measure-Specifications-for-FY17-SNF-QRP-Final-Rule.pdf

www.cms.gov/medicare/quality/nursing-home-improvement/resident-assessment-instrument-manual