Potentially Preventable 30-Day Post-Discharge Readmission Measure for Long-Term Care Hospital Quality Reporting Program
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Risk-standardised rate of unplanned, potentially preventable readmissions for patients who receive services in one of the following post-acute care provider types: skilled nursing facilities, inpatient rehabilitation facilities, and long-term care hospitals.
Numerator
The risk-adjusted estimate of the number of potentially preventable readmissions that occurred within 30 days from discharge.
Denominator
The risk-adjusted expected number of potentially preventable readmissions.
Exclusions
Patients/residents who died during the SNF/IRF/LTCH stay; Patients/residents less than 18 years old; Patients/residents who were transferred at the end of a stay to another SNF/IRF/LTCH or short-term acute care hospital; Patients/residents who did not have a short-term acute-care stay within 30 days prior to a SNF/IRF/LTCH admission date; Patients/residents discharged against medical advice; Patients/residents for whom the prior short-term acute-care stay was for nonsurgical treatment of cancer; 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).
Use of Risk Adjustment
Risk Adjustments
Demographic and eligibility characteristics; principal diagnoses; types of surgery or procedures from the prior short-term acute care stay; comorbidities; length of stay and intensive care utilisation from the prior short-term acute care stay; dialysis in the prior acute stay; and number of prior hospitalisations in the year preceding the PAC admission.
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Medicare claims data submitted for Medicare Fee-For-Service patients.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Long-Term Care Hospital Quality Reporting Program (CMS and Providers) CMS Care Compare - Long-term care hospitals and Provider Data Catalogue (Publicly reported) www.cms.gov/medicare/quality/long-term-care-hospital/ltch-quality-public-reporting.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Technical Specifications
cmit.cms.gov/cmit/#/MeasureView?variantId=2044§ionNumber=1 Technical specifications: www.cms.gov/files/document/ltch-qm-calculations-and-reporting-users-manual-v50.pdf www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/Downloads/Measure-Specifications-for-FY17-LTCH-QRP-Final-Rule.pdf