Potentially Preventable 30-Day Post-Discharge Readmission Measure for Long-Term Care Hospital Quality Reporting Program

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Long-Term Care Hospital Quality Reporting Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

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
Yes
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
Administrative data
Data Collection Methods

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

Frequency of Data Collection
Annually, calculated using two years of data
Frequency of Data Collection in Days
365
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
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025