Follow up Contacts Within 48 Hours of a Hospital Admissions, Hospital Discharges, or Emergency Department Visits

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Independence at Home (IAH) Demonstration
Type of Quality Indicator
Process
IOM Quality Dimension
Timeliness
Domain
Follow-Up

Defining Attributes

Definition

Total number of hospital admissions, hospital discharges, and ED visits for beneficiaries enrolled in each IAH practice with a qualifying follow-up contact from a member of the IAH practice's clinical staff within 48 hours.

Numerator

Total number of hospital admissions, hospital discharges, and ED visits for beneficiaries enrolled in each IAH practice.

Denominator

Hospital admissions, hospital discharges, or ED visits that are initiated as transfers from a hospital (different facility), and transfers from a skilled nursing facility (SNF), long-term care hospital (LTCH), or inpatient rehabilitation facility (IRF) are excluded from the denominator. If a beneficiary is discharged from a hospital stay or ED visit to SNF, LTCH, IRF, or other inpatient stay, then a follow-up contact is not required.

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Data Collection Methods
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

Not on Care Compare

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
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
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026