Unplanned/Unexpected Same Hospital Readmissions of Patients Discharged Following Management of Acute Myocardial Infarction
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of unplanned and unexpected readmissions to the same-hospital following admission for acute myocardial infarction (AMI). Unplanned /unexpected readmission refers to an unexpected admission for "further treatment of the same condition", "treatment of a condition related to one for which the patient was previously hospitalised", or "a complication of the condition for which the patient was previously hospitalised".
Numerator
Number of separations for hospitals which meet all of the criteria below: The separation is a readmission to the same hospital following an index episode of care for AMI that met all criteria in the denominator field; The principal diagnosis (PDx) code for the episode of care is one of the ICD-10- AM diagnosis codes; Care type = acute care; Urgency status = emergency; and readmission interval is 30 days.
Denominator
Total separations for management of AMI in a specified reference period meeting the criteria: Principal diagnosis of AMI, represented by any one of the following codes: Acute transmural myocardial infarction of anterior wall; Acute transmural myocardial infarction of inferior wall; Acute transmural myocardial infarction of other sites; Acute transmural myocardial infarction of unspecified site; Acute subendocardial myocardial infarction; Acute myocardial infarction, unspecified AND Care type = acute care; Urgency status = emergency.
Exclusions
Separation mode = died in hospital.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By hospital peer group
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Indicator set is intended to be used by jurisdictions and private hospital ownership groups to generate hospital-level measures
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Indicators are intended to support local quality improvement activities
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Australian Commission on Safety and Quality in Health Care 2017, National core, hospitalbased outcome indicator specification, ACSQHC, Sydney. www.safetyandquality.gov.au/publications-and-resources/resource-library/national-core-hospital-based-outcome-indicator-specification