All-Cause 30- Day Rehospitalisations as a Percentage of Hospital Discharges

Identifying Attributes

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

Defining Attributes

Definition

The percent of live discharges from an acute care hospital with a rehospitalisation occurring within 30 days.

Numerator

The number of rehospitalisations to an acute care hospital within thirty days of live discharge from an acute care hospital.

Denominator

The number of live discharges from an acute care hospital, for Medicare fee-for-service beneficiaries living in the defined set of ZIP Codes. Discharges are counted in the time period of the discharge.

Exclusions

Same-day hospital transfers as well as readmissions to critical access hospitals (CAHs) and any hospital other than a conventional prospective payment hospital (psychiatric, rehabilitation, long-term acute, and other special hospitals)

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Claims based

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Based on eight quarters of data

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Brock J, Mitchell J, Irby K, Stevens B, Archibald T, Goroski A, Lynn J; Care Transitions Project Team. Association between quality improvement for care transitions in communities and rehospitalizations among Medicare beneficiaries. JAMA. 2013 Jan 23;309(4):381-91. doi: 10.1001/jama.2012.216607. PMID: 23340640.

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