All-Cause Readmissions Within 30-Days of Discharge
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of admissions with an unplanned readmissions for any reason within 30 days of discharge from the hospital. A hospital discharge was identified as having a readmission if the beneficiary was readmitted to a hospital within 30 days, either for the condition associated with the index hospital stay or for a different reason.
Numerator
Number of unplanned readmissions for any reason within 30 days of discharge from the hospital (inferred).
Denominator
Patients age 18 and older discharged alive from the hospital
Exclusions
Planned readmissions such as for chemotherapy
Use of Risk Adjustment
Risk Adjustments
Case mix adjustment using a beneficiary's age, gender, primary discharge diagnosis, comorbidities, and other factors
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Fee-for-service (FFS) claims for Medicare beneficiaries in the United States
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Kranz AM, DeYoreo M, Eshete-Roesler B, Damberg CL, Totten M, Escarce JJ, Timbie JW. Health system affiliation of physician organizations and quality of care for Medicare beneficiaries who have high needs. Health Serv Res. 2020 Dec;55 Suppl 3(Suppl 3):1118-1128. doi: 10.1111/1475-6773.13570. Epub 2020 Oct 6. PMID: 33020920; PMCID: PMC7720706.