Hospitalisation Following Discharge From a Skilled Nursing Facility

Identifying Attributes

Care Settings
Care Transitions
Country
United States of America
Publishing Organisation
National Committee for Quality Assurance (NCQA): Healthcare Effectiveness Data and Information Set (HEDIS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

Defining Attributes

Definition

For members 65 years of age and older, the percentage of skilled nursing facility discharges to the community that were followed by an unplanned acute hospitalisation for any diagnosis within 30 and 60 days.

Numerator

For members 65 years of age and older, the number of skilled nursing facility discharges to the community that were followed by an unplanned acute hospitalisation for any diagnosis within 30 and 60 days.

Denominator

Number of skilled nursing facility discharges to the community in members 65 years of age and older

Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Surveys
Data Collection Methods

HEDIS survey results directly from health plans and Preferred Provider Organisations (PPOs) through the Healthcare Organisation Questionnaire and non-survey data through the Interactive Data Submission System.

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

NCQA website - National averages (Publicly available)

Reporting Frequency
Annually
Reporting Frequency in Days
365
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
Yes
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
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025