Hospital-Wide All-Cause Unplanned Readmission Measure

Identifying Attributes

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

Defining Attributes

Definition

Hospital-wide all-cause unplanned readmission rate.

Numerator

Number of 30-day readmissions, defined as an inpatient admission for any cause, with the exception of certain planned readmissions, within 30 days from the date of discharge from an eligible index admission. If a patient has more than one unplanned admission (for any reason) within 30 days after discharge from the index admission, only one is counted as a readmission.

Denominator

Admissions for Medicare beneficiaries who are 65 years and older and are discharged from all non-federal, acute care inpatient US hospitals (including territories) with a complete claims history for the 12 months prior to admission.

Exclusions

Index admissions for patients: Admitted to Prospective Payment System (PPS)-exempt cancer hospitals; Without at least 30 days post-discharge enrolment in FFS Medicare; Discharged against medical advice (AMA); Admitted for primary psychiatric diagnoses; Admitted for rehabilitation; or Admitted for medical treatment of cancer. Exclusion for patients residing outside PARHM rural geographic areas.

Use of Risk Adjustment
Yes
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Claims Data

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

Not publicly reported based on current evidence. Linked to payments

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