Hospital-Wide All-Cause Unplanned Readmission Measure
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Claims Data
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Not publicly reported based on current evidence. Linked to payments