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
Individuals in the denominator who have a readmission for any cause, except for certain planned readmissions, within 30 days from the date of discharge from an eligible index admission. If a Medicare beneficiary has more than one unplanned admission (for any reason) within 30 days after discharge from the index admission, the measure only counts as one readmission. Note that readmissions do not have to be at the same hospital location as the index admission
Denominator
All Medicare fee-for-service (FFS) beneficiaries aged 65 years and older who are hospitalised and are discharged alive from a Medicare-participating ACH. These Medicare FFS beneficiaries must have 12 months of continuous Medicare Part A enrolment prior to the index admission. Index admission refers to the first admission.
Exclusions
The exclusions for this measure include patients: • admitted to Prospective Payment System-exempt cancer hospitals • without at least 30 days post-discharge enrolment in Medicare FFS • discharged against medical advice • admitted for primary psychiatric diagnoses • admitted for rehabilitation • admitted for medical treatment of cancer
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 on CMS Care Compare