Potentially Avoidable Admissions and Emergency Department Visits Among Patients Receiving Outpatient Chemotherapy
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of cancer patients 18 years of age or older receiving outpatient chemotherapy who have an admission or emergency department (ED) visit for nausea, emesis, anaemia, neutropenic fever, diarrhoea, dehydration, or pain.
Numerator
Cancer patients 18 years of age or older undergoing outpatient chemotherapy treatment who were admitted to an inpatient setting or ED with one of the following principal diagnoses during the course of treatment: Nausea Emesis Anaemia Neutropenic fever Diarrhoea Dehydration Pain Two rates are reported for this measure: 1) Percent of patients admitted to the ED 2) Percent of patients admitted to the inpatient hospital setting
Denominator
Patients aged 18 years and older as of the start of the measurement period with a principal diagnosis of cancer who received at least one outpatient chemotherapy treatment at the reporting facility during the intake period.
Exclusions
Patients with hematologic cancer during the intake period. Patients receiving inpatient chemotherapy during the intake period.
Use of Risk Adjustment
Risk Adjustments
None
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
Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program (CMS and Providers)
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Gidwani-Marszowski, R., Faricy-Anderson, K., Asch, S.M., Illarmo, S., Ananth, L. and Patel, M.I. (2020), Potentially avoidable hospitalizations after chemotherapy: Differences across medicare and the Veterans Health Administration. Cancer, 126: 3297-3302. doi.org/10.1002/cncr.32896