30-Day Readmission for Mental Health and Substance Use
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
This indicator measures the risk-adjusted rate of readmission following discharge for mental health and substance use (MHSU) disorders.
Numerator
Cases within the denominator with a readmission for MHSU disorders within 30 days of discharge after the index episode of care.
Denominator
Number of episodes of care for an MHSU disorder discharged between April 1 and March 1 of the fiscal year.
Exclusions
Records with: invalid health card number, invalid code for province issuing health card number, missing age, invalid admission date, invalid discharge date. Episodes with discharge as death. Cadaveric donor or stillbirth records.
Use of Risk Adjustment
Risk Adjustments
See detailed specifications for risk adjustment: www.cihi.ca/sites/default/files/document/model-specifications.pdf
Stratifications
By age group, recorded sex or gender, neighbourhood income quintile, urban versus rural/remote, mental health category and reporting level: National, Province/Territory, Region.
Data Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB), National Ambulatory Care Reporting System (NACRS) and Ontario Mental Health Reporting System (OMHRS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Online tool: Your Health System