Medical Patients Readmitted to Hospital
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 urgent readmission for the medical patient group.
Numerator
Cases within the denominator with a non-elective readmission within 30 days of discharge after the index episode of care.
Denominator
Number of medical episodes of care discharged between April 1 and March 1 of the fiscal year.
Exclusions
• Records with an invalid health card number • Records with an invalid code for province issuing health card number • Records with an invalid admission date or time • Records with an invalid discharge date or time • Records with admission category of cadaveric donor or stillbirth ( • Episodes with discharge as death • Presence of at least one record in the episode with MCC of Mental Diseases and Disorders • Presence of at least one record in the episode with MCC of Pregnancy and Childbirth ( • Presence of at least one surgical record in the episode • Presence of at least one record in the episode with palliative care coded as most responsible diagnosis
Use of Risk Adjustment
Risk Adjustments
See detailed specifications for risk adjustment: www.cihi.ca/sites/default/files/document/model-specifications.pdf
Stratifications
By reporting level: National, Province/Territory, Region, Facility, Neighbourhood Income Quintile.
Data Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB), National Ambulatory Care Reporting System (NACRS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Online tool: Your Health System