Surgical 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 surgical 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 surgical episodes of care 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, invalid admission date or time, invalid discharge date or time, admission category of cadaveric donor or stillbirth, discharge as death. Presence of at least one record in the episode with: MCC of Mental Diseases and Disorders (MCC = 17), MCC of Pregnancy and Childbirth (MCC = 13), palliative care (ICD-10-CA: Z51.5) coded as most responsible diagnosis (MRDx); for Quebec data: Z51.5 coded as MRDx, or cancer (C00–C97) coded as MRDx and Z51.5 coded in any secondary diagnosis field.
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.
Collection and Reporting 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 (In Brief)