Acute Readmissions to Hospital

Identifying Attributes

Care Settings
Hospital Care
Country
New Zealand
Publishing Organisation
Planning and Performance Data
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Readmission

Defining Attributes

Definition

The measure is a standardised readmission ratio of the observed number of readmission stays to the predicted number of readmission stays of a district. The numbers are derived based on the number of admissions and readmissions for patients presenting to New Zealand hospitals.

Numerator

Acute readmission stays.

Denominator

Index stays.

Exclusions

The following are excluded in both the index and readmission stays: • Non-case mix stays • Mental health stays (that is, the first event being identified as a mental health event). The following are excluded in the index stays but included in the readmission stays: • Deceased patients • Incomplete stays. The following are excluded in the readmission stays but included in the index stays: • Non-acute stays (the first event has a non-acute admission type) • Maternity services (Caesarean Delivery and Vaginal Delivery)

Use of Risk Adjustment
Yes
Risk Adjustments

Standardised readmission ratios are illustrated at a national and district level with standardisation for admission type, prior stays, primary diagnosis group, length of stay, age, prior morbidities, and current morbidities.

Stratifications

• District of domicile based on the first event of the index stay (this is for the 28 – 180 day intervals) • Principal District of service (last event of the stay) for the 3,7 and 28 day intervals) • Age in 5-year bands based on the first event of the index stay • Gender • Prioritised ethnicity (Māori, Pacific, and Other in that order) based on the first event of the index stay • NZDep2013 Index of deprivation quintile

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

National Minimum Dataset (NMDS)

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025