Hospitalisation Following Discharge From a Skilled Nursing Facility
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
The rate of unplanned acute inpatient and observation stays within 30 and 60 days of discharge from a skilled nursing facility (SNF).
Numerator
Denominator
Exclusions
Use of Risk Adjustment
Risk Adjustments
The observed rate and predicted probability are used to calculate a calibrated observed-to-expected (O/E) ratio that assesses whether plans had more, the same or fewer hospitalisations after SNF discharge than expected, while accounting for incremental improvement across all plans over time. The O/E ratio is multiplied by the post-SNF hospitalisation rate across all plans to produce a risk-standardised rate that allows national comparison.
Stratifications
By time from discharge (30 or 60 days) and organisation (Medicare HMO, Medicare PPO)
Data Attributes
Type of Data Collection
Data Collection Methods
Healthcare Effectiveness Data and Information Set (HEDIS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
HEDIS measures are reported on by the NCQA in a variety of specialised annual reports, but may also be utilised and reported on by other organisations with permission from NCQA.