30-Day Unplanned Readmission Rate - Acute Myocardial Infarction (AMI)
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
A hospital-level 30-day, all-cause, risk-standardised readmission rate (RSRR) for patients age 65 and older discharged from the hospital with a principal diagnosis of acute myocardial infarction (AMI).
Numerator
Acute care inpatient admissions for any cause, with the exception of certain planned readmissions, within 30 days from the date of discharge from the index for patients 65 and older discharged from the hospital with a principal discharge diagnosis of AMI.
Denominator
Admissions for patients aged 65 years and older discharged from the hospital with a principal diagnosis of AMI; and with a complete claims history for the 12 months prior to admission.
Exclusions
Excludes index admissions for patients: • Without at least 30 days of post-discharge enrolment in Medicare FFS (in the case of patients who are not VA beneficiaries) • Discharged against medical advice • Same-day discharges • Admitted within 30 days of a prior index admission for AMI
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By hospital and state.
Data Attributes
Type of Data Collection
Data Collection Methods
Claims data, confidential Hospital-Specific Reports (HSRs) sent to hospitals by CMS
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Hospital Readmissions Reduction Program data is displayed at data.cms.gov