30-Day Unplanned Readmission Rate - Chronic Obstructive Pulmonary Disease (COPD)
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 over discharged from the hospital with either a principal discharge diagnosis of COPD or a principal discharge diagnosis of respiratory failure with a secondary diagnosis of acute exacerbation of COPD.
Numerator
Inpatient admissions for any cause, with the exception of certain planned readmissions, within 30 days from the date of discharge from the index admission for patients discharged from the hospital with a principal discharge diagnosis of COPD or principal discharge diagnosis of respiratory failure with a secondary discharge diagnosis of acute exacerbation of COPD.
Denominator
Admissions for patients aged 65 or older, who have been discharged from the hospital with either a principal discharge diagnosis of COPD OR a principal discharge diagnosis of respiratory failure with a secondary discharge diagnosis of acute exacerbation of COPD and with a complete claims history for the 12 months prior to admission.
Exclusions
Excludes index admissions for patients: • Without at least 30 days post-discharge enrolment in FFS Medicare (in the case of patients who are not VA beneficiaries) • Discharged against medical advice • Admitted within 30 days of a prior index admission for COPD
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