30-Day Unplanned Readmission Rate - Pneumonia
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 either a principal discharge diagnosis of pneumonia (including aspiration pneumonia) or a principal discharge diagnosis of sepsis (not severe sepsis) with a secondary diagnosis of pneumonia (including aspiration pneumonia) coded as present on admission (POA).
Numerator
Inpatient acute care 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 diagnosis of pneumonia, including aspiration pneumonia or a principal diagnosis of sepsis (not severe sepsis) with a secondary diagnosis of pneumonia (including aspiration pneumonia) coded as POA and no secondary diagnosis of severe sepsis.
Denominator
Admissions for patients aged 65 years and older discharged from the hospital with a principal discharge diagnosis of pneumonia, including aspiration pneumonia or a principal discharge diagnosis of sepsis (not severe sepsis) with a secondary discharge diagnosis of pneumonia (including aspiration pneumonia) coded as POA and no secondary discharge diagnosis of severe sepsis; and with a complete claims history for the 12 months prior to admission.
Exclusions
Excludes index admissions for patients: • Discharged against medical advice • Without at least 30 days post-discharge enrolment in FFS Medicare (in the case of patients who are not VA beneficiaries) • Admitted within 30 days of a prior index admission for pneumonia
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