30-Day Unplanned Readmission Rate - Elective Primary Total Hip and/or Knee Arthroplasty
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
A hospital-level risk-standardised readmission rate (RSRR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) in Medicare Fee-For-Service (FFS) beneficiaries who are 65 years and older.
Numerator
Inpatient admissions for any cause, with the exception of certain planned readmissions, within 30 days from the date of discharge of the index hospitalisation.
Denominator
Admissions for Medicare FFS beneficiaries who are at least 65 years of age undergoing elective primary THA and/or TKA procedures.
Exclusions
Excludes admissions for patients: • Without at least 30 days post-discharge enrolment in FFS Medicare; • Who were discharged against medical advice • Admitted for the index procedure and subsequently transferred to another acute care facility • Who had more than two THA/TKA procedure codes during the index hospitalisation • Who had THA/TKA admissions within 30 days of a prior THA/TKA index admission
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