Unplanned Reoperation Within the 30-Day Postoperative Period

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Merit-Based Incentive Payment System (MIPS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Safety
Domain
Readmission

Defining Attributes

Definition

Percentage of patients aged 18 years and older who had any unplanned reoperation within the 30-day postoperative period.

Numerator

Unplanned return to the operating room for a surgical procedure, for any reason, within 30 days of the principal operative procedure.

Denominator

Patients aged 18 years and older undergoing an operative procedure.

Exclusions

None

Use of Risk Adjustment
Yes
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Clinician reported data to MIPS

Frequency of Data Collection
Continuous
Frequency of Data Collection in Days
1
Reporting Methods

Hospital Care Compare Website. More detailed data is displayed at data.cms.gov

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
Yes
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025