Hybrid Hospital-Wide Readmission (HWR) Measure With Claims and Electronic Health Record Data

Identifying Attributes

Care Settings
Hospital Care
Country
United States of America
Publishing Organisation
Centers for Medicare & Medicaid Services (CMS): Hospital Inpatient Quality Reporting Program
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Readmission

Defining Attributes

Definition

A facility-level risk-standardised rate of readmission (RSRR) within 30 days of discharge from an inpatient admission, among Medicare Fee-For-Service (FFS) and Medicare Advantage (MA) patients aged 65 years and older.

Numerator

Readmissions to an acute care hospital for any cause within 30 days of the date of discharge from the index admission.

Denominator

Admissions that meet all of the following criteria are included: (1) Enrolled in Medicare FFS Part A or MA for the 12 months prior to the date of admission and during the index admission, (2) Discharged alive from a non-federal short-term acute care hospital and (3) Not transferred to another acute care .facility

Exclusions

• Admitted to Prospective Payment System (PPS)-exempt cancer hospitals; • Without at least 30 days post-discharge enrolment in Medicare FFS or Medicare Advantage; • Discharged against medical advice (AMA); • Admitted for primary psychiatric diagnoses; • Admitted for rehabilitation; • Admitted for medical treatment of cancer; or, • Admitted with a principal or secondary diagnosis of COVID-19. • With less than 7 of 13 CCDE reported.

Use of Risk Adjustment
Yes
Risk Adjustments

32 condition categories - see technical specifications for more details.

Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods
Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods
Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
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)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
23 July 2025