Hybrid Hospital-Wide Readmission (HWR) Measure With Claims and Electronic Health Record Data
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
32 condition categories - see technical specifications for more details.