Unplanned Readmission to Hospital Within 7 or 30 Days
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients who were sent home from hospital, and then readmitted within seven or 30 days.
Numerator
Number of discharged patients readmitted to the hospital within 7 or 30 days.
Denominator
Number of patients discharged.
Exclusions
Numerator exclusions: (1) Records with an invalid or missing ULI number (e.g. a null or zero ULI, or a newborn with the same ULI as his/her mother.) (2) Records with invalid admission or discharge date/time (e.g. the initial admit and discharge dates overlap with another discharge's admit and discharge dates). (3) Transfer from another inpatient care, emergency department, ambulatory care, residential care, group/supportive living, or correctional facility (Discharge Disposition = '10', '20'. '30'. '40' or '90'). (4) The previous admission is being discharged as sign-out. Denominator exclusions: (1) Records with an invalid or missing ULI number. (2) Records with invalid admission or discharge date/time. (3) Transfer to another inpatient care, emergency department, ambulatory care, residential care, group/supportive living, or correctional facility (Discharge Disposition = '10', '20'. '30'. '40' or '90'). (4) Leave (Discharge Disposition = '61', '62', '65', '66', or '67'). (5) Deaths (Discharge Disposition = '72', '73', or '74'). (6) Cadavers (Discharge Disposition = '08'). (7) Stillbirths (Discharge Disposition = '09').
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
By readmission time-frame (7 days, 30 days), hospital and hospital type (large urban trauma, large urban, medium urban, children's).
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
AHS Provincial Discharge Abstract Database (DAD)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Interactive infographic: focus.hqca.ca/charts/unplanned-readmission-to-hospital-within-seven-or-30-days/