Unplanned Readmission to Hospital Within 7 or 30 Days

Identifying Attributes

Care Settings
Hospital Care
Country
Canada
Publishing Organisation
Health Quality Council of Alberta
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Readmission

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
No
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
Administrative data
Data Collection Methods

AHS Provincial Discharge Abstract Database (DAD)

Frequency of Data Collection
Monthly
Frequency of Data Collection in Days
30
Reporting Frequency
Quarterly
Reporting Frequency in Days
91
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)
No
Australian Consortium for Aged Care Endorsed
No
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026