Rehospitalisation During the First 30 Days of Home Health (Claims-Based)
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of home health stays in which patients who had an acute inpatient discharge within the 5 days before the start of their home health stay were admitted to an acute care hospital during the 30 days following the start of the home health stay.
Numerator
Number of home health stays for patients who have a Medicare FFS claim for an admission to an acute care hospital in the 30 days following the start of the home health stay.
Denominator
Number of home health stays that begin during the 3-year observation period Number of home health stays that begin during the 3-year observation period for patients who had an acute inpatient hospital discharge within the 5 days prior to the start of the home health stay.
Exclusions
Stays for patients who are not continuously enrolled in fee-for-service Medicare during the measure numerator window (30 days following the start of the home health stay) or until death; Stays that begin with a Low-Utilisation Payment Adjustment (LUPA); Stays in which the patient receives services from multiple home health agencies in the first 30 days; Stays in which the patient is not continuously enrolled in Medicare fee-for-service during the previous six months; Stays in which the patient receives treatment in another setting in the 5 days between hospital discharge and the start of home health; Stays in which the hospitalisation occurring within 5 days of the start of home health care is not a qualifying inpatient stay. Hospitalisations that do not qualify as index hospitalisations include admissions for the medical treatment of cancer, primary psychiatric disease, or rehabilitation care, and admissions ending in patient discharge against medical advice.
Use of Risk Adjustment
Risk Adjustments
Adjusted for where appropriate: service factors, provider factors, demographic factors and clinical factors.
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Medicare fee-for-service (FFS) claims data.. Uses a 90-day lookback period
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Home Health Quality Reporting (CMS and providers). Not reported on CMS Care Compare or CMS Provider Data Catalogue.