Hospitalisation for Potentially Preventable Complications Rate
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
For members 67 years of age and older, the rate of discharges for ambulatory care sensitive conditions (ACSC) per 1,000 members and the risk-adjusted ratio of observed to expected discharges for ACSC by chronic and acute conditions.
Numerator
Denominator
Exclusions
Data for contracts whose Observed / Expected ratio is either < 0.2 or > 5.0 have been excluded. Data for contracts with < 200 in the denominator have been excluded. Members in hospice or using hospice services anytime during the measurement year. Members enrolled in an Institutional SNP (I-SNP) any time during the measurement year. Members living long-term in an institution any time during the measurement year, as identified by the LTI flag in the Monthly Membership Detail Data File.
Use of Risk Adjustment
Risk Adjustments
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
The Healthcare Effectiveness Data and Information Set (HEDIS)
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reported on www.medicare.gov/plan-compare/