Emergency Readmissions Within 30 Days of Discharge From Hospital
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Indirectly age, sex, method of admission and diagnosis/procedure standardised percentage of emergency admissions to any hospital in England occurring within 30 days of the last, previous discharge from hospital after admission. Admissions for cancer and obstetrics are excluded
Numerator
The number of finished and unfinished CIP spells intersecting the respective financial year, plus those up to 30 days into the next financial year that are emergency admissions within 0- 29 days (inclusive) of the last, previous discharge from hospital, including those where the patient dies
Denominator
The number of finished CIP spells within selected medical and surgical specialties with a discharge date up to 31st March in the financial year of analysis
Exclusions
Denominator: Day cases, spells with a discharge coded as death, maternity spells and those with mention of a diagnosis of cancer or chemotherapy for cancer anywhere in the spell Numerator: those with a main specialty and primary diagnosis upon readmission coded under obstetrics and those where the readmitting spell has a diagnosis of cancer (other than benign or in situ) or chemotherapy for cancer coded anywhere in the spell.
Use of Risk Adjustment
Risk Adjustments
Age and sex, direct standardisation
Stratifications
Gender (male and female) Persons by deprivation quintile
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Hospital Episode Statistics for Admitted Patient Care (HES APC) linked as Continuous Inpatient (CIP) Spells. webarchive.nationalarchives.gov.uk/20180328130852tf_/ content.digital.nhs.uk/m edia/11859/Provider-Spells-Methodology/pdf/