Care Transitions

Identifying Attributes

Care Settings
Rural and Remote Care
Country
United States of America
Publishing Organisation
Medicare Beneficiary Quality Improvement Project
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Service Delivery

Defining Attributes

Definition

Percentage of patients surveyed who "Strongly Agree" they understood their care when they left the hospital.

Numerator

Number of patients surveyed who "Strongly Agree" they understood their care when they left the hospital.

Denominator

Patients discharged from the hospital following at least one overnight stay sometime between 48 hours and 6 weeks ago who are over the age of 18 and did not have a psychiatric principal diagnosis at discharge.

Exclusions

Denominator: <18 years of age. No psychiatric principal diagnosis at discharge. At least overnight stay.

Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

None

Data Attributes

Type of Data Collection
Surveys
Data Collection Methods

Survey.

Frequency of Data Collection
Quarterly
Frequency of Data Collection in Days
91
Reporting Methods

Data reported to: Hospital Quality Reporting (HQR) via HCAHPS vendor or self-administered if in compliance with program requirements Data available on: Care Compare, MBQIP Data Reports, Flex Monitoring Team Reports.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Stratis Health. MBQIP Measures Fact Sheets August 2023. Accessed March 15th 2024 www.ruralcenter.org/sites/default/files/2023-08/2023%20update%20MBQIP-Measures-Fact-Sheets.pdf

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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025