30 day hospital wide readmission as an inpatient for any cause except planned readmission.

The outcome for this measure is 30-day readmission. We define readmission as an inpatient admission for any cause, with the exception of certain planned readmissions, within 30 days from the date of discharge from an eligible index admission. If a patient has more than one unplanned admission (for any reason) within 30 days after discharge from the index admission, only one is counted as a readmission.

The measure includes admissions for Medicare beneficiaries who are 65 years and older and are discharged from all non-federal, acute care inpatient US hospitals (including territories) with a complete claims history for the 12 months prior to admission.

Denominator Exclusions: The measure excludes index admissions for patients: Admitted to Prospective Payment System (PPS)-exempt cancer hospitals; Without at least 30 days post-discharge enrolment in FFS Medicare; Discharged against medical advice (AMA); Admitted for primary psychiatric diagnoses; Admitted for rehabilitation; or Admitted for medical treatment of cancer. Exclusion for patients residing outside PARHM rural geographic areas.

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Hospital-Wide All-Cause Unplanned Readmission Measure (HWR). Last updated 14.03.2023. Accessed 08.04.2024 cmit.cms.gov/cmit/#/MeasureView?variantId=12648&sectionNumber=1

Centers for Medicare and Medicaid Services Measures Inventory Tool (cms.gov)

Also listed in NQF 2022 Key Rural Measures Draft Report as Key Rural Measures List - Hospital Care Measures.

Also in National Quality Forum, 2018 A Core Set of Rural-Relevant Measuring and Improving Access to Care: 2018 Recommendations from the MAP Rural Health Workgroup