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INDICATOR NAME
Name
30-day readmission rate after leaving hospital for selected conditions
Alternate Name
Hospital Readmission rate within 30 days of leaving hospital for selected conditions
 
INDICATOR DESCRIPTION
Description
Rate of un-planned hospital readmissions within 30 days of discharge after hospitalization for any of the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions (selected HBAM Inpatient Grouper (HIG) conditions).
HQO Reporting tool/product
Public reporting
Dimension
Effective
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Rate per 100 discharges
Calculation Methods
Numerator divided by the denominator times100
Numerator (short description i.e. not inclusions/exclusions)

Number of subsequent non-elective (all-cause) readmissions to an acute care hospital within 30 days of discharge after hospitalization for any of the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions (selected HBAM Inpatient Grouper (HIG) conditions).

Denominator (short description i.e. not inclusions/exclusions)

Total number of hospital discharges after hospitalization for any of the following conditions:  pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions (selected HBAM Inpatient Grouper (HIG) conditions).

Adjustment (risk, age/sex standardization)- generalized
Risk adjusted
Data Source
Discharge Abstract Database (DAD)
Data provided to HQO by
Ministry of Health and Long-Term Care (MOHLTC)
Reported Levels of comparability /stratifications (defined)
Income, Region, Rurality, Sex, Time
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Not all readmissions are avoidable and this indicator does not capture which readmissions were avoidable and the underlying reasons (e.g. condition aggravation, poor transition, lack of community support/care). Due to age restrictions for some conditions the results are not reported by age groups. The indicator captures hospital readmission only and does not capture return visits to the emergency department.
Comments Summary
A similar indicator is calculated for enrolled patients and reported at the primary care practice level for the Primary Care Quality Improvement Plan. Patients are included in the numerator and denominator if CAPE (Client Agency Program Enrollment) records show they are enrolled at the time of discharge for the index case.
 
TAGS
Sector
Primary Care
Type
Outcome
Topic
Integration, Readmission
Dimension
Effective
Source
Discharge Abstract Database (DAD)
 
PUBLISH
Publish Datetime
28/02/2017 13:24:00