The existing NQF-endorsed measure provides a means for determining the risk-adjusted readmission rate for a selected adult target population and can be applied for any desired timeframe. Readmission rate is defined as the percentage of acute inpatient discharges during the measurement period followed by an acute inpatient admission for any diagnosis to any hospital within 30 days
We are proposing to change the measure and offer a risk factor approach. This method allows for calculation of a risk-adjusted readmission rate for use in two different ways: 1) retrospective analysis of hospital (or other study population) performance determination and 2) in a real-time Electronic Health Record (EHR) environment, analysis to determine the readmission risk factor for each inpatient admission.
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1.5 Measure Type1.7 Electronic Clinical Quality Measure (eCQM)1.8 Level Of Analysis1.9 Care Setting1.20 Testing Data Sources
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1.14 Numerator
Non-behavioral health acute inpatient admissions for patients who were readmitted following a discharge from a non-behavioral health acute inpatient admission (index admission).
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1.15 Denominator
The denominator contains all eligible non-behavioral acute care inpatient discharges for the target population being measured for the desired measurement period. A patient can have multiple eligible discharges during the measurement period.
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Exclusions
The cases to be excluded from the denominator are those for patients who died during the hospital stay or were hospitalized for mental health disorders or substance abuse treatment.
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Most Recent Endorsement ActivityMeasure Retired and Endorsement Removed Readmissions Endorsement Maintenance ProjectInitial EndorsementLast UpdatedRemoval Date
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StewardUnited Health GroupSteward Organization POC Email
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Risk Adjustment
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6.1.2 Current or Planned Use(s)
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