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Plan All-Cause Readmissions (PCR)

CBE ID
1768
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
1.3 Measure Description

For patients 18 years of age and older, the number of acute inpatient stays during the measurement year that were followed by an unplanned acute readmission for any diagnosis within 30 days and the predicted probability of an acute readmission. Data are reported in the following categories:

1. Count of Index Hospital Stays* (denominator)
2. Count of 30-Day Readmissions (numerator)
3. Average Adjusted Probability of Readmission

*An acute inpatient stay with a discharge during the first 11 months of the measurement year (e.g., on or between January 1 and December 1).

        • 1.14 Numerator

          At least one acute unplanned readmission for any diagnosis within 30 days of the date of discharge from the Index Hospital Stay, that is on or between the second day of the measurement year and the end of the measurement year.

        • 1.15 Denominator

          Patients age 18 and older with a discharge from an acute inpatient stay (Index Hospital Stay) on or between January 1 and December 1 of the measurement year.

        • Exclusions

          Exclusions are included in the definition of the denominator (see S.9). Exclusions include discharges for death, pregnancy, prerinatal condition, or a discharge that is followed by a planned admission within 30 days.

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed All-Cause Admissions and Readmissions Fall Cycle 2019
          Initial Endorsement
          Last Updated
          Removal Date