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Hospital 30-day, all-cause, unplanned, risk-standardized readmission rate (RSRR) following coronary artery bypass graft (CABG) surgery

CBE ID
2515
Endorsed
Endorsement Status
1.1 New or Maintenance
E&M Cycle
Is Under Review
No
Next Planned Maintenance Review
All-Cause Admissions and Readmissions Fall 2024
1.3 Measure Description

The measure estimates a hospital-level risk-standardized readmission rate (RSRR), defined as unplanned readmission for any cause within 30-days from the date of discharge for a qualifying index CABG procedure, in patients 65 years and older.

An index admission is the hospitalization for a qualifying isolated CABG procedure considered for the readmission outcome.

        • 1.14 Numerator

          The outcome for this measure is 30-day readmissions. We define readmission as an inpatient acute care admission for any cause, with the exception of certain planned readmissions, within 30 days from the date of discharge from the index admission for an isolated CABG surgery in patients 65 and older. If a patient has more than one unplanned admission (for any reason) within 30 days after discharge from the index admission, only the first one is counted as a readmission. The measure looks for a dichotomous yes or no outcome of whether each admitted patient has an unplanned readmission within 30 days. However, if the first readmission after discharge is considered planned, any subsequent unplanned readmission is not counted as an outcome for that index admission because the unplanned readmission could be related to care provided during the intervening planned readmission rather than during the index admission.

        • 1.15 Denominator

          The cohort includes admissions for patients who are age 65 and older with a qualifying isolated CABG procedure and complete claims history for the 12 months prior to the index admission.

        • Exclusions

          For all cohorts, hospitalizations are excluded if they meet any of the following criteria, for admissions:

          1. Without at least 30 days post-discharge enrollment in FFS Medicare
          2. Discharged against medical advice (AMA)
          3. Admissions for subsequent qualifying CABG procedures during the measurement period

        • Most Recent Endorsement Activity
          Endorsed All-Cause Admissions and Readmissions Fall Cycle 2020
          Initial Endorsement
          Last Updated