Rate of risk-standardized acute, unplanned hospital admissions among Medicare fee-for-service (FFS) beneficiaries 65 years and older with heart failure who are assigned to an Accountable Care Organization (ACO).
Measure Specs
General Information
Numerator
The outcome for this measure is the number of acute unplanned admissions per 100 person-years at risk for admission. Persons are considered at risk for admission if they are alive, enrolled in Medicare FFS, and not currently admitted to an acute care hospital. (See S.5, Numerator Details, for more information.)
Denominator
The target population is ambulatory Medicare FFS beneficiaries aged 65 years and older assigned to the ACO with a diagnosis of heart failure.
Exclusions
The measure excludes:
1. Patients with left ventricular assist devices (LVADs).
2. Beneficiaries who are alive during the measurement year and do not have 12 months of continuous enrollment in Medicare Part A during the measurement year, or beneficiaries who die during the measurement year and are not continuously enrolled for the time period up until their date of death.
Measure Record
Point of Contact
Not applicable.
Public Comments