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    URSA-PHF-030b: 7-Day All-Cause Readmissions
    • 28 Jun 2025
    • 6 Minutes to read
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    Contents

    URSA-PHF-030b: 7-Day All-Cause Readmissions

    • Updated on 28 Jun 2025
    • 6 Minutes to read
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    Article summary

    Measure Description

    Among hospital inpatient admissions, the percentage with readmission within 7 days of discharge

    Metadata

    • Measure Type: Rate Measure
    • Temporal Structure: Event
    • Component Class: Normal-Form
    • Denominator Case Field: Index Admission Encounter ID
    • Target Direction: Down

    Denominator Description

    Hospital inpatient admissions for plan members with medical claim coverage, excluding admissions with a discharge status indicating the patient expired, was transferred to inpatient status at another hospital, or had a planned readmission.

    Numerator Description

    Count of all-cause readmissions with admit date within 7 days of discharge from the index admission.

    Published Fields

    • Data Model Keys

      • Index Admission Encounter ID
      • Index Admission Patient ID
      • Index Admission Facility Provider ID
      • Primary Payor ID
      • Primary Plan ID
      • Primary Plan Attributee Provider ID
      • Empirical Attributee Primary Care Individual Provider ID

    • Patient Fields

      • Patient Age Integer
      • Patient Age Category Tier 1
      • Patient Age Category Tier 2
      • Patient Sex Category
      • Is Patient Sex Female
      • Is Patient Sex Male
      • Count Hospital Inpatient Admissions in Last 12 Months
      • Count ED Visits Without Inpatient Admissions in Last 12 Months
      • PCP Attribution Category
      • Primary Care Engagement Category
      • Specialty Care Engagement Category
      • Primary or Specialty Care Engagement Category

    • Encounter Fields

      • Is Index Admission Emergency Department Visit Parent Encounter
      • Is Index Admission Observation Stay Parent Encounter
      • Index Admission Inpatient LOS Category Tier 1
      • Is Index Admission Inpatient LOS < 2 Midnights
      • Index Admission Inpatient LOS in Elapsed Midnights
      • Index Admission Inpatient LOS in Distinct Calendar Days
      • Is Index Admission Discharge Status Home or Home with Home Health
      • Is Index Admission Routine Discharge Home
      • Is Index Admission Discharged Home with Home Health

    • Date Fields

      • Index Admission Encounter Start Date
      • Index Admission Encounter Patient Inpatient Status Start Date
      • Index Admission Encounter End Date
      • Index Admission Encounter Start Date Day of Week
      • Index Admission Inpatient Status Start Date Day of Week
      • Index Admission Encounter End Date Day of Week
      • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
      • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)

    • Numerator Fields

      • Readmission Encounter ID
      • Readmission Facility Provider ID
      • Readmission Encounter Start Date
      • Readmission Encounter End Date
      • Days Elapsed from Index Admission Discharge to Readmission
      • Elapsed Days to Readmission Category
      • Is Readmission to Index Facility Provider
      • Is Readmission Diagnosis Match to Index AHRQ CCS Single Level
      • Is Readmission Diagnosis Match to Index on AHRQ CCS Tier 1
      • Is Readmission Diagnosis Match to Index on AHRQ CCS Tier 2
      • Readmission Inpatient LOS in Elapsed Midnights
      • Readmission Inpatient LOS Category Tier 1
      • Readmission Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
      • Readmission Principal Discharge Diagnosis ICD-10-CM Code
      • Readmission Principal Discharge Diagnosis ICD-10-CM Description
      • Readmission Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
      • Readmission Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
      • Readmission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
      • Readmission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
      • Readmission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
      • Readmission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
      • Readmission Facility Provider Description
      • Readmission Facility Provider Primary NUCC Provider Taxonomy Description
      • Is Readmission Surgery Encounter
      • Readmission Primary HCPCS Procedure HCPCS Code
      • Is Readmission Primary HCPCS Procedure Surgical
      • Readmission Primary Plan Allowed Amount
      • Readmission Primary Plan Paid Amount
      • Readmission Total Plan Paid Amount from All Plans
      • Readmission Patient Paid Amount
      • Readmission Inpatient LOS in Distinct Calendar Days
      • Is Readmission Discharge Status Home or Home with Home Health
      • Readmission Primary HCPCS Short Description
      • Readmission Principal ICD Procedure ICD-10-PCS Code
      • Readmission Principal ICD Procedure ICD-10-PCS Description
      • Readmission MS-DRG Code
      • Readmission MS-DRG Description
      • Readmission MS-DRG MDC Code
      • Readmission MS-DRG MDC Description
      • Is Readmission CMS DRG Medical-Surgical Type Surgical
      • Readmission CMS Admit Type Code
      • Readmission CMS Admit Type Description
      • Readmission CMS Admit Source Code
      • Readmission CMS Admit Source Description
      • Readmission CMS Patient Discharge Status Code
      • Readmission CMS Patient Discharge Status Description

    • Provider Fields

      • Index Admission Facility Provider Description
      • Index Admission Facility Provider State Abbreviation
      • Index Admission Facility Provider ZIP Code 5-Digit
      • Primary Plan Attributee Provider Description
      • Empirical Attributee Primary Care Individual Provider Description
      • Empirical Attributee Primary Care Provider Group Provider Description

    • Location Fields

      • Patient State Abbreviation
      • Patient ZIP Code 5-Digit
      • UW HIP ADI Quintile Category
      • UW HIP ADI Decile Category
      • CDC SVI Overall Quintile Category
      • CDC SVI Socioeconomic Quintile Category
      • CDC SVI Household / Disability Quintile Category
      • CDC SVI Minority / Language Quintile Category
      • CDC SVI Housing / Transportation Quintile Category

    • Insurance Fields

      • Primary Payor Description
      • Primary Plan Description
      • Primary Plan Financial Class Description

    • Diagnosis Fields

      • Index Admission Principal Discharge Diagnosis ICD-10-CM Code
      • Index Admission Principal Discharge Diagnosis ICD-10-CM Description
      • Index Admission Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Code
      • Index Admission Discharge Diagnosis AHRQ CCS Single-Level Diagnosis Category Description
      • Index Admission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Code
      • Index Admission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 1 Description
      • Index Admission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Code
      • Index Admission Discharge Diagnosis AHRQ CCS Multi-Level Diagnosis Category Tier 2 Description
      • CCW Count Category
      • Count CCW Conditions
      • Is CCW Acquired Hypothyroidism
      • Is CCW Acute Myocardial Infarction
      • Is CCW ADHD, Conduct Disorders, and Hyperkinetic Syndrome
      • Is CCW Alzheimers Disease
      • Is CCW Alzheimers Disease and Related Disorders or Senile Dementia
      • Is CCW Anemia
      • Is CCW Anxiety Disorders
      • Is CCW Asthma
      • Is CCW Atrial Fibrillation
      • Is CCW Autism Spectrum Disorder
      • Is CCW Benign Prostatic Hyperplasia
      • Is CCW Bipolar Disorder
      • Is CCW Blindness and Visual Impairment
      • Is CCW Breast Cancer
      • Is CCW Cataract
      • Is CCW Cerebral Palsy
      • Is CCW CKD
      • Is CCW Colorectal Cancer
      • Is CCW COPD and Bronchiectasis
      • Is CCW Cystic Fibrosis and Other Metabolic Disorder
      • Is CCW Deafness and Hearing Impairment
      • Is CCW Depression
      • Is CCW Depressive Disorders
      • Is CCW Diabetes
      • Is CCW Endometrial Cancer
      • Is CCW Epilepsy
      • Is CCW Fibromyalgia and Chronic Pain and Fatigue
      • Is CCW Glaucoma
      • Is CCW Heart Failure
      • Is CCW Hip or Pelvic Fracture
      • Is CCW Hyperlipidemia
      • Is CCW Hypertension
      • Is CCW Intellectual Disability
      • Is CCW Ischemic Heart Disease
      • Is CCW Learning Disability
      • Is CCW Leukemia
      • Is CCW Lung Cancer
      • Is CCW Migraine and Chronic Headache
      • Is CCW Mobility Impairment
      • Is CCW Multiple Sclerosis
      • Is CCW Muscular Dystrophy
      • Is CCW Obesity
      • Is CCW Osteoporosis
      • Is CCW Other Developmental Delay
      • Is CCW Personality Disorder
      • Is CCW Pressure or Chronic Ulcer
      • Is CCW Prostate Cancer
      • Is CCW PTSD
      • Is CCW PVD
      • Is CCW Rheumatoid Arthritis or Osteoarthritis
      • Is CCW Schizophrenia
      • Is CCW Schizophrenia or Other Psychotic Disorders
      • Is CCW Stroke or Transient Ischemic Attack
      • CCW Systems Category
      • Count CCW Systems
      • Is CCW System Behavioral Health
      • Is CCW System Cardiovascular
      • Is CCW System Congenital
      • Is CCW System Endocrine/Metabolic
      • Is CCW System Genitourinary
      • Is CCW System Hematologic
      • Is CCW System Musculoskeletal
      • Is CCW System Neurological
      • Is CCW System Oncologic
      • Is CCW System Ophthalmologic
      • Is CCW System Pulmonary
      • Is CCW System Other

    • Financial Fields

      • Index Admission Primary Plan Allowed Amount
      • Index Admission Primary Plan Paid Amount
      • Index Admission Total Plan Paid Amount from All Plans
      • Index Admission Patient Paid Amount

    • Billing and Claims Fields

      • Index Admission Ursa Hospital Admission Condition-Treatment Type Tier 1 Category
      • Index Admission MS-DRG Code
      • Index Admission MS-DRG Description
      • Index Admission MS-DRG MDC Code
      • Index Admission MS-DRG MDC Description
      • Is Index Admission CMS DRG Medical-Surgical Type Surgical
      • Index Admission APR-DRG Code
      • Index Admission APR-DRG Description
      • Index Admission APR-DRG MDC Code
      • Index Admission APR-DRG MDC Description
      • Index Admission APR-DRG Severity of Illness Code
      • Index Admission APR-DRG Risk of Mortality Code
      • Is Index Admission APR-DRG Medical Surgical Type Medical
      • Is Index Admission APR-DRG Medical Surgical Type Surgical
      • Index Admission CMS Admit Type Code
      • Index Admission CMS Admit Type Description
      • Index Admission CMS Admit Source Code
      • Index Admission CMS Admit Source Description
      • Index Admission CMS Patient Discharge Status Code
      • Index Admission CMS Patient Discharge Status Description

    • Clinical Services Fields

      • Is Index Admission Surgery Encounter
      • Index Admission Primary HCPCS Procedure HCPCS Code
      • Index Admission Primary HCPCS Short Description
      • Index Admission Primary HCPCS Long Description
      • Is Index Admission Primary HCPCS Procedure Surgical
      • Index Admission Primary HCPCS AHRQ CCS Single-Level Procedure Category Code
      • Index Admission Primary HCPCS AHRQ CCS Single-Level Procedure Category Description
      • Index Admission Principal ICD Procedure ICD-10-PCS Code
      • Index Admission Principal ICD Procedure ICD-10-PCS Description
      • Index Admission Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Code
      • Index Admission Principal ICD-10-PCS AHRQ CCS Multi-Level Procedure Category Tier 1 Description

    • Measure Fields

      • Denominator
      • Numerator
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