URSA-PHF-031: Subsequent Hospital IP Admits within 1 Year

Measure Description

Among hospital inpatient admissions, the percent with one or more subsequent admission in the 12 months following the Index Admission discharge date. If a patient has multiple subsequent admissions, the contribution to the numerator will be remain 1 though information on all subsequent admissions will be displayed in case review.

Metadata

• Measure Type: Rate Measure
• Temporal Structure: Event
• Component Class: Long-Form
• Denominator Case Field: Index Admission Encounter ID, Index Admission Patient 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

If the patient has one or more subsequent IP all-cause admissions in the twelve months following the day of discharge then 1, else 0.

Related Key Concepts

None.

FAQs

None.