What is the metric?
This metric records the Percentage of Short-Stay Residents Who Have had an Outpatient Emergency Department Visit.
What does the metric mean?
This metric measures the percentage of all new admissions or readmissions to a nursing home from a hospital where the resident had an outpatient ED visit (i.e., an ED visit not resulting in an inpatient hospital admission or observation stay) within 30 days of entry or reentry to the nursing home from a hospital.
How do we calculate the metric?
The Numerator is the number of outpatient ED visits for patients that occurred within 30 days of entry or reentry to the facility from an ACH during the specified date range.
An outpatient ED Visit is defined as any discharge to the Emergency Department entered into PCC’s census (ADT) whose outcome was entered as “ED Visit Only” or with no outcome entered and the patient was readmitted to the facility in PCC within 72 Hours.
The Denominator is the number of all admissions or readmissions to the facility from an acute care hospital during the selected date range.
This number is expressed as a percentage.
The dates selected by the datefinder filter this measure to select all patients admitted from a hospital within the selected date period.
References
Nursing Home Compare ClaimsBased Quality Measure Technical Specifications