Readmission Rate to ICU

Number of ICU readmission within 72 hours per 100 discharges to ward.

Indicators
Indicator:	Readmission Rate to ICU
Created/Raw:	Created
Program:	Critical Care
Start Date:
End Date:
Reports:	Critical Care Program Quality Indicator Report, HSC ICUs Data by Patient

• Cargo

• SMW:

• Categories

• Default form:

QI domain

• Safe

Reported as

Percent of total discharges to ward

Significance

Unplanned readmissions are associated with worse patient outcomes. Most factors associated with an increased risk of readmission are patient and admission-specific. System related risk factors include discharge at night and ICU occupancy at the time of discharge. Readmission may reflect premature transfer out of ICU due to errors in clinical judgment or system constraints.

Sampling Plan / Procedure

Inclusion Criteria

100% of all ICU patients discharged to ward

Exclusion Criteria

Excluding patients with planned and scheduled surgery (e.g. Admit Type for APACHE II is not 'Elect.Surg' ) in the count of readmission.

Definition and Derivation

Number of ICU readmission within 72 hours per 100 discharges to ward

Numerator

Num = Number of ICU readmission within 72 hours coming from ward

Denominator

Denom =Total Number of discharges who went to ward

Formula

Readmission Rate(%) = Num / Denom * 100

Example

• Time Reference: Discharge Dates from Jan 1, 2017 to March 31, 2017
• Total readmission within 72 hours coming from ward= 5
• Total discharges who went to ward = 102
• Readmission Rate(%) = 5 / 102 * 100= 4.9 %

Data Sources

The following fields from L_Log table are being used

• Accept_DtTm field or Arrive DtTm field
• Dispo DtTm field
• Dispo field
• Admit Type for APACHE II

Duplication?

Is this the same as Re-admission? Ttenbergen 12:03, 2017 July 5 (CDT) similar but specific with ICU. I will do a separate one for Med and delete the Re-admission after.

• SMW

• Cargo

• Categories

SAS Program

X:\Julie\SAS_CFE\CFE_macros\readmfronward.sas

Report Users

• Critical Care Directors and Site Managers
• Critical Care Quality Improvement Team (QIT)