Measure Methodology Reports
Readmission Measures
The methods used in the development of the 30-day risk-standardized readmission measures, as well as in subsequent annual measure updates and quality assurance activities, are described in several technical reports below. For more detailed justifications of the Centers for Medicare & Medicaid Services (CMSs) methodological choices in the development and maintenance of the readmission measures, refer to the Frequently Asked Questions (FAQ) document.
2013 AMI, HF, PN, HWR, and THA/TKA Readmission Measures Maintenance
CMS reviews and updates the readmission measures annually. The reports below, formerly called the Measure Maintenance Technical Reports, describe the measures maintenance activities conducted in preparation for the most recent public reporting cycle.
- 2013 Condition-Based Measure Updates and Specifications: Acute Myocardial Infarction (AMI), Heart Failure (HF), and Pneumonia 30-day Risk Standardized Readmission Measures, PDF-1.0 MB (04/11/13)
- 2013 Measure Updates and Specifications: Hospital-Wide All-Cause Unplanned Readmission Measure, PDF-849 KB (04/11/13)
- 2013 Measure Updates and Specifications: Elective Primary Total Hip Arthroplasty (TKA) Hospital-Wide All-Cause Unplanned 30-day Risk Standardized Readmission Measure, PDF-619 MB (04/11/13)
Previous AMI, HF, PN Readmission Measures Maintenance
Annual updates of the readmission measures began in 2009. The following reports document the progression of the measure methodology as a result of the annual measure maintenance.
- 2012 Measures Maintenance Technical Report: Acute Myocardial Infarction, Heart Failure, and Pneumonia 30-Day Risk-Standardized Readmission Measures, PDF-745 KB (05/01/12)
- 2011 Measures Maintenance Technical Report: Acute Myocardial Infarction, Heart Failure, and Pneumonia 30-Day Risk-Standardized Readmission Measures, PDF-678 KB (05/19/11)
- 2010 Measures Maintenance Technical Report: Acute Myocardial Infarction, Heart Failure, and Pneumonia 30-Day Risk-Standardized Readmission Measures, PDF-719 KB (04/09/10)
- 2009 Measures Maintenance Technical Report: Acute Myocardial Infarction, Heart Failure, and Pneumonia 30-Day Risk-Standardized Readmission Measures, PDF (08/14/09)
Readmission Measure Development (original methodology reports)
The CMS 30-day risk-standardized readmission measures were developed by teams of clinical and statistical experts from Yale and Harvard universities, using a methodology that has been published in peer-reviewed literature.
The measure methodology is described in the following reports:
- Hospital-Wide Readmission Technical Report, PDF-2.3 MB (08/16/12)
- THA/TKA Readmission Technical Report, PDF-1.1 MB (08/16/12)
- Hospital 30-Day Heart Failure Readmission Measure Methodology, PDF (04/23/08)
- Hospital 30-Day AMI Readmission Measure Methodology, PDF (04/10/09)
- Hospital 30-Day Pneumonia Readmission Measure Methodology, PDF (04/10/09)
