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Table 3 Top ten primary diagnoses for 30-day readmissions that are included by the CMS all-cause readmission measure but excluded by the MVC clinically related measure

From: What is the impact of a clinically related readmission measure on the assessment of hospital performance?

Joint replacement

Pneumonia

Primary diagnosis

Frequency

Percent

Primary diagnosis

Frequency

Percent

Atrial fibrillation

27

11.1%

Atrial fibrillation

25

6.1%

Diverticulitis without hemorrhage

9

3.7%

Chest pain

15

3.7%

Chest pain

8

3.3%

CHF

13

3.2%

Chest pain (not specified)

6

2.5%

Cardiac dysrhythmias

12

2.9%

Constipation

6

2.5%

Alzheimer’s disease

11

2.7%

Intestinal obstruction

6

2.5%

Diverticulitis with hemorrhage

8

2.0%

Syncope and collapse

6

2.5%

Intestinal obstruction

7

1.7%

Blood in stool

5

2.1%

Orthostatic hypotension

7

1.7%

Cardiac dysrhythmias

5

2.1%

Diabetes mellitus II

6

1.5%

Intestinal adhesions with obstruction

5

2.1%

Diverticulitis without hemorrhage

6

1.5%

Other

164

66.3%

Other

309

73.7%

  1. Percentages are based on total number of 30-day all-cause readmissions included by the all-cause readmission measure but excluded by the clinically related measure for joint replacement (n = 247) and pneumonia (n = 419). Source: Michigan Medicare Data, 2011–2013