This readmission calculator is based on a statistical model developed from chart abstracted data. It is intended for use with patients age 65 and older.
Age of patient in years.
Sex of patient.
Patient is a resident of a nursing home.
There is documentation that the patient had altered mental status within 24 hours of arrival.
Patient has any history of diabetes (excluding diabetes insipidus or gestational diabetes).
Patient has any history of congestive heart failure.
Patient has any history of coronary artery disease.
Patient has any history of chronic lung disease (including such conditions as asthma, COPD, asbestosis, emphysema, chronic bronchitis, or chronic respiratory failure).
Patient has any history of liver disease.
Patient has any history of renal insufficiency or chronic renal disease (including current chronic renal dialysis).
Patient had spleen removed prior to arrival.
Patient has any history of dementia / Alzheimer’s disease / chronic confusion / senility.
Patient has an active neoplastic disease (other than squamous or basal cell skin cancer) at time of presentation or neoplastic disease has been diagnosed within one year of presentation.
Patient has any history of alcohol or drug abuse.
Patient is receiving immunosuppressive or antineoplastic therapy.
Patient's systolic blood pressure on admission.
Patient's heart rate on admission.
Patient's respiratory rate on admission.
Patient’s sodium on admission.
Patient’s blood urea nitrogen on admission.
Patient's creatinine on admission.
Patient's hematocrit on admission.
Patient's glucose on admission.
Patient's white blood cell count on admission.
Pleural effusion is indicated on any chest x-ray done within two calendar days prior to arrival or up to two calendar days after arrival.
This readmission calculator is based on a statistical model developed from chart abstracted data from the National Pneumonia (NP) Project and under contracts with the Centers for Medicare and Medicaid Services (CMS). The technical report may be accessed here: QualityNet.org Technical Report. The peer-reviewed methods paper may be accessed here: J Hosp Med 2011;6(3);142-50. Please note that the intercept for the pneumonia model was inadvertently excluded from the documentation. It is -2.10.
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