HOSPITAL Score for 30-Day Readmission

HOSPITAL readmission score: hemoglobin < 12, oncology discharge, sodium < 135, any procedure, urgent admission, prior admissions in 12 months, length of stay >= 5 days; low / intermediate / high 30-day avoidable-readmission bands.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Hemoglobin < 12 g/dL at discharge
Yes
Discharge from oncology service
No
Sodium < 135 mEq/L at discharge
Yes
Any procedure during the hospitalization
Yes
Urgent / emergent index admission
Yes
Admissions in the past 12 months
2
Length of stay >= 5 days
Yes

Result: HOSPITAL >=7: high risk; 30-day potentially-avoidable readmission ~22.8% per Donze 2016.

The tool opens with these values already filled in. Replace them with your own.

What the result means

0-4
Low risk; ~5.8% 30-day potentially-avoidable readmission per Donze 2016.
5-6
Intermediate risk; ~11.9% per Donze 2016.
>=7
High risk; ~22.8% per Donze 2016.
Prior admissions
0-1 in the past year score 0; 2-5 score 2; more than 5 score 5.

What you enter

  • Hemoglobin < 12 g/dL at discharge (1)
  • Discharge from oncology service (2)
  • Sodium < 135 mEq/L at discharge (1)
  • Any procedure during the hospitalization (1)
  • Urgent / emergent index admission (1)
  • Admissions in the past 12 months (0-1 = 0; 2-5 = 2; more than 5 = 5)
  • Length of stay >= 5 days (2)
How this is calculated

Citation

Donze J, Aujesky D, Williams D, Schnipper JL. Potentially avoidable 30-day hospital readmissions in medical patients. JAMA Intern Med. 2013;173(8):632-638. Admission bands and risk rates from the international validation: Donze JD, et al. JAMA Intern Med. 2016;176(4):496-502. Read the sources: Donze 2013 ↗, Donze 2016 ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.