This rate is calculated by identifying individual residents admitted to the facility after an inpatient hospital stay during a given a given period of time, usually calculated on a monthly basis, and following them for 30 days.
a. The denominator for this calculation is the number of residents admitted to your facility who have had an inpatient hospital stay during the month.
The numerator is the number of inpatient hospitalizations among these residents that occur within 30-days of admission to your facility after an inpatient hospital stay.
b. Residents sometimes have two (or even more) 30-day readmissions in a 30 day period.
Each admission to your facility after an inpatient stay should be counted in the denominator, and inpatient hospitalizations within 30-days of the most recent admission to your facility after an inpatient hospital stay should be counted in the numerator. Thus, one resident could contribute two or more times to the 30-day readmission rate.