Clinical

The upper threshold value defined for a clinical or operational metric associated with a hospital readmission event, such as maximum allowable length of stay or maximum risk score. Used in care management rules, utilization review, and population health benchmarking for readmission reduction programs.

The facility-assigned medical record number (MRN) identifying the patient involved in a hospital readmission encounter. Used to link the readmission event to prior inpatient visits, clinical documentation, and discharge records to support continuity of care analysis and 30-day readmission rate calculations.

The patient's middle name or initial as recorded during a hospital readmission encounter. Used alongside first and last name fields to improve patient identity matching accuracy, reduce duplicate record creation, and ensure correct linkage of the readmission to the patient's prior inpatient record.

The lower threshold value defined for a clinical or operational metric associated with a hospital readmission event, such as minimum risk score or minimum observation period. Used in care management protocols, readmission risk stratification models, and utilization review criteria for inpatient quality programs.

The patient's mobile phone number collected at the time of a hospital readmission encounter. Used to facilitate post-discharge outreach, care transition follow-up calls, and patient engagement programs designed to reduce the likelihood of subsequent unplanned readmissions through timely communication.

The system username or user identifier of the staff member who last updated the readmission encounter record. Used in audit trail tracking to maintain data integrity, support compliance reviews, and identify who made changes to readmission documentation within the clinical or administrative system.

The calendar date on which the readmission encounter record was most recently updated in the clinical or administrative system. Used in audit logging, data governance workflows, and reconciliation processes to track when readmission records were altered after initial creation or submission.

The timestamp indicating the exact time of day when the readmission encounter record was last modified in the clinical or administrative system. Used alongside the modified date field in audit trails to provide a precise, sequenced record of changes made to readmission documentation for compliance and data integrity purposes.

The display name or label associated with a hospital readmission encounter record, typically reflecting the patient's name as it appears in clinical and administrative workflows. Used for human-readable identification of the readmission event in worklists, dashboards, and care management reporting interfaces.

Free-text or structured annotation entered by clinical or administrative staff describing relevant details about a hospital readmission encounter, such as reason for return, care gaps, or follow-up actions. Used in case management, discharge planning, and readmission prevention program documentation to capture context not available in coded fields.

A sequentially or systematically assigned numeric reference uniquely identifying a hospital readmission encounter within a clinical or administrative system. Used to track, retrieve, and report on individual readmission events, and to distinguish multiple readmissions for the same patient within a given measurement or reporting period.

The date on which the patient's symptoms or clinical condition that led to a hospital readmission first began, as reported by the patient or documented by clinicians. Used in root cause analyses, care gap identification, and readmission risk modeling to understand the timeline between discharge and symptom recurrence.

The patient's peripheral blood oxygen saturation (SpO2) percentage measured at the time of hospital readmission, typically captured via pulse oximetry. Used as a clinical vital sign indicator to assess respiratory status on return, support triage decisions, and document acuity at the time of the unplanned readmission encounter.

The total dollar amount reimbursed by a payer for a hospital readmission encounter after adjudication of the associated claim. Used in financial analytics, value-based care performance reporting, and cost-of-care assessments to quantify the economic impact of unplanned readmissions on health system revenue and payer expenditures.

The date on which payment was processed for a claim associated with an unplanned hospital readmission. Used in claims adjudication and financial reporting to reconcile reimbursement timelines and measure payer response intervals for readmission-related episodes.

The hierarchical link identifying the original inpatient admission claim or encounter that preceded an unplanned return hospitalization. Used to associate readmission records with their originating stay for root cause analysis, quality measurement, and episode-of-care grouping.

The calculated rate expressing unplanned hospital readmissions as a proportion of total discharges within a defined population or timeframe. Used in quality reporting, CMS value-based purchasing programs, and hospital performance benchmarking to evaluate care transition effectiveness.

The defined time window, typically 30, 60, or 90 days post-discharge, within which a return inpatient hospitalization is classified as a readmission. This interval is used in quality measurement programs, CMS reporting, and payer contract terms to determine readmission eligibility.

The telephone contact number associated with a patient, facility, or care coordinator involved in managing an unplanned hospital readmission. Used in care transition workflows and post-discharge outreach programs to facilitate follow-up communication and reduce preventable returns.

The documented clinical and care coordination strategy developed to address the underlying conditions contributing to an unplanned hospital readmission. Includes post-discharge follow-up schedules, medication reconciliation steps, and patient education components to prevent further returns.