Discharge Against Medical Advice Rate (AMA)
Percentage of patient discharges occurring against physician recommendation
FORMULA
AMA Rate = (Discharges Against Medical Advice / Total Discharges) × 100
Alternate Calculations
Unscheduled
% of unplanned departures during inpatient episodeWhat is Discharge Against Medical Advice Rate?
Discharge Against Medical Advice (AMA) Rate measures the percentage of patients who leave the hospital before their physician recommends discharge. AMA discharges indicate potential care gaps, patient dissatisfaction, or social barriers.
High AMA rates may signal engagement issues or inadequate discharge planning. Used to evaluate care coordination and patient satisfaction. Can impact readmission rates and patient outcomes.
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Sample Data
| month | ama | total | rate | readmit |
|---|---|---|---|---|
| Jan | 28 | 2,100 | 1.33 | 18.5 |
| Feb | 24 | 2,050 | 1.17 | 17.2 |
| Mar | 21 | 2,150 | 0.98 | 15.8 |
| Apr | 19 | 2,200 | 0.86 | 14.5 |
| May | 17 | 2,250 | 0.76 | 13.2 |
| Jun | 15 | 2,300 | 0.65 | 12.1 |
Required Data Columns
ama_dischargestotal_dischargesratereadmission