5-day-wait-time-home-care-Nursing-Visits - Health Quality Ontario (HQO)

INDICATOR NAME

Name

5-day wait time for home care: Nursing Visits - by Patient Available Date (Retired)

Alternate Name

5-day wait time for home care: Nursing Visits

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of home care patients who received their first nursing visit within 5 days of the patient available date (PAD).

Indicator Status

Retired

HQO Reporting tool/product

Quality Improvement Plans (QIPs)

Dimension

Timely

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

The percentage is calculated as: numerator divided by denominator times 100

Numerator including inclusion/exclusion

The number of home care patients who received their first nursing service visit for a new service authorization within 5 days of the patient available date. First visit must take place in the period selected.

Inclusions:

Patients who received the first nursing visit within 5 days of the PAD
First nursing visit must take place in the period selected
In Home referrals only
Age >=19 at time of PAD
SRC 91, 92, 93, 94, 95 at time of PAD
Nursing visits, RRN, nursing clinic, NP Palliative
‘payable’ visits only
For this report we find the last PAD of each service before the first visit
In cases where there are overlapping service authorizations, take the earliest of the ‘last PADs’ before the first visit
In cases where the PAD selected above still produces a negative wait time, we will set the wait time to 0 days

Exclusions:

Children – age < 19 at time of PAD
Referrals other than in home (school, placement)
Shift nursing
Overlapping nursing authorizations (i.e. if the nursing service is not discharged and a new nursing service is added, only the first nursing service would be counted)
Patients who were on hold between the PAD and the first visit (all on hold reasons)

Denominator including inclusion/exclusion

The number of home care patients who received their first nursing visit for a new service authorization within the period selected.

Inclusions:

First nursing visit must take place in the period selected
In Home referrals only
Age >=19 at time of PAD
SRC 91, 92, 93, 94, 95
Nursing visits, RRN, nursing clinic, NP Palliative
‘payable’ visits only
For this report we find the last PAD of each service before the first visit
In cases where there are overlapping service authorizations, take the earliest of the ‘last PADs’ before the first visit
In cases where the PAD selected above still produces a negative wait time, we will set the wait time to 0 days

Exclusions:

Children – age < 19 at time of PAD
Referrals other than in home (school, placement)
Shift nursing
Overlapping nursing authorizations (i.e. if the nursing service is not discharged and a new nursing service is added, only the first nursing service would be counted)
Patients who were on hold between the PAD and the first visit (all on hold reasons)

Data Source

Client Health and Related Information System (CHRIS), Home Care Database (HCD)

Data provided to HQO by

Health Shared Services Ontario (HSSO)

OTHER RELEVANT INFORMATION

Comments Detailed

This is a priority QIP indicator for 2018/19. Current performance reporting period: October 2016-September 2017. To access your organization’s data for the reporting period, refer to Health Quality Ontario’s QIP Navigator. Data will be available in February 2018. When reporting by referral source of hospital and community, the referral source of hospital is only valid if the authorization occurs up to 14 days from the referral start. Any authorizations that occur after 14 days should be considered community referrals. This indicator was retired in the 2019/20 QIP.