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INDICATOR NAME
Name
Average time patients waited for first assessment in emergency department (ED)
Alternate Name
Time to initial assessment in emergency
 
INDICATOR DESCRIPTION
Description

This indicator measures average time elapsed from triage or registration (whichever is earlier) to initial assessment by a doctor, nurse-practitioner or dentist for all patients in the emergency department. 

Indicator Status
Active
HQO Reporting tool/product
Public reporting
Dimension
Timely
Type
Process
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Hours
Calculation Methods

Average wait time is calculated by dividing the total wait time for all patients by the total count of ED visits.

Inclusion criteria:

Unscheduled emergency visits with a valid and known registration time or triage time and a valid and known initial assessment time.

Exclusion criteria:

1. Cases where Registration date/time and Triage date/time are both blank/unknown
2. Cases where the MIS functional centre under Emergency Trauma, Observation, or Mental Health Services (as of January 2015 data)
3. Duplicate cases within the same functional centre where all ED data elements have the same values except for Abstract ID number
4. Cases where ED visit indicator is = "0" (i.e. scheduled ED visit)

5. When ONLY PIA date/time are completed:  

  • Cases where PIA date/time are blank/unknown

  • Cases where time to PIA is greater than or equal to 100,000 minutes (1,666 hours)

  • Cases where PIA date/time is AFTER Disposition date/time or Patient left ED date/time

6. When ONLY NPIA date/time and service are complete:

  • Cases where NPIA date/time are blank/unknown

  • Cases where NPIA service are blank/unknown

  • Cases where NPIA service is NOT Nurse Practitioner, Physician Assistant, or Dentist

  • Cases where NPIA is AFTER Disposition date/time or Patient left ED date/time

  • Cases where Time to PIA is great than or equal to 100,000 minutes (1,666 hours)

7. When PIA date/time and NPIA date/time and service are complete:

  • Cases where both PIA and NPIA date/time are blank/unknown

  • Cases where NPIA service is NOT Nurse Practitioner, Physician Assistant, or Dentist

  • Cases where Time to PIA is greater than or equal to 100,000 minutes (1,666 hours)

Numerator including inclusion/exclusion
NA
Denominator including inclusion/exclusion
NA
Adjustment (risk, age/sex standardization)- detailed
None
Data Source
National Ambulatory Care Reporting System (NACRS)
Data provided to HQO by
Cancer Care Ontario (CCO)
Reported Levels of comparability /stratifications (defined)
Institution, Province, Time
 
RESULT UPDATES
Indicator Results
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
1. Scheduled visits to the ED are excluded from this indicator. 2. Patients who registered in the ED but left before being seen are not included
 
TAGS
Sector
Acute Care/Hospital
Type
Process
Topic
Wait Times
Dimension
Timely
Source
National Ambulatory Care Reporting System (NACRS)
 
PUBLISH
Publish Datetime
20/11/2018 15:43:00