Home-support-discharged-palliative-patients - Health Quality Ontario (HQO)

Field Definitions Add to compare

INDICATOR NAME

Name

Home support for discharged palliative patients (Retired)

Alternate Name

Home support for discharged palliative patients

INDICATOR DESCRIPTION

Description

Percent of palliative care patients discharged home from hospital with the discharge status "Home with Support"

Indicator Status

Retired

HQO Reporting tool/product

Quality Improvement Plans (QIPs)

Dimension

Patient-centred

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per total number of discharged patients

Calculation Methods

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

Numerator including inclusion/exclusion

Number of inpatient acute care discharges who are discharged "home with support" (DAD Discharge disposition = 04)

Denominator including inclusion/exclusion

The number of home discharges in the reporting period with a hospital admission which indicates that the patient is receiving palliative care.

Inclusions:

Any diagnosis code with a palliative care indication: ICD 10 Code Z51.5 or ICD 9 Code V66.7 or
Main patient service of palliative care (PATSERV = 058)

And

Discharge destination is home (Discharge disposition = 4 (home with support) or 5 (home without support)

Exclusions:

Same day surgery.

Adjustment (risk, age/sex standardization)- detailed

None

Data Source

Discharge Abstract Database (DAD)

Data provided to HQO by

Cancer Care Ontario (CCO)

OTHER RELEVANT INFORMATION

Comments Detailed

This is a QIP priority indicator for 2018/19. QIP Current performance reporting period: April - March the following year How to access data: refer to Health Quality Ontario's QIP Navigator, data will be available in February 2018. For this indicator, “palliative care patient” is defined as an individual who was admitted as an inpatient with a palliative care indication. The indicator is reported at the level of admissions rather than unique patients, thus could capture multiple admissions per patient. For this indicator, ‘Discharged home with support’ and ‘Discharged home without support’ are derived from the following definitions from the CIHI DAD database: Home with Support (Discharge Disposition = 04): Discharged to home or a home setting with support services (senior’s lodge, attendant care, home care, meals on wheels, homemaking, supportive housing, et cetera) a. Example of discharged to a home setting with support: A facility where supervisory care is not required on a continuing basis. A patient is discharged and is able to function independently within a group setting. This indicator was retired in the 2019/20 QIP.