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INDICATOR NAME
Name
Percentage of new home care patients with unplanned hospital readmissions within 30 days after acute hospital discharge
Alternate Name
Percentage of home care patients with unplanned hospital readmissions within 30 days of referral from hospital to a Community Care Access Centre after acute hospital discharge
 
INDICATOR DESCRIPTION
Description
This indicator measures the percentage of patients who were newly referred for home care services from the hospital that had unplanned hospital readmissions within 30 days of the initial hospital discharge. Generally, a lower percentage is better.
Indicator Status
Active
HQO Reporting tool/product
Public reporting
Dimension
Effective
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
The percentage is calculated as: numerator divided by the denominator times 100.
Numerator including inclusion/exclusion
Number of unplanned hospitalizations by home care patients newly referred to home care services within 30 days of initial hospital discharge.
Denominator including inclusion/exclusion

Number of patients newly referred to home care from hospital who were discharged from hospital and received their first home care service visit within the time period of interest.

The first home care service visit corresponds to the service associated with the home care referral and does not include case management, placement services, respite or other.

Exclusions:

  • Invalid age (age < 0 or age > 120 years
  • Not an Ontario resident
  • If age >= 65 years and date of last contact > 5 years prior to hospitalization
  • Missing home care service date
  • First home care service date precedes home care admission date
  • Not defined as a long-stay or acute/short-stay home care patient
Adjustment (risk, age/sex standardization)- detailed
None
Data Source
Discharge Abstract Database (DAD), Home Care Database (HCD), Registered Persons Database (RPDB)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
Reported Levels of comparability /stratifications (defined)
Province, Region
 
RESULT UPDATES
Indicator Results
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Readmission may occur before or after the first home care service visit.
Comments Detailed
1) 30 days are subtracted from the end of each fiscal year (i.e., March) to allow for 30 day follow up during the last reported quarter. This is done for results by fiscal year and by fiscal quarter, resulting in the fourth fiscal quarter having smaller counts than the other three quarters. 2) Indicator is reported for new home care clients only (i.e. numerator counts referrals and referrals only occur for patients not already receiving home care). 3) Indicator assumes that referrals with a referral date between hospital admission date and seven days after hospital discharge are referrals from hospital. It does not capture the location of the referral.
 
TAGS
Sector
Home Care
Type
Outcome
Topic
Integration, Readmission
Dimension
Effective
Source
Discharge Abstract Database (DAD), Home Care Database (HCD), Registered Persons Database (RPDB)
 
PUBLISH
Publish Datetime
28/02/2017 14:02:00