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INDICATOR NAME
Name
Home Care Patients Readmitted to Hospital within 30 Days
Alternate Name
The percentage of new patients receiving publicly funded home care who had an unplanned readmission within 30 days of leaving hospital, among those referred to home care from hospital or within 7 days of discharge
 
INDICATOR DESCRIPTION
Description

This indicator shows the percentage of new patients receiving publicly funded home care who had an unplanned hospital readmission within 30 days of leaving hospital, among those referred to home care from hospital or within 7 days of discharge.

Timely follow-up after hospital discharge can help prevent readmissions and improve patient outcomes.

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
Numerator divided by denominator times 100
Numerator including inclusion/exclusion

Description:

The 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

Description:

The number of patients newly referred to home care from hospital or within 7 days of discharge 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 ICES Key Number (IKN)
  • Sex not Male or Female
  • Missing birthdate
  • Invalid age (age <0 years or >120 years)
  • Not an Ontario resident
  • Patients with no home care services during their referral period (based on the start date and end date of the referral)
  • Patient only received ineligible service(s) (ineligible services are defined as case management, placement services, respite, or other)
  • Not defined as a long-stay or acute/short-stay home care patient
  • Patients who received an eligible home care service in the 180 days prior to the index hospital admission
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
Not applicable
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Readmission may occur before or after the first home care service visit.
Comments Detailed
Hospital readmissions are counted as up to 30 days from the discharge of the index hospitalization, not including the day of discharge. This can extend into the next fiscal year. This indicator is reported for new home care patients only (referrals only occur for patients not already receiving home care). This indicator assumes that referrals within 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. Although unlikely, a patient can be counted in the denominator more than once in the same fiscal year.
Footnotes
Not applicable
 
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
16/04/2024 13:28:00