ALC-days-expressed-percentage-inpatient-days-same-period-EN

INDICATOR NAME

Name

Alternate level of care (ALC) days expressed as a percentage of all inpatient days in the same period

Alternate Name

Alternate level of care (ALC) days expressed as a percentage of all inpatient days in the same period

INDICATOR DESCRIPTION

Description

Percentage of inpatient days where a physician (or designated other) has indicated that a patient occupying an acute care hospital bed has finished the acute care phase of his/her treatment. This indicator can be stratified by characteristics such as age or discharge destination (see Comments section for details).

Indicator Status

Active

HQO Reporting tool/product

Ontario Health Teams: Quality

Dimension

Efficient

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

ALC days are those days where a physician (or designated other) has indicated that a patient occupying an acute care hospital bed does not require the intensity of resources/services provided in acute care. It includes discharges from acute care hospitals and excludes newborns and still births.

(Total number of inpatient days designated as ALC in a given period of time ÷ Total number of inpatient days in a given time period) multiply by 100.

Numerator including inclusion/exclusion

Inclusions:
• Data from acute care hospitals, including those with psychiatric beds (AP hospitals) and without psychiatric beds (AT hospitals).
• Individuals designated as ALC.
Exclusions:
• Newborns and stillborns;
• Records with missing or invalid “Discharge Date”.
Note: Other inclusion/exclusion criteria may exist depending on any variables used for stratification

Denominator including inclusion/exclusion

Inclusions:
• Data from acute care hospitals, including those with psychiatric beds (AP hospitals) and without psychiatric beds (AT hospitals).
Exclusions:
• Newborns and stillborns;
• Records with missing or invalid “Discharge Date”.
• Note: Other inclusion/exclusion criteria may exist depending on any variables used for stratification.

Data Source

Discharge Abstract Database (DAD), OHTAM (Ontario Health Teams Attribution Model), Registered Persons Database (RPDB)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Other

OTHER RELEVANT INFORMATION

Caveats and Limitations

Specific limitations The ALC days included are based on hospital discharge information, and as such the measure does not include patients occupying ALC beds who have not been discharged.