Days-spent-at-home - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Average (mean) number of days people spent at home in the last 6 months

Alternate Name

Average number of days people spend at home in the last 6 months of life

INDICATOR DESCRIPTION

Description

This indicator measures average (mean) number of days people spent at home in the last 6 months before death. A higher number of days is better

Indicator Status

Active

HQO Reporting tool/product

Public reporting

Dimension

Patient-centred

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Days

Calculation Methods

Numerator divided by the denominator

Numerator including inclusion/exclusion

Number of days people spent at home in the last 6 months of life.

Identifying the number of days that they have spent in the last 6 month

in the hospital
Inpatient rehab
CCC beds
Mental health beds
Unplanned EDs (count as a full day for each unplanned ED visit)

Calculation for 6 months: 180 minus the sum of the days spent in the above mentioned settings

Denominator including inclusion/exclusion

Number of individuals who died in Ontario

Adjustment (risk, age/sex standardization)- detailed

Data Source

Continuing Care Reporting System (CCRS), Discharge Abstract Database (DAD), National Ambulatory Care Reporting System (NACRS), National Rehabilitation Reporting System (NRS), Ontario Mental Health Reporting System (OMHRS)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Age, Income, Region, Rurality, Sex, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

The data does not show the quality of the care received at home.

Footnotes

1. Days Spent at Home — A Patient-Centered Goal and Outcome Adam C. Groff, M.D., Carrie H. Colla, Ph.D., and Thomas H. Lee, M.D.