INDICATOR NAME
Name
Client Involvement in their Home Care Plan
Alternate Name
Home care clients who felt involved in developing their home care plan
INDICATOR DESCRIPTION
Description
This is the percentage of publicly funded home care clients, of all ages, who strongly agreed, somewhat agreed, neither agreed nor disagreed, somewhat disagreed, or strongly disagreed that they felt involved in developing their home care plan.
Indicator Status
Active
HQO Reporting tool/product
On-Line Public Reporting, Public Reports (annual report, bulletins and theme reports)
Dimension
Patient-centred
Type
Outcome
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by the denominator times 100
Numerator including inclusion/exclusion
The number of respondents who responded, given a five point Likert scale, to the survey question: "Thinking about the planning of your care, please tell me whether you agree or disagree with the following statements: I felt involved in developing my plan".
Denominator including inclusion/exclusion
The number of total responses to the statement minus the total number of responses not applicable to these questions.
Inclusions:
General Survey Inclusion Criteria:
All unique active or discharged clients receiving in-home services and discharged clients to placement in one of the following categories during the specified time period:
- admission final
- withdrawn, interim became final
- withdrawn, placement by other CCAC
- refused bed.
Exclusions:
General Survey Inclusion Criteria:
Excludes clients who received in-school service only
- Nursing clinic services
- Respite services
- Medical supplies and equipment
- End-of-life clients (SRC 95)
- Clients not yet categorized (SRC 99)
- In-home clients classified as out of region
- Convalescent care clients
Other exclusions: Home care clients with hospital or death discharges; clients on hold in hospital; clients with a claim against the CCAC or before the Ontario Health Services Appeal and Review Board.
Question specific exclusion criteria: Respondents are excluded if they did not know the case manager or have not seen or spoken to the case manager, do not recall the in-home service, or were surveyed about placement services.
Adjustment (risk, age/sex standardization)- detailed
None
Data Source
Client and Caregiver Experience Evaluation (CCEE) Survey
Data provided to HQO by
Health Shared Services Ontario (HSSO)
Reported Levels of comparability /stratifications (defined)
Region, Time
OTHER RELEVANT INFORMATION
Caveats and Limitations
Several types of home care clients and services are excluded (e.g. end-of-life clients, respite services, nursing clinic services), suggesting these results cannot be widely applied to all home care clients and all home care services. Caregivers were surveyed in place of clients in the event any of the following criteria were met:
1) Client is <19 years of age at time of sample selection
2) Client is identified as cognitively incapable
3) Client is discharged from placement with one of the four discharge dispositions listed under the General Survey Inclusion Criteria. Surveying may be done while a person is still a home care client. They may feel like they cannot respond honestly because of risk to their services. This is mitigated by the survey not being conducted by the provider.
Comments Detailed
The survey is intended to be an ongoing evaluation tool, with four sample waves conducted annually in each region. The survey population comprises individuals who have received publicly funded home care services. Both active and discharged clients are included in the survey population. A minimum of 1,000 respondents are to be surveyed in each region over the period of a year. Some regions have chosen to conduct over 1,500 surveys per year. For each region, samples are based on a random selection of clients from either proportionate or disproportionate strata, depending on plans developed with the region. Strata may include: service level, geographic region, service type and/or provider (e.g., nursing, homemaking care, physiotherapy, etc.).
Footnotes
The term "client" is used in public reporting to denote an individual who received home care services. Other organizations may use the term "patient". Both terms refer to the same home care recipients.
TAGS
Sector
Home Care
Type
Outcome
Topic
Patient Reported Measures
Dimension
Patient-centred
Source
Client and Caregiver Experience Evaluation (CCEE) Survey
PUBLISH
Publish Datetime
20/11/2018 15:24:00