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INDICATOR NAME
Name
Emergency Department Visits by Home Care Patients in the Last 30 Days of Life
Alternate Name
The percentage of patients receiving publicly funded home care who had an unplanned visit to the emergency department in the last 30 days of life
 
INDICATOR DESCRIPTION
Description

This indicator shows the percentage of patients receiving publicly funded home care who had an unplanned visit to the emergency department in the last 30 days of life.

Such visits can be an extremely difficult experience for patients and could indicate they did not receive the care they needed in the community.

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 decedents specified in the denominator who had at least one unplanned emergency department visit in the last 30 days before death

Inclusions:

Unscheduled/unplanned emergency department visits are identified by:

     NACRS variables VISITTYPE = [1,2,4] or SCHEDEDVISIT = N, where VISITTYPE values are:

          1 = Unplanned Emergency Department visit for a new clinical condition

          2 = Unplanned return visit to Emergency Department for the same clinical condition

          3 = Planned return visit to follow-up to the Emergency Department visit for the same clinical condition

          4 = Patients referred for Emergency Department service provider assessment

          5 = Patients referred and seen by a non-Emergency Department service provider

     SCHEDEDVISIT values:

          N = not scheduled

          Y = scheduled

Denominator including inclusion/exclusion

Description: 

The number of home care patients who died in the given fiscal year

Exclusions:

Decedents who were in hospital for the entire period of 30 days before death, as people who are in hospital during this time cannot have an unplanned emergency department visit.

Adjustment (risk, age/sex standardization)- detailed
Not applicable
Data Source
Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
Reported Levels of comparability /stratifications (defined)
Age, Income, Province, Region, Rurality, Sex
 
RESULT UPDATES
Indicator Results
Not applicable
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
Not all emergency department visits are avoidable. They do not always represent poor quality care.
Comments Detailed
None
Footnotes
Not applicable
 
TAGS
Sector
Home Care
Type
Outcome
Topic
End-of-life / Palliative
Dimension
Effective
Source
Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)
 
PUBLISH
Publish Datetime
16/04/2024 13:28:00