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NameDescriptionLast update dateTags

This indicator measures the percentage of patients/clients identified with multiple conditions and complex needs (Health Link criteria) who are offered access to Health Links approach.


The complex patient target population should:
• Overlap substantially with high cost users, recognizing that not all high cost users are high needs patients (and vice versa);
• Include patients with high needs and/or complex conditions; and,
• Include patients with four or more chronic/high cost conditions, including a focus on individuals living with mental health and addictions, palliative patients, and the frail elderly.
 
However, recognizing nuances exist across communities, LHINs and Health Links are encouraged to adapt the patient identification criteria to their local context and population needs.

04/03/2019
Acute Care/Hospital, Home Care, Primary Care, Process, Coordinated Care Plans, Effective, Local data collection
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Percentage of adult long-stay home care clients who record a fall on their follow-up RAI-HC assessment 
05/03/2019
Home Care, Outcome, Patient Safety and Never Events, Safe, Home Care Database (HCD), Resident Assessment Instrument-HomeCare (RAI-HC) via (LSAS)
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Percent of palliative care patients discharged home from hospital with the discharge status "Home with Support"
05/03/2019
Acute Care/Hospital, Outcome, Access, End-of-life / Palliative, Patient-centred, Discharge Abstract Database (DAD)
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Percentage of patients who were discharged in a given period for a condition within selected HBAM Inpatient Grouper HIGs and had a non-elective hospital readmission within 30 days of discharge, by primary care practice model.

Readmission for patients with an acute inpatient hospital stay for:

  • Acute Myocardial Infarction

  • Cardiac conditions (excluding heart attack)

  • Congestive heart failure

  • Chronic obstructive pulmonary disease

  • Pneumonia

  • Diabetes

  • Stroke

  • Gastrointestinal disease

 who after discharge have a subsequent non-elective readmission within 30 days

05/03/2019
Primary Care, Outcome, Readmission, Effective, Client Agency Program Data (CAPE), Corporate Provider Database (CPDB), Discharge Abstract Database (DAD)
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This indicator measures the number of antimicrobial-free days (both antibacterial and antifungal) in ICU for the reporting period.

Antimicrobial-free days: Number of patient-days when both antifungal and antibacterial therapies were not administered (for the selected reporting period and entity)

05/03/2019
Acute Care/Hospital, Process, Other, Safe, Critical Care Information System (CCIS)
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