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NameDescriptionLast update dateTags
Rate of unplanned hospital readmission within 30 days of discharge after hospitalization for any of the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack and other cardiac conditions (selected HBAM Inpatient Grouper (HIG) conditions). Readmission of patients depends on care received in the hospital, as well as what happens after the patient is discharged.
20/06/2024
Primary Care, Outcome, Integration, Readmission, Effective, Discharge Abstract Database (DAD)
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This indicator measures the rate of in-person follow-up visits to a family doctor within 7 days of discharge, after hospitalization for pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, heart attack, or other cardiac conditions.  It does not include virtual visits. Timely follow-up can help smooth a patient’s transition from hospital to home or community.

A higher rate is better.

20/06/2024
Primary Care, Process, Access, Integration, Effective, Timely, Client Agency Program Data (CAPE), Corporate Provider Database (CPDB), Discharge Abstract Database (DAD), Ontario Health Insurance Plan (OHIP) Claims History Database
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This indicator measures the rate of serious chronic complications (death; hospitalization for coronary artery disease, cerebrovascular disease, or peripheral vascular disease; dialysis for end-stage kidney disease) and death in the last year among people with diabetes aged 20 and older.

A lower rate is better.

18/06/2024
Primary Care, Outcome, Chronic Disease, Effective, Discharge Abstract Database (DAD), Ontario Diabetes Database (ODD), Ontario Health Insurance Plan (OHIP) Claims History Database, Postal Code Conversion File Plus (PCCF+), Registered Persons Database (RPDB)
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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.

16/04/2024
Home Care, Outcome, End-of-life / Palliative, Effective, Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)
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This indicator shows the percentage of new patients receiving publicly funded home care who had an unplanned emergency department visit within 30 days of leaving hospital, among those referred to home care from hospital or within 7 days of discharge.

Timely follow-up after hospital discharge can help prevent the return of home care patients to the emergency department.

A lower percentage is better.

16/04/2024
Home Care, Outcome, Integration, Efficient, Discharge Abstract Database (DAD), Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Registered Persons Database (RPDB)
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