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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.

09/09/2025
Home Care, Outcome, End-of-life / Palliative, Effective, Discharge Abstract Database (DAD), 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 seven 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.

09/09/2025
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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This indicator shows the percentage of new patients receiving publicly funded home care who had an unplanned hospital readmission within 30 days of leaving hospital, among those referred to home care from hospital or within seven days of discharge.

Timely follow-up after hospital discharge can help prevent readmissions and improve patient outcomes.

A lower percentage is better.

09/09/2025
Home Care, Outcome, Integration, Readmission, Effective, Discharge Abstract Database (DAD), Home Care Database (HCD), Registered Persons Database (RPDB)
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The percentage of long-stay home care patients whose unpaid caregivers experienced distress in a one-year period (a risk-adjusted percentage).

A caregiver is defined as a person who takes on an unpaid caring role for someone who needs help because of a physical or cognitive condition, an injury, or a chronic life-limiting illness. This caregiver can be a spouse, child/child-in-law, other relative or friend, or neighbour who lives or does not live with the patient.

Unpaid caregivers play a vital role in our health systems by supporting people with health challenges to stay at home or in the community, and helping to ensure the sustainability of health services for the future.

Caregivers who are distressed are defined as primary caregivers who express feelings of distress, anger or depression and/or any caregiver who is unable to continue in their caring activities.

This indicator defines long-stay patients as those who have already been receiving home care for at least 60 days.

Identification is based on a clinical assessment conducted by a trained health professional. When a patient has more than one home care assessment within a given year, the most recent assessment will be included in the analysis.

This measure may indicate whether individuals receiving home care and their caregivers have access to the sufficient and appropriate level of services and supports. It may also help to identify where additional resources are needed to assist caregivers in order to help prevent burnout and to allow the people they are caring for to stay at home as long as possible. Examples include providing access to more hours of formal home care and different types of services (e.g., meals, housework, respite services) and help navigating the system.

A lower percentage is better.

09/09/2025
Home Care, Outcome, Health Human Resources, Patient-centred, Resident Assessment Instrument-HomeCare (RAI-HC) via (LSAS)
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This indicator shows the percentage of people aged 16 or older who reported they saw their family doctor, or another primary care provider in their office, on the same or next day when they were sick and felt that they urgently needed care during the previous 12 months, in Ontario. People lacking timely access to their primary care provider may end up visiting a walk-in clinic or hospital emergency department instead, which can affect continuity of patient care and contribute to long waits in crowded emergency departments. A higher percentage is better.
The results can be reported for 2-3 days; 4-7 days and 8 or more days.
21/10/2024
Primary Care, Process, Patient Reported Measures, Timely, Health Care Experience Survey (HCES)
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