7-day-post-hospital-discharge-follow-up-CHC - Health Quality Ontario (HQO)

INDICATOR NAME

Name

7-day post-hospital discharge follow-up for selected conditions – CHCs

Alternate Name

7-day post-hospital discharge follow-up for selected conditions – CHCs

INDICATOR DESCRIPTION

Description

Percentage of patients who have had a 7-day post-hospital discharge follow-up by a primary care provider (physician or nurse practitioner) for the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, and cardiac conditions.

HQO Reporting tool/product

Quality Improvement Plans (QIPs)

Dimension

Efficient

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

The percentage is calculated as: numerator divided by the denominator times 100.

Numerator (short description i.e. not inclusions/exclusions)

Number of hospital discharges where the patient was seen by a primary care provider (physician or nurse practitioner) within 7 days of discharge for the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, and cardiac conditions.

Denominator (short description i.e. not inclusions/exclusions)

Number of acute care discharges for an episode of care in which one of the mentioned conditions is recorded in the first hospitalization of the episode within each fiscal year (minus 30 days for follow-up).

Adjustment (risk, age/sex standardization)- generalized

None

Data Source

Discharge Abstract Database (DAD), Ontario Health Insurance Plan (OHIP) Claims History Database, Registered Persons Database (RPDB)

Data provided to HQO by

Local data collection

OTHER RELEVANT INFORMATION

Comments Summary

This is a priority indicator for QIP 2020/21. The reporting period is April 1, 2018 to December 31, 2018. For the 2020/21 QIPs, data will be provided by the Community Health Centre Practice Profiles through the Alliance for Healthier Communities (AHC) (72/73 CHCs).