home-care-palliative - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Home care services in the last 30 days of life

Alternate Name

Percentage of people who had at least one home care visit during their last 30 days of life , among people who lived in the community during that period.

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of people, who lived in the community during their last 30 days who received at least one home care service within that period, reported as:

Any home care
Palliative home care

A higher percentage is better.

HQO Reporting tool/product

Public reporting

Dimension

Effective, Timely

Type

Process

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

Numerator divided by the denominator times 100

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

Number of people specified in the denominator, who received at least one home care service during their last 30 days of life, reported as:

Any home care (including the palliative specific)
Palliative specific home care

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

Number of people who died and were in the community in the last 30 days of their life.

Adjustment (risk, age/sex standardization)- generalized

None

Data Source

Continuing Care Reporting System (CCRS), Discharge Abstract Database (DAD), Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), National Rehabilitation Reporting System (NRS), Ontario Mental Health Reporting System (OMHRS), Postal Code Conversion File Plus (PCCF+), Registered Persons Database (RPDB)

Data provided to HQO by

Cancer Care Ontario (CCO)

Reported Levels of comparability /stratifications (defined)

Income, Region, Rurality, Sex, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

- The data don’t show information on the details and quality of the home care, health care needs, preferences and appropriateness of the care - The data shows the number of people who had at least one home care service, which may not be sufficient There is no evidence of what is the appropriate amount or mix of home care services to which this could be compared. - The data do not show if people had any other home support or a caregiver.

Comments Summary

This indicator aligns with the palliative care QS overarching and the OPCN system level indicators.