INDICATOR NAME
Name
Home visits by a doctor in the last 30 days of life
Alternate Name
Percentage of people who had at least one home visit from a doctor during their last 30 days of life , among people who lived in the community during that period.
INDICATOR DESCRIPTION
Description
This indicator measures percentage of people, among all those who lived in the community during their last 30 days of life, who had at least one physician home visit during that period. 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 had at least one physician home visit in their last 30 days of life.
Denominator (short description i.e. not inclusions/exclusions)
Number of people who died and were in the community in their last 30 days of life.
Adjustment (risk, age/sex standardization)- generalized
None
Data Source
Continuing Care Reporting System (CCRS), Discharge Abstract Database (DAD), National Ambulatory Care Reporting System (NACRS), National Rehabilitation Reporting System (NRS), Ontario Health Insurance Plan (OHIP) Claims History Database, 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)
Age, Income, Region, Rurality, Sex, Time
OTHER RELEVANT INFORMATION
Caveats and Limitations
- The data doesn’t include information on the quality of the care, clinical details, health care needs, preferences and appropriateness of the house call.
- The data shows the number of people who had at least one house call. There is no evidence of what is the appropriate number of house calls to which this could be compared
- The indicator doesn't capture home visits with other non-physician providers
Comments Summary
This indicator aligns with the palliative care QS overarching and the OPCN system level indicators.
TAGS
Sector
Primary Care
Type
Process
Topic
End-of-life / Palliative
Dimension
Effective, Timely
Source
Continuing Care Reporting System (CCRS), Discharge Abstract Database (DAD), National Ambulatory Care Reporting System (NACRS), National Rehabilitation Reporting System (NRS), Ontario Health Insurance Plan (OHIP) Claims History Database, Postal Code Conversion File Plus (PCCF+), Registered Persons Database (RPDB)
PUBLISH
Publish Datetime
20/11/2018 15:47:00