location-death - Health Quality Ontario (HQO)

Field Definitions Add to compare

INDICATOR NAME

Name

Location of death

Alternate Name

Percentage of people who died in Ontario reported by location of death

INDICATOR DESCRIPTION

Description

This indicator measures the proportion of deaths in:

Hospital (inpatient, ED, CCC, rehab, inpatient mental health)
Long-term care
Community (home, residential hospices, retirement homes and assisted living homes)

HQO Reporting tool/product

Public reporting

Dimension

Effective, Patient-centred

Type

Outcome

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 who died in each of the following settings:

Hospital (inpatient, ED, CCC , rehab inpatient mental health)
Long-term care home
Community (home, residential hospices, retirement homes, assisted living homes, other)

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

Number of people who died in Ontario

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 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)

Age, Income, Region, Rurality, Time

OTHER RELEVANT INFORMATION

Caveats and Limitations

The data show the location of the death, but not the location where care was received before death (i.e. the death may have occurred in the ED but in general the care may have been provided in LTC). - No information of the preferred place of death is provided.

Comments Summary

If there are multiple death records with different death date in each of the above administrative database, the last (i.e. most recent) death record for each unique health card number was selected. •If one health card number appears in multiple care settings, the following hierarchy based on the care intensity were used to assign death setting: acute care, Emergency, CCC, Rehabilitation facilities, LTC homes. There should only be one record per health card number. This indicator aligns with the palliative care QS overarching and the OPCN system level indicators.