Information and Understanding When Leaving the Hospital

Identifying Attributes

Care Settings
Care Transitions
Country
Canada
Publishing Organisation
Canadian Institute for Health Information (CIHI): Canadian Patient Experiences Survey — Inpatient Care
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Consumer Experience

Defining Attributes

Definition

Percentage of patients who chose the most positive response (top box result) to 3 questions from the Canadian Patient Experiences Survey — Inpatient Care (CPES-IC): -Before you left the hospital, did you have a clear understanding about all of your prescribed medications, including those you were taking before your hospital stay? -Did you receive enough information from hospital staff about what to do if you were worried about your condition or treatment after you left the hospital? -When you left the hospital, did you have a better understanding of your condition than when you entered? Calculated by averaging the Top Box results for each question. Each question's Top Box result is calculated as follows: (Number of patients who chose the most positive response for a question in the CPES-IC survey) ÷ (Total number of respondents for that question).

Numerator

A subset of the denominator who chose the most positive responses to the questions about information and understanding when leaving the hospital in the CPES-IC survey.

Denominator

Patients age 18 and older who responded to questions regarding information and understanding when leaving the hospital in the CPES-IC survey.

Exclusions

Non-response categories (refusal, don't know, not stated); Records with invalid health card number; Records with missing or invalid discharge date; Newborn, stillbirth or cadaveric donor records; Records with discharge as death, self sign-out or patient not returning from a pass; Patients receiving care primarily for a psychiatric condition or mental health disorder; Patients who were in an alternate level of care; Patients with a substance-use disorder; Patients discharged to another facility such as residential care, group/supportive living or a correctional facility; Patients excluded for sensitive or compassionate reasons including Palliative care.

Use of Risk Adjustment
Yes
Risk Adjustments

Sample weighted; Non-response weighted; Age–sex standardised to the hospital Discharge Abstract Database (DAD) population; Adjusted for survey mode (mail, telephone, online); Adjusted for service line (medical, surgical, maternity).

Stratifications

Data Attributes

Type of Data Collection
Surveys
Data Collection Methods

Data collected using the Canadian Patient Experiences Survey — Inpatient Care (CPES-IC) collected through the Canadian Patient Experiences Reporting System (CPERS).

Frequency of Data Collection
CPERS-submitting jurisdictions have different survey cycles, so the jurisdictions within each fiscal year (data year) may vary. Some jurisdictions collect annually, while others collect every 3 years. The frequency of survey collection also varies across hospitals within jurisdictions. To enable comparisons and benchmarking year over year when data isn't available annually, all respondents from each hospital's most recent year of data are used to calculate peer, regional, provincial and national averages. Blended averages include data up to a maximum of 3 fiscal years only.
Frequency of Data Collection in Days
365-1095
Reporting Methods

CIHI website Web Tools: Your Health System: In Depth and Canadian Patient Experiences Survey: Comparative Results tool (available to public).

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools

Canadian Patient Experiences Survey — Inpatient Care (CPES-IC)

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025