Repeat Hospital Stays for Mental Health and Substance Use
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Risk-adjusted percentage of individuals who had 3 or more episodes of care for mental health and substance use (MHSU) disorders among all those who had at least one episode of care for MHSU disorders in general or psychiatric hospitals within a given year.
Numerator
Total number of individuals in the denominator who had at least 3 episodes of care for MHSU disorders in a 1-year period. Each individual has a 12-month look-back period prior to their most recent episode of care in a given year, thus requires data for 2 fiscal years.
Denominator
Total number of individuals who had at least one episode of care for MHSU disorders in a 1-year period. The most recent episode of care in a fiscal year is the index episode of care.
Exclusions
Records with an invalid health card number/invalid code for province issuing health card number/missing age/invalid admission date/invalid discharge date; Cadaveric donor or stillbirth records; Records with a discharge status of dead on arrival; Medical assistance in dying.
Use of Risk Adjustment
Risk Adjustments
Sex, age group, discharged against medical advice, mental health diagnosis, psychiatric hospital (vs general hospital).
Stratifications
Neighbourhood income quintile; Urban versus rural/remote.
Data Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database, Hospital Morbidity Database, National Ambulatory Care Reporting System and Ontario Mental Health Reporting System.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
CIHI website: The Health Indicators e-Publication (at regional, provincial/territorial and national levels, calculated by place of residence), and webtool Your Health System: In Brief (available to public).