7-Day Post-Hospital Discharge Follow-Up for Selected Conditions – CHCs

Identifying Attributes

Care Settings
Care Transitions
Country
Canada
Publishing Organisation
Health Quality Ontario
Type of Quality Indicator
Process
IOM Quality Dimension
Timeliness
Domain
Follow-Up

Defining Attributes

Definition

Percentage of patients who have had a 7-day post-hospital discharge follow-up by a primary care provider (physician or nurse practitioner) for the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, and cardiac conditions.

Numerator

Number of hospital discharges where the patient was seen by a primary care provider (physician or nurse practitioner) within 7 days of discharge for the following conditions: pneumonia, diabetes, stroke, gastrointestinal disease, congestive heart failure, chronic obstructive pulmonary disease, and cardiac conditions.

Denominator

Number of acute care discharges for an episode of care in which one of the mentioned conditions is recorded in the first hospitalisation of the episode within each fiscal year (minus 30 days for follow-up).

Exclusions
Use of Risk Adjustment
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Discharge Abstract Database (DAD), Ontario Health Insurance Plan (OHIP) Claims History Database, Registered Persons Database (RPDB). Data provided to HQO by Local data collection

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Technical Specifications
Link to Measurement Tools
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
No
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025