7-Day Post-Hospital Discharge Follow-Up Rate for Selected Conditions (Retired)

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 or clients who see their primary care provider within 7 days after discharge from hospital for selected conditions. The percent of enrolled patients with an acute inpatient hospital stay for: Acute Myocardial Infarction (AMI) Cardiac Conditions Congestive heart failure (CHF) Chronic Obstructive Pulmonary Disease (COPD) Pneumonia Diabetes Stroke Gastrointestinal Disease

Numerator

Enrolled patients with primary care visit within 7 days of discharge to any physician in the group they are enrolled with

Denominator

Acute inpatients in the specified HBAM Inpatient Grouper (HIGs) enrolled with a primary care physician at the time of discharge a. patients ≥ 45 for acute myocardial infarction (AMI), stroke, chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF); b. patients ≥ 40 for cardiac HIGs; c. all ages for pneumonia, diabetes, and gastrointestinal (GI).

Exclusions

Death in hospital, acute transfers, patient sign-outs against medical advice; 2. Records with missing valid data on discharge/admission date, health number, age and gender; 3. Transfers to other hospital care and to other (palliative care/hospice, addiction treatment centre….) as defined by Discharge disposition '01'(for FY 2018 and onwards, discharge disposition '10'), '03' (for FY 2018 and onwards, discharge disposition '20', '30', '40', '90') or institution to type '2', '3', '7'.

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), Claims History Database (CHDB), Client Agency Program Enrolment (CAPE), Ontario Ministry of Health and Long-Term Care (MOHLTC) and Corporate Provider Database (CPDB)

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

Retired indicator

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