7-Day Post-Hospital Discharge Follow-Up Rate for Selected Conditions (Retired)
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
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