Physician Visits After Discharge From Hospital
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of patients with a hospital stay for specified conditions who saw their physician within 7 days of discharge. Conditions include: Acute Myocardial Infarction (age>= 45 years); Cardiac conditions (excluding AMI, CHF) (age>= 40 years); Congestive heart failure (age>=45 years); Chronic obstructive pulmonary disease; Pneumonia (all ages); Diabetes (all ages); Stroke (age>=45 years); Gastrointestinal disease (all ages).
Numerator
Ontario physician visits taking place in office, home, or long-term care; Physician visits occurring within 0 to 7 days of discharge (i.e., includes date of discharge).
Denominator
Discharges from acute care hospitals with discharge date in the reporting period; Inpatient episodes assigned to any of the conditions; Cases that are typical, transfer in, short stay, long stay or long stay transfer in per the HIG atypical indicator.
Exclusions
Deaths, acute transfers, patient sign-outs against medical advice; Records with missing or invalid data on discharge/admission date, health number, age or gender; Transfers to other hospital care and to other (palliative care/hospice, addiction treatment centre).
Use of Risk Adjustment
Risk Adjustments
Stratifications
Age, discharge destination.
Data Attributes
Type of Data Collection
Data Collection Methods
Discharge Abstract Database (DAD), Canadian Institute for Health Information (CIHI); Claims History Database (CHDB), Ontario Ministry of Health and Long-Term Care (MOHLTC).