Alternative Level of Care (ALC) Proportion of Total Days for Stroke and TIA Inpatients

Identifying Attributes

Care Settings
Care Transitions
Country
Canada
Publishing Organisation
CorHealth Ontario: Stroke Report
Type of Quality Indicator
Outcome
IOM Quality Dimension
Efficiency
Domain
Hospitalisation

Defining Attributes

Definition

The proportion of total acute hospital days that patients are designated as requiring an alternative level care (ALC). A higher proportion of ALC days relative to total length of stay can be interpreted as lack of access to long-term care beds, and post-stroke care including rehabilitation and home care services.

Numerator

Number of total acute hospital days that patients are designated as requiring an alternative level care (ALC).

Denominator

Number of total acute hospital days.

Exclusions
Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Linkable datasets via encrypted health card numbers are made available to CorHealth via ICES' Data & Analytic Virtual Environment (IDAVE) and the Ministry of Health's (MOH), Health Data Branch. Data sources: DAD, NACRS, RPDB, ODB, OHIP, CCRS, NRS, HCD, PCCF+

Frequency of Data Collection
Annually
Frequency of Data Collection in Days
365
Reporting Methods

Ontario Stroke Report

Reporting Frequency
Financial year
Reporting Frequency in Days
365
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
Can the Quality Indicator be Readily Implemented at a Population Level in Australia Given its Current Data Landscape?
Implementation of this quality indicator was not assessed.
Identified by PHARMA-Care Project
No
Upload Date
31 March 2026