Palliative Patients With Multiple Acute Care Admissions in the Last Three Months of Life

Identifying Attributes

Care Settings
Care Transitions
Country
Canada
Publishing Organisation
Health Quality Ontario
Type of Quality Indicator
Process
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

Defining Attributes

Definition

Percentages of palliative patients in the acute hospital inpatients setting that had multiple admissions in the 90 days prior to death. Palliative patients are defined as all patients who died in acute care hospitals, excluding those who died of significant trauma or injury.

Numerator

Number of palliative patients who had multiple acute admissions in the last 3 months of life.

Denominator

All acute care inpatient discharges.

Exclusions

Records with missing discharge date; 2. Patients admitted to the acute care facility as infant born alive, or still born infant (Entry code = N, S); 3. Patients admitted for organ/tissue retrieval purposes only (Admit category = R); 4. Patients who died of significant trauma or injury (Major clinical category = 19).

Use of Risk Adjustment
No
Risk Adjustments
Stratifications

Data Attributes

Type of Data Collection
Administrative data
Data Collection Methods

Discharge Abstract Database (DAD) captures administrative, clinical and demographic information on hospital discharges (including deaths, sign-outs and transfers). Data is received directly from acute care facilities or from their respective health/regional authority or ministry/department of health.

Frequency of Data Collection
Quarterly submission targets of 60 days after the end of each quarter
Frequency of Data Collection in Days
91
Reporting Methods

The Quarterly: Health Care System Quarterly Reporting for Ministry Senior Management.

Reporting Frequency
Data are released annually; interim data are available quarterly
Reporting Frequency in Days
91-365
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
Yes
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
12 March 2025