This indicator provides the risk-adjusted rate of patients who had 3 or more inpatient acute care hospitalisations with a cumulative length of stay (LOS) longer than 30 days (high users).

Patients within the denominator with 3 or more previous acute care episodes of care in a 1-year period and a cumulative LOS longer than 30 days.

Patients age 18 and older discharged from an acute care facility within the fiscal year of reporting. The most recent episode of care (hospitalisation) within the fiscal year of reporting is the index episode of care.

Abstracts with an invalid/missing health card number or invalid/missing province issuing health card number, records with admission category of cadaveric donor or stillbirth (Admission Category Code = R or S). Abstracts with a missing age, invalid/missing admission/discharge date. Records with a discharge status of dead on arrival (Discharge Disposition = 11, 71* for NACRS). 2018–2019 data onward: Medical assistance in dying (MAID) (Discharge Disposition Code = 73).

Age, sex, admission category (elective versus urgent) and patient clinical groups — palliative care, mental illness, obstetric, surgical and medical conditions.

By reporting level: National, Province/Territory, Region, Neighbourhood Income Quintile.

Discharge Abstract Database (DAD), Hospital Morbidity Database (HMDB), National Ambulatory Care Reporting System (NACRS) and Ontario Mental Health Reporting System (OMHRS)

Online tool: Your Health System

www.cihi.ca/en/access-data-and-reports/indicator-library

www.cihi.ca/en/indicators/high-users-of-hospital-beds