Emergency Department Visits by Home Care Clients in Last 30 Days of Life
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of publicly funded home care clients, of all ages, who had an unplanned visit to the emergency department in the last 30 days of life. A lower percentage of clients is better. Unplanned visits in the last month of life could indicate they did not receive the care they needed in the community.
Numerator
The number of decedents specified in the denominator who had at least one unplanned emergency department visit within 30 days before death.
Denominator
The number of home care clients who died in the given fiscal year.
Exclusions
Not all emergency department visits are avoidable and do not always represent poor quality care.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), PCCF+ version 5k6A, Registered Persons Database (RPDB).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Public reporting.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Health Quality Ontario. Measuring Up 2018: A yearly report on how Ontario's health system is performing, 2018.
Technical Specifications
Indicator library of Ontario Health website not accessible (transition from health quality ontario website)