Palliative Home Visits in the Last 90 Days of Life
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
This indicator measures the proportion of people who received palliative care at home at the end of life. Percentage of people who died in the community in Ontario and who received physician home visit(s) and/or palliative home care in the last 90 days of life
Numerator
The number of non-institutionalised people who died in the community in Ontario who received at least one palliative home care service or any physician home visit within their last 90 days of life
Denominator
Number of non-institutionalised people who died in the community in Ontario, in a fiscal year.
Exclusions
Excludes patients who were in an institution for their last 90 days of life. The purpose is to exclude people who died who were admitted to an institution for the duration of the period of study and would thus not be eligible to receive home care services nor physician home visits.
The types of institutions included are: inpatient acute hospitals, inpatient mental health, complex continuing care, inpatient rehabilitation, long-term care.
People who died are determined to have been within the institution in their last 90 days of life as follows: If the total length of stay of a person, across all institutions' data sources is less than the time-frame being considered, then the person is considered living in the community. Otherwise the person is considered to have been in an institution for the duration of time under consideratio
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Collection and Reporting Attributes
Type of Data Collection
Data Collection Methods
Data Sources: Decedent Cohort; Health Shared Services Ontario (now part of Ontario Health) Home Care Database; Discharge Abstract Database; OHIP Claims History Database; Continuing Care Reporting System (long-term care, complex continuing care); Inpatient Mental Health (Ontario Mental Health Reporting System); Inpatient Rehabilitation (National Rehabilitation Reporting System).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Public reporting