Palliative Home Visits in the Last 90 Days of Life

Identifying Attributes

Care Settings
Palliative Care
Country
Canada
Publishing Organisation
Ontario Palliative Care Network (OPCN): Palliative Care System Performance
Type of Quality Indicator
Process
IOM Quality Dimension
Person-Centredness
Domain
Care of the Patient at the End of Life

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
No
Risk Adjustments

None

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Administrative data
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

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

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)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025