Proportion of Older People (65 and Over) Who Were Still at Home 91 Days After Discharge From Hospital Into Reablement/Rehabilitation Services
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Measures the benefit to individuals from reablement, intermediate care and rehabilitation following a hospital episode, by determining whether an individual remains living at home 91 days following discharge.
Numerator
Number of older people discharged from acute or community hospitals to their own home or to a residential or nursing care home or extra care housing for rehabilitation, with a clear intention that they will move on/back to their own home (including a place in extra care housing or an adult placement scheme setting), who are at home or in extra care housing or an adult placement scheme setting 91 days after the date of their discharge from hospital. This should only include the outcome for those cases referred to in the denominator.
Denominator
Number of older people discharged from acute or community hospitals from hospital to their own home or to a residential or nursing care home or extra care housing for rehabilitation, with a clear intention that they will move on/back to their own home (including a place in extra care housing or an adult placement scheme setting).
Exclusions
Numerator exclusions: Those who are in hospital or in a registered care home (other than for a brief episode of respite care from which they are expected to return home) at the three month date and those who have died within the three months.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Short and Long-term Services (SALT) collection.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Information for numerator will be collected from 1 January to 31 March as it refers to a 90 day follow up to the information presented in the denominator (1st October to 31 December).
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
National Institute for Health and Care Excellence (NICE). NHS Digital Indicator Supporting Documentation (IAP00139): The proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into re-ablement / rehabilitation services. Accessed; (August 3, 2023). Available from: www.nice.org.uk/Media/Default/Standards-and-indicators/National-Library-of-Quality-Indicators/IAP00139%20supporting%20documentation.docx.
Health & Social Care Information Centre (HSCIC), NHS England. NHS Outcomes Framework 2014/15: Domain 3 Helping people to recover from episodes of ill health or following injury Indicator specifications. Accessed August 3, 2023. Available from: data.england.nhs.uk/dataset/nhsof-3-6-ii-proportion-of-older-people-65-and-over-who-were-offered-rehabilitation-following-disch/resource/01036c6f-8e82-45a6-b2b9-0ff0353a8854.
City of York Council, United Kingdom. Proportion of older people (65 and over) who were still at home 91 days after discharge from hospital into reablement/rehabilitation services. Accessed August 3, 2023. Available from: www.data.gov.uk/dataset/9aa11e47-575d-4e7c-a1a4-9eb8f114e0fa/proportion-of-older-people-65-and-over-who-were-still-at-home-91-days-after-discharge-from-hospital-into-reablement-rehabilitation-services.
Technical Specifications
Technical specifications (supporting documentation): web.archive.org/web/20200803160712/https://www.nice.org.uk/standards-and-indicators/nlindicators/the-proportion-of-older-people-65-and-over-who-were-still-at-home-91-days-after-discharge-from-hospital-into-reablement-or-rehabilitation-services data.england.nhs.uk/dataset/nhsof-3-6-ii-proportion-of-older-people-65-and-over-who-were-offered-rehabilitation-following-disch/resource/01036c6f-8e82-45a6-b2b9-0ff0353a8854