Erie St. Clair LHIN Performance Indicators Definitions

August 12, 2013 Release

1: Access to healthcare services

90th percentile ER length of stay for admitted patients

The total ER length of stay where 9 out of 10 admitted patients completed their visits. The 2013/14 MLPA interim provincial goal for this indicator is 25 hours.

90th percentile ER length of stay for non-admitted complex (CTAS I-III) patients

The total ER length of stay where 9 out of 10 non-admitted complex patients (CTAS I, II and III) completed their visits. The 2013/14 MLPA interim provincial goal for this indicator is 7 hours.

90th percentile ER length of stay for non-admitted minor uncomplicated (CTAS IV-V) patients

The total ER length of stay where 9 out of 10 non-admitted minor/uncomplicated (CTAS IV and V) patients completed their visits. The provincial target for this indicator is 4 hours.

Percent of priority IV cases completed within access target (84 days) for cancer surgery

Rationale: Through WTS and HSFR, wait times will be improved by expanding capacity through targeted funding of volumes, improved efficiencies and standardizing medical and administrative ‘best practices’ so that more people can be treated within the same time period. Wait times for these procedures are collected through the Wait Times Information System (WTIS) and reported on the public website. Please see page 5-10 of the Technical Guide for Calcuation, inclusion and exclusion criteria.

Percent of priority IV cases completed within access target (182 days) for cataract surgery

Hospitals submitting wait time data voluntarily (not required to report) are included in wait time calculation. Calculated percent of cases completed within priority target is based only on the cases entered in the system. Logically, hospitals not reporting cases promptly are excluded at the time of data extraction. Volumes submitted by hospitals are checked monthly for completeness. Hospital volume is compared against the expected monthly average. Outliers are validated with hospitals if the wait days are accurate. Please see page 12 - 15 of the Technical Guide for calculations, inclusion and exclusion criteria.

Percent of priority IV cases completed within access target (182 days) for hip replacement

Hospitals submitting wait time data voluntarily (not required to report) are included in wait time calculation. Calculated percent of cases completed within priority target is based only on the cases entered in the system. Logically, hospitals not reporting cases promptly are excluded at the time of data extraction. Volumes submitted by hospitals are checked monthly for completeness. Hospital volume is compared against the expected monthly average. Outliers are validated with hospitals if the wait days are accurate.

Percent of priority IV cases completed within access target (182 days) for knee replacement

Hospitals submitting wait time data voluntarily (not required to report) are included in wait time calculation. Calculated percent of cases completed within priority target is based only on the cases entered in the system. Logically, hospitals not reporting cases promptly are excluded at the time of data extraction. Volumes submitted by hospitals are checked monthly for completeness. Hospital volume is compared against the expected monthly average. Outliers are validated with hospitals if the wait days are accurate.

Percent of priority IV cases completed within access target (28 days) for MRI scans

Hospitals submitting wait time data voluntarily (not required to report) are included in wait time calculation. Calculated percent of cases completed within priority target is based only on the cases entered in the system. Logically, hospitals not reporting cases promptly are excluded at the time of data extraction. Volumes submitted by hospitals are checked monthly for completeness. Hospital volume is compared against the expected monthly average. Outliers are validated with hospitals if the wait days are accurate.

Percent of priority IV cases completed within access target (28 days) for CT scans

Hospitals submitting wait time data voluntarily (not required to report) are included in wait time calculation. Calculated percent of cases completed within priority target is based only on the cases entered in the system. Logically, hospitals not reporting cases promptly are excluded at the time of data extraction. Volumes submitted by hospitals are checked monthly for completeness. Hospital volume is compared against the expected monthly average. Outliers are validated with hospitals if the wait days are accurate.

2: Integration and coordination of care

Percentage of Alternate Level of Care (ALC) Days - By LHIN of Institution

Percentage of inpatient days where a physician (or designated other) has indicated that a patient occupying an acute care hospital bed has finished the acute care phase of his/her treatment.

CCAC In-Home Services

90th Percentile Wait Time from Community for CCAC In-Home Care Services (from application to first service), excluding case management.

3: Quality and improved health outcomes

Readmission within 30 Days for Selected CMGs

The number of patients readmitted to any facility for non-elective inpatient care. This is compared to the number of expected non-elective readmissions using data from all Ontario acute hospitals.
Readmission to any facility for selected CMGs =
Observed number of patients, discharged with specified CMGs within calendar year, readmitted to any facility for any non-elective patient care within 30 days of discharge for index admission

Repeat Unscheduled Emergency Visits within 30 Days for Mental Health Conditions

Percent of repeat emergency visits following a visit for a mental health condition. A visit is counted as a repeat visit if it is for either a mental health or substance abuse condition, and occurs within 30 days of an index visit for a mental health condition. This indicator is presented as a proportion of all mental health emergency visits.

Repeat Unscheduled Emergency Visits within 30 Days for Substance Abuse Conditions

Percent of repeat emergency visits following a visit for a substance abuse condition. A visit is counted as a repeat visit if it is for either of a mental health or substance abuse condition, and occurs within 30 days of an index visit for a substance abuse condition. This indicator is presented as a proportion of all substance abuse emergency visits.