How Indicators are Calculated

DASHBOARD: 2016-17 ANNUAL PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): High needs residents will have individualized coordinated care plans developed through a Health Link in Waterloo Wellington

INDICATOR NAME (TECHNICAL): Fiscal year to date number of completed care plans for complex high-needs residents

DEFINITION: The number of completed Care Plans for complex high-needs residents. Complex high-needs residents are selected by their primary care providers, based on a need for highly coordinated services amongst a number of service providers to best manage their health care. A care plan is an individualized plan of care maintained by the patient and his/her family and the health care team. It is designed to assist the patient with his/her health care requirements and identifies short and long-term needs, recovery goals, coordination requirements and who is responsible for each part of the plan (Ontario Medical Association, June 2014). The values being reported are the fiscal year to date number of completed care plans.

NUMERATOR: Total number of care plans since April 1st

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: N/A

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: N/A

DATA SOURCE(S): Directly reported by the Waterloo Wellington Health Links

TIMING: Monthly

INTERPRETATIONS/LIMITATIONS: N/A

SOURCE FOR INDICATOR DEFINITION: WWLHIN-DSC

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): All Complex Patients within a Health Link will have a Primary Care Provider

INDICATOR NAME (TECHNICAL): The percentage of complex high-needs residents with a care plan who have a primary care provider

DEFINITION: The percentage of complex high-needs residents with a care plan who have a primary care provider physician or nurse-practitioner. Complex high-needs residents are selected by their primary care providers, based on a need for highly coordinated services amongst a number of service providers to best manage their health care. A care plan is an individualized plan of care maintained by the patient and his/her family and the health care team. It is designed to assist the patient with his/her health care requirements and identifies short and long-term needs, recovery goals, coordination requirements and who is responsible for each part of the plan (Ontario Medical Association, June 2014). The values being reported are the fiscal year to date. 

NUMERATOR: Number of health link clients with a care plan who are attached to a primary care provider

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A 

DENOMINATOR: Number of health link clients with a care plan

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: N/A

DATA SOURCE(S): Directly reported by the Waterloo Wellington Health Links

TIMING: Monthly

INTERPRETATIONS/LIMITATIONS: N/A

SOURCE FOR INDICATOR DEFINITION: WWLHIN-DSC

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Fewer residents will visit the emergency department for conditions best managed elsewhere

INDICATOR NAME (TECHNICAL): Rate of emergency visits for conditions best managed elsewhere

DEFINITION: The rate of unscheduled emergency visits that could potentially be treated in alternative primary care settings, per 1,000 population age 1-74 years. Conditions included are conjunctivitis (inflammation or infection of the eye), otitis media (inflammation or infection of the middle ear), upper respiratory tract infections (for example, tonsillitis or sinus infection) and cystitis (inflammation or infection of the bladder). The values being reported are for discrete quarters.

NUMERATOR: The number of unscheduled emergency visits per the selection criteria described below.

NUMERATORINCLUSIONS: • Unscheduled visits to emergency rooms (including urgent care centres);

• Specific selection criteria:

ICD -10-CA codes (MRDx): A740, B309, H100, H101, H102, H103, H104, H105, H108, H109, H130, H131, H132, H133, N300, N301, N302, N303, N304, N308, N309, N330, N390, H650, H651, H652, H653, H654, H659, H660, H661, H662, H663, H664, H669, H670, H671, H678, J00, J010, J011, J012, J013, J014, J018, J019, J028, J029, J038,

J039, J040, J041, J060, J068, J069, J310, J311, J312, J320, J321, J322, J323, J324, J328, J329, J350, J351, J352, J353, J358, J359, J399;

• Canadian Emergency Department Triage and Acuity Scale (CTAS) levels – IV and V (less-urgent, non-urgent).

NUMERATOR EXCLUSIONS: • Persons less than one year of age or age 75 and older;

• Emergency visits resulting in an inpatient admission (visit disposition not equal to 06 or 07);

• Out of province patients.

DENOMINATOR: Population

DENOMINATOR INCLUSIONS: Year-specific LHIN and Ontario population (age 1-74).

DENOMINATOR EXCLUSIONS: • Persons less than one year of age or age 75 and older.

INCLUSIONS/EXCLUSIONS: See Above

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC; National Ambulatory Care Reporting System, Accessed through IntelliHealth

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: N/A

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION 

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents with a chronic condition will have a follow-up with a physician within 7 days of hospital discharge

INDICATOR NAME (TECHNICAL): Percent of Acute Care Patients who had a Follow Up with a Physician Within 7 Days of Discharge

DEFINITION: The percentage of patients with a hospital stay for specified conditions who saw their physician within 7 days of discharge. The specified conditions include: Acute Myocardial Infarction (for age 45+), Other Cardiac Conditions (for age 40+), Congestive Heart Failure (for age 45+), Chronic Obstructive Pulmonary Disease (for age 45+), Pneumonia, Diabetes, Stroke (for age 45+) and Gastrointestinal disease. The values being reported are for discrete quarters.

NUMERATOR: Enrolled patients with an acute care visit for specific HIG with primary care visit within 7 days of discharge to any physician in the group they are enrolled with.

NUMERATORINCLUSIONS: A physician visit is counted if there is a service claim billed by any primary care physician in the group that the patient is enrolled within 0 to 7 days of their discharge from hospital.

NUMERATOR EXCLUSIONS: • Hospital discharge records with missing or invalid discharge date, admission date, health number, age and gender;

• Ontario Health Insurance Plan (OHIP) claims that are negated, duplicates, physician claims from laboratory groups, and claims paid by the Workplace Safety and Insurance Board (WSIB).

DENOMINATOR: Enrolled patients with an acute care visit for specific HIG

DENOMINATOR INCLUSIONS: Includes:

• Acute inpatients in the specified HBAM Inpatient Grouper (HIGs) (see the MOHLTC Resource for Indicator Standards) enrolled with a primary care physician at the time of discharge;

• Cases that are typical, transfer in, short stay, long stay or long stay transfer in per the HIG atypical indicator (i.e. the HIG atypical indicator must be ‘00’, ‘01’, ‘09’, ‘10’, ‘11’);

• Included ages are cohort specific:

a) patients ≥ 45 for acute myocardial infarction (AMI), stroke, chronic obstructive

pulmonary disease (COPD), congestive heart failure (CHF);

b) patients ≥ 40 for cardiac HIGs,

c) all ages for pneumonia, diabetes, and gastrointestinal (GI).

DENOMINATOR EXCLUSIONS: • Death in hospital, acute transfers, patient sign-outs against medical advice;

• Records with missing valid data on discharge/admission date, health number, age and gender;

• Transfers to other hospital care and to other (palliative care/hospice, addiction treatment centre….) as defined by Discharge disposition ‘01’, ‘03’ or institution to type '2', '3', '7'.

INCLUSIONS/EXCLUSIONS: See Above

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: N/A

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION 

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will experience a decreased rate of hospital readmissions for chronic conditions

INDICATOR NAME (TECHNICAL): Readmissions within 30 days for selected HBAM Inpatient Grouper (HIG) conditions

DEFINITION: The percent of non-elective readmissions to any acute care hospital within 30 days of hospital discharge for patients with specific medical conditions (including acute myocardial infarction, cardiac conditions excluding heart attack, congestive heart failure, chronic obstructive pulmonary disease, pneumonia, diabetes, stroke, and gastrointestinal disease). The values being reported are for discrete quarters and are risk-adjusted.

NUMERATOR: The numerator is the sum of all readmissions for all index cases in the reporting period.

NUMERATORINCLUSIONS: The hospitalization readmission is counted if:

• the re-admission date is within 30 days of the index case discharge;

• the DAD field “admission category” is urgent;

• the admission is not coded as an acute transfer by receiving hospital (unless the readmission was coded as a transfer from the same hospital).

NUMERATOR EXCLUSIONS: Records with missing or invalid discharge/admission date, health number, age and gender.

DENOMINATOR: The denominator is the sum of all index cases (discharges in the reporting period for selected HIGs).

DENOMINATOR INCLUSIONS: • Patient with:

a) Acute Myocardial Infarction (age 45+)

b) Cardiac conditions other than heart attack (age 40+)

c) Congestive heart failure (age 45+)

d) Chronic obstructive pulmonary disease (age 45+)

e) Pneumonia

f) Diabetes

g) Stroke (age 45+)

h) Gastrointestinal disease

(See the MOHLTC Resource for Indicator Standards for included HIGs);

• Cases where the Inpatient HIG atypical code is either ‘00’ (typical cases), ‘01’ (transfer in cases), ‘09’ (short stay outlier cases), ‘10’ (long stay outlier cases), or ‘11’ (transfer in long stay cases).

DENOMINATOR EXCLUSIONS: • Records with missing valid data on discharge/admission date, health number, age and gender;

• Index cases coded as transfers to another acute inpatient hospital, deaths, and sign-outs;

• Exclude cases with Discharge disposition = ‘07’ (death).

INCLUSIONS/EXCLUSIONS: See Above

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC.

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: A risk-adjusted rate represents the rate an entity would have, if that entity’s population demographic, case mix, patient complexity, etc. were the same as in the reference population (in this case, the province of Ontario population). Because the risk adjustment controls for factors including differences in population demographics, case mix, and patient complexity, this allows a provincial target to be set and applied to all LHINs.

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): The percentage of days residents spend in acute care hospital beds when they should be receiving their care in a more appropriate location (ALC) will be lower

INDICATOR NAME (TECHNICAL): Percentage of Alternate Level of Care (ALC) days

DEFINITION: Percentage of acute inpatient days that are designated Alternate Level of Care (ALC) for discharged patients. A patient day is designated as ALC after a physician has documented that the patient no longer needs the current level of care. Note that this indicator does not include acute adult patients in mental health beds or newborns. The values being reported are for discrete quarters.

NUMERATOR: The total number of inpatient days designated as ALC in a given time period

NUMERATORINCLUSIONS: • Data from acute care hospitals, including those with psychiatric beds (AP hospitals) and without psychiatric beds (AT hospitals);

• Individuals designated as ALC.

NUMERATOR EXCLUSIONS: • Newborns and stillborns;

• Records with missing or invalid “Discharge Date”.

DENOMINATOR: The total number of inpatient days in a given time period

DENOMINATOR INCLUSIONS: Data from acute care hospitals, including those with psychiatric beds (AP hospitals) and without psychiatric beds (AT hospitals).

DENOMINATOR EXCLUSIONS: • Newborns and stillborns;

• Records with missing or invalid “Discharge Date”.

INCLUSIONS/EXCLUSIONS:

DATA SOURCE(S): Intellihealth Ontario, MOHLTC (for interim data); Ministry-LHIN Performance Agreement (MLPA), MOHLTC (for final data up to and including Q3 of FY 2014-15), Ministry-LHIN Accountability Agreement (MLAA), MOHLTC (for final data beginning in Q4 of FY 2014-15)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS:

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): The percentage of hospital beds (acute and post-acute) occupied by patients who could be receiving care in a more appropriate location (ALC) will be lower

INDICATOR NAME (TECHNICAL): ALC Rate

DEFINITION: Percentage of acute and post-acute beds occupied by patients that are designated Alternate Level of Care (ALC) within a given time period (here the data are reported quarterly). A patient day is designated as ALC after a physician has documented that the patient no longer needs the current level of care. Unlike the percent ALC indicator, this indicator includes patient days for active patients as well as discharged patients and includes acute mental health patients and post-acute beds (Complex Continuing Care, Rehab, and post-acute Mental Health) in addition to acute care. Days in Emergency Department are excluded from the acute patient day count. This indicator includes the following hospitals: Homewood Health Centre, Groves Memorial Community Hospital, Cambridge Memorial Hospital, Guelph General Hospital, St Joseph’s Health Centre (Guelph), St. Mary’s General Hospital, Grand River Hospital, and North Wellington Health Care. The values being reported are for discrete quarters.

NUMERATOR:

NUMERATORINCLUSIONS: • Acute ALC days = the total number of ALC days contributed by ALC patients waiting in non-surgical (NS), surgical (SU), and intensive/critical care (IC) beds.

• Post-Acute ALC days = ALC days for Inpatient Services CC + RB + MH

• CCC ALC days = ALC days for Inpatient Service CC

• Rehab ALC days = ALC days for Inpatient Service RB

• Mental Health ALC days = ALC days for Inpatient Service MH

NUMERATOR EXCLUSIONS: • ALC cases discontinued due to ‘Data Entry Error’.

• ALC cases having Inpatient Service = Discharge Destination for Post-Acute Care (*Exception: Bloorview Rehab, CCC to CCC).

• ALC cases identified by the facility for exclusion.

DENOMINATOR:

DENOMINATOR INCLUSIONS: • Acute Patient days = the total number of patient days contributed by inpatients in Medical (MED) + Surgical (SURG) + Combined Medical & Surgical (CMS) + Intensive Care and Coronary Care (ICU) + Obstetrics (OBS) + Paediatric (PAE) + Child/Adolescent Mental Health (Children MH) + Acute Addiction (Addiction) + Pediatrics in Nursery (Paed Days in Nursery) + Newborns (Level 1 - General + Level 2 - Intermediate + Level 3 - ICU Neonatal + Not in Regular)

• Post-Acute Patient days = the total number of patient days contributed by inpatients in Chronic (Chronic) + General Rehabilitation (Gen. Rehab) + Special Rehabilitation (Spec. Rehab) + Acute Psych (Acute Psy) + Addiction (Addiction) + Forensic (Forensic) + Psychiatric Crisis Unit (Crisis Unit) + Longer Term Psychiatric (Long Term)

• CCC Patient days = the total number of patient days contributed by inpatients in complex continuing care (Chronic) beds

• Rehab Patient days = the total number of patient days contributed by inpatients in General Rehabilitation (Gen. Rehab) + Special Rehabilitation (Spec. Rehab)

• Mental Health Patient days = the total number of patient days contributed by inpatients in Acute Psych (Acute Psy) + Addiction (Addiction) + Forensic (Forensic) + Psychiatric Crisis Unit (Crisis Unit) + Longer Term Psychiatric (Long Term)

DENOMINATOR EXCLUSIONS: Patient days contributed by inpatients in the emergency department (Bed Type = Emergency (Emerg + PARR, Emergency + PARR)).

INCLUSIONS/EXCLUSIONS:

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA), MOHLTC

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS:

SOURCE FOR INDICATOR DEFINITION: Health Quality Ontario (HQO) Indicator Library

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Patients arriving at the emergency department with complex needs will be seen and sent home or transferred to a hospital bed in 8 hours or less

INDICATOR NAME (TECHNICAL): 90th percentile Emergency Department length of stay for complex patients

DEFINITION: The 90th percentile Emergency Room (ER) length of stay in hours, for patients with complex conditions. The length of stay is measured from the time the patients arrive in the ER to the time the patients complete their visits and leave the ER. Patients are considered complex if they are either admitted or classified as Canadian Triage and Acuity Scale (CTAS) level I, II or III. CTAS level I is resuscitative, including conditions that are threats to life or limb (or imminent risk of deterioration) requiring immediate aggressive interventions. CTAS level II is emergent, including conditions that are a potential threat to life limb or function, requiring rapid medical intervention or delegated acts. CTAS level III is urgent, including conditions that could potentially progress to a serious problem requiring emergency intervention. The values being reported are for discrete quarters.

NUMERATOR: 90th percentile Length of Stay [Date/time Patient Left ED minus ED Triage/Registration (whichever is earlier and valid) Date/time]

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: N/A

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: Includes:

• Admitted patients – Disposition Codes 06 and 07

• Non-Admitted Patients – (Disposition Codes 01, 04 – 05 and 08 – 15) with assigned CTAS I, II, or III

Excludes:

• ED visits where Registration Date/Time and Triage Date/Time are both blank/unknown (9999)

• ED visits where the MIS functional centre is under Emergency Trauma, Observation or Emergency Mental Health Services (as of January 2015 data)

• Duplicate cases within the same functional center where all ER data elements have the same values except for Abstract ID number

• ED visits where the ED visit Indicator is = '0'

• ED visits where patient has left without being seen by a physician during his/her visit (Disposition Code 02 and 03)

• ED Length of Stay is greater than or equal to 100000 minutes (1666 hours)

• Non-Admitted Patients (Disposition Codes 01 – 05 and 08 – 15) with assigned CTAS IV or V

• Non-Admitted Patients (Disposition Codes 01 – 05 and 08 – 15) with missing CTAS

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data), Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

Indicator represents the wait time of the 9th person out of 10 people who visited the ER with complex needs. In other words, 8 other people had shorter wait times than this number and one had a longer wait time.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME 

INDICATOR NAME (DISPLAYED): Patients with minor uncomplicated needs requiring care in an emergency department will be seen and sent home in 4 hours or less

INDICATOR NAME (TECHNICAL): 90th percentile Emergency Department length of stay for minor/uncomplicated patients

DEFINITION: The 90th percentile Emergency Room (ER) length of stay in hours, for patients with minor uncomplicated conditions who are not admitted to hospital. The length of stay is measured from the time the patients arrive in the ER to the time the patients complete their visits and leave the ER. Patients are considered uncomplicated if they are classified as Canadian Triage and Acuity Scale (CTAS) level IV or V. CTAS level IV is less urgent, including conditions that related to patient age, distress, or potential for deterioration or complications would benefit from intervention or reassurance within 1-2 hours. CTAS level V is non urgent, including conditions that may be acute but non-urgent as well as conditions which may be part of a chronic problem with or without evidence of deterioration. The values being reported are for discrete quarters.

NUMERATOR: 90th percentile length of stay from the time when the patient is triaged or registered in the ED (whichever comes first), until the time when the patient is admitted to hospital

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: N/A

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: Includes:

Non-Admitted Patients Disposition Codes 01, 04 – 05 and 08 – 15 with assigned CTAS IV and V.

Excludes:

• ED visits where Registration Date/Time and Triage Date/Time are both blank/unknown (9999)

• ED visits where the MIS functional centre is under Emergency Trauma, Observation or Emergency Mental Health Services (as of January 2015 data)

• Duplicate cases within the same functional center where all ER data elements have the same values except for Abstract ID number

• ED visits where the ED visit Indicator is = '0'

• ED visits where patient has left without being seen by a physician during his/her visit (Disposition Code 02 & 03)

• ED Length of Stay is greater than or equal to 100000 minutes (1666 hours)

• Admitted Patients (Disposition Codes 06 and 07)

• Non-Admitted Patients (Disposition Codes 01, 04 – 05 and 08 – 15) with assigned CTAS I, II and II

• Non-Admitted Patients (Disposition Codes 01, 04 – 05 and 08 – 15) with missing CTAS

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data), Ministry-LHIN Performance Agreement (MLPA) Report (for final LHIN level data up to and including Q1 of FY 2014-15), Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data beginning in Q2 FY 2014-15)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

 iPort, Cancer Care Ontario (for interim data and facility level data), Ministry-LHIN Performance Agreement (MLPA) Report (for final LHIN level data up to and including Q1 of FY 2014-15), Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data beginning in Q2 FY 2014-15)

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency cataract surgery

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for cataract surgery

DEFINITION: The percent of non-emergency cataract surgery completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the patient and surgeon decide to proceed with surgery until the day the procedure is conducted. The values being reported are for discrete quarters. "Priority I" cases (immediate surgery required) are not included in this indicator. "Priority II" cases have a target of 42 days (6 weeks) and indicate that the condition significantly impacts the patient's day to day activities, that there is a high probability of disease progression and constant, frequent or severe pain/symptoms. "Priority III" cases have a target of 84 days (12 weeks) and indicates that the condition moderately impacts the patient's day to day activities, that there is a moderate probability of disease progression and moderate or occasional pain/symptoms. "Priority IV" cases have a target of 182 days (26 weeks) and indicate that the surgery is elective, the condition has minimal impact on the patient's day to day activities, and there is minimal risk to waiting.

NUMERATOR: Number of cataract surgeries with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of cataract surgeries

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: • All closed Wait List Entries with procedure dates within date range submitted by hospitals through the Wait Time Information System.

• Patient age greater than equals to 18 years old on the day the procedure was completed.

• Procedures No Longer required (or cancelled cases) are excluded from wait time calculation.

• Procedures assigned as priority level 1 cases are excluded from wait time calculation. Cases with missing priority levels are also excluded.

• Wait list entries identified by hospitals as data entry errors are excluded.

• If unavailable days fall outside the decision to treat date up to procedure date, unavailable days are not deducted from patients’ wait days. These are considered data entry errors.

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data); Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency hip-replacements

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for hip-replacements

DEFINITION: The percent of non-emergency hip replacement procedures completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the patient and surgeon decide to proceed with surgery until the day the procedure is conducted. The values being reported are for discrete quarters. "Priority I" cases (surgery is urgently required) are not included in this indicator. "Priority II" cases have a target of 42 days (6 weeks) and indicate that the patient has severe pain affecting independence and a high probability of disease progression. "Priority III" cases have a target of 84 days (12 weeks) and indicate that the patient has moderate pain and disability, and the disease progression is moderate. "Priority IV" cases have a target of 182 days (26 weeks) and indicate that the patient has minimal pain and disability, and the disease progression is minimal.

NUMERATOR: Number of non-emergency hip replacements with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of non-emergency hip replacements 

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: • All closed wait list entries with procedure dates within date range submitted by hospitals through the WTIS.

• Patient age greater than or equal to 18 years old on the day the procedure was completed.

• Procedures no longer required (or cancelled cases) are excluded from wait time calculation.

• Procedures assigned as priority level 1 cases are excluded from wait time calculation. Cases with missing priority levels are also excluded.

• Wait list entries identified by hospitals as data entry errors are excluded.

• If unavailable days fall outside the decision to treat date up to procedure date, unavailable days are not deducted from patients’ wait days. These are considered data entry errors. 

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data); Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency knee replacements

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for knee-replacements

DEFINITION: The percent of non-emergency knee replacement procedures completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the patient and surgeon decide to proceed with surgery until the day the procedure is conducted. The values being reported are for discrete quarters. "Priority I" cases (surgery is urgently required) are not included in this indicator. "Priority II" cases have a target of 42 days (6 weeks) and indicate that the patient has severe pain affecting independence and a high probability of disease progression. "Priority III" cases have a target of 84 days (12 weeks) and indicate that the patient has moderate pain and disability, and the disease progression is moderate. "Priority IV" cases have a target of 182 days (26 weeks) and indicate that the patient has minimal pain and disability, and the disease progression is minimal.

NUMERATOR: Number of non-emergency knee replacements with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of non-emergency knee replacements 

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: • All closed wait list entries with procedure dates within date range submitted by hospitals through the WTIS.

• Patient age greater than or equal to 18 years old on the day the procedure was completed.

• Procedures no longer required (or cancelled cases) are excluded from wait time calculation.

• Procedures assigned as priority level 1 cases are excluded from wait time calculation. Cases with missing priority levels are also excluded.

• Wait list entries identified by hospitals as data entry errors are excluded.

• If unavailable days fall outside the decision to treat date up to procedure date, unavailable days are not deducted from patients’ wait days. These are considered data entry errors.

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data); Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data). 

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME 

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency cancer surgery

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for cancer surgery

DEFINITION: The percent of non-emergency cancer surgeries completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the patient and surgeon decide to proceed with surgery until the day the procedure is conducted. The values being reported are for discrete quarters. "Priority I" cases (immediately life threatening) are not included in this indicator. "Priority II" cases have a target of 14 days (2 weeks) and indicate that the patient has been diagnosed with very aggressive tumours such as central nervous system (CNS) cancer. "Priority III" cases have a target of 28 days (4 weeks) and indicate that the patient has known or suspected invasive cancer that does not fall into priority II or IV. "Priority IV" cases have a target of 84 days (12 weeks) and indicate that the patient has been diagnosed with a slow growing cancer.

NUMERATOR: Number of non-emergency cancer surgeries with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of non-emergency cancer surgeries

DENOMINATOR INCLUSIONS: N/A 

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: • All closed wait list entries with procedure dates within date range.

• Must be 18 and older on the day the procedure was completed.

• Procedures no longer required are excluded from wait time calculation.

• Includes treatment for cancer procedures only. Procedures classified as “NA” are currently included. Diagnostic, palliative and reconstructive cancer procedures are excluded. Procedures on skin - carcinoma, skin-melanoma, and lymphomas are also excluded.

• Procedures assigned as priority level 1 are excluded from wait time calculation. Cases with missing priority levels are also excluded.

• Wait list entries identified by hospitals as data entry errors are also excluded.

• If unavailable days fall outside the decision to treat date up to procedure date, unavailable days are not deducted from patients’ wait days. These are considered data entry errors.

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data); Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency cardiac-bypass surgery

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for cardiac by-pass surgery

DEFINITION: The percent of non-emergency cardiac by-pass surgery completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the patient and surgeon decide to proceed with surgery until the day the procedure is conducted. The values being reported are for discrete quarters. "Priority I" cases (immediately life threatening) are not included in this indicator. "Priority II" cases have a target of 14 days (2 weeks) and indicates that the surgery is urgent. "Priority III" cases have a target of 42 days (6 weeks) and indicates that the surgery is semi-urgent. "Priority IV" cases have a target of 90 days and indicates that the surgery is elective.

NUMERATOR: Number of non-emergency cardiac bypass surgery cases with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of non-emergency cardiac bypass surgeries

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: • All Wait List Entries, off-listed as ‘Procedure Started’ with procedure dates within date range submitted by hospitals to the CCN Cardiac Registry.

• Only isolated CABG surgery cases are included in the calculation. CABG surgery cases done in conjunction with other cardiac surgery procedures (i.e., valve surgery) are excluded.

• Cases with missing priority levels are excluded from the wait time calculation.

• Dates during which time a procedure is unable to take place for patient related and/or clinical reasons (Dates Affecting Readiness to Treat [DARTs]) are excluded from the wait time calculation.

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final data)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME 

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency MRIs

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for MRI scans

DEFINITION: The percent of non-emergency Magnetic Resonance Imaging (MRI) scans that are completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the order for an MRI was received to the actual service date. Values being reported are for discrete quarters. "Priority I" cases (emergent) are not included in this indicator. "Priority II" cases have potential for deterioration and have a target of 2 days. "Priority III" cases are categorized as semi-urgent (i.e. cancer restaging) and have a target of 2 - 10 days. "Priority IV" cases are categorized as non-urgent and have a target of 28 days (4 weeks).

NUMERATOR: Number of non-emergency  MRI scans with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of non-emergency MRI scans completed

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A

INCLUSIONS/EXCLUSIONS: • All closed wait list entries with procedure dates within date range submitted by hospitals through the Wait Time Information System.

• Patient age greater than or equal to 18 years old on the day the procedure was completed.

• Procedures no longer required (or cancelled cases) are excluded from wait time calculation.

• Procedures assigned as priority level 1 cases are excluded from wait time calculation. Cases with missing priority levels are also excluded.

• Wait list entries identified by hospitals as data entry errors are excluded.

• If unavailable days fall outside the decision to treat date up to procedure date, unavailable days are not deducted from patients’ wait days. These are considered data entry errors.

• Diagnostic Imaging (DI) cases classified as specified date procedures (timed procedures) are excluded from wait time calculation.

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data); Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will receive timely access to non-emergency CTs

INDICATOR NAME (TECHNICAL): Percent of priority II, III, and IV cases completed within access target for CT scans

DEFINITION: The percent of non-emergency Computed Tomography (CT) scans that are completed within the Ontario wait times targets. This indicator includes priority II, III and IV cases, as prioritized by the ordering physician's determination of the patient's need for the procedure. The wait time is measured from the day the order for a CT scan was received to the actual service date. Values being reported are for discrete quarters. "Priority I" cases (emergent) are not included in this indicator. "Priority II" cases have potential for deterioration and have a target of 2 days. "Priority III" cases are categorized as semi-urgent (i.e. cancer restaging) and have a target of 2 - 10 days. "Priority IV" cases are categorized as non-urgent and have a target of 28 days (4 weeks).

NUMERATOR: Number of non-emergency CT scans with a wait time less than or equal to the target.

NUMERATORINCLUSIONS: N/A

NUMERATOR EXCLUSIONS: N/A

DENOMINATOR: Number of non-emergency CT scans completed

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A 

INCLUSIONS/EXCLUSIONS: • All closed wait list entries with procedure dates within date range submitted by hospitals through the Wait Time Information System.

• Patient age greater than or equal to 18 years old on the day the procedure was completed.

• Procedures no longer required (or cancelled cases) are excluded from wait time calculation.

• Procedures assigned as priority level 1 cases are excluded from wait time calculation. Cases with missing priority levels are also excluded.

• Wait list entries identified by hospitals as data entry errors are excluded.

• If unavailable days fall outside the decision to treat date up to procedure date, unavailable days are not deducted from patients’ wait days. These are considered data entry errors.

• Diagnostic Imaging (DI) cases classified as specified date procedures (timed procedures) are excluded from wait time calculation.

DATA SOURCE(S): iPort, Cancer Care Ontario (for interim data and facility level data); Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final LHIN level data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME 

INDICATOR NAME (DISPLAYED): Fewer residents will have repeat visits to the emergency department for Mental Health Conditions

INDICATOR NAME (TECHNICAL): Repeat unscheduled emergency visits within 30 days for Mental Health Conditions

DEFINITION: The percent of unscheduled emergency room visits for a mental health (MH) condition that are followed by another emergency room visit for mental health or substance abuse (SA) within 30 days. The values being reported are for discrete quarters.

NUMERATOR: Number of mental health visits that have a repeat mental health or substance abuse ED visit within 30 days

NUMERATORINCLUSIONS: Cases in the denominator that have an unscheduled ED visit within 30 days with a Main Problem Diagnosis beginning with "F"

NUMERATOR EXCLUSIONS: • Visits for those without a valid health card number;

• Visits for those without a valid registration date.

DENOMINATOR: Number of mental health ED visits

DENOMINATOR INCLUSIONS: All ICD-10-CA codes beginning with ‘F’, excluding Substance Abuse (F10-F19), as the Main Problem Diagnosis

DENOMINATOR EXCLUSIONS: • Visits for those without a valid health card number;

• Visits for those without a valid registration date.

INCLUSIONS/EXCLUSIONS: N/A

DATA SOURCE(S): Ministry-LHIN Performance Agreement (MLPA), MOHLTC (for data up to and including Q3 of FY 2014-15), Ministry-LHIN Accountability Agreement (MLAA), MOHLTC (for data beginning in Q4 of FY 2014-15)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

Note that the LHIN-level results are based on "LHIN of Patient" (the LHIN where the patient lives), as opposed to "LHIN of Hospital" (the LHIN of the hospital that the patient visits).

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Fewer residents will have repeat visits to the emergency department for Substance Abuse

INDICATOR NAME (TECHNICAL): Repeat unscheduled emergency visits within 30 days for Substance Abuse Conditions

DEFINITION: The percent of unscheduled emergency room visits for substance abuse that are followed by another emergency room visit for mental health or substance abuse within 30 days. The values being reported are for discrete quarters.

NUMERATOR: Number of substance abuse visits that have a repeat mental health or substance abuse ED visit within 30 days

NUMERATORINCLUSIONS: Cases in the denominator that have an unscheduled ED visit within 30 days with a Main Problem Diagnosis beginning with "F"

NUMERATOR EXCLUSIONS: • Visits for those without a valid health card number;

• Visits for those without a valid registration date.

DENOMINATOR: Number of substance abuse ED visits

DENOMINATOR INCLUSIONS: ICD-10-CA codes beginning with ‘F10’-‘F19’ as the Main Problem Diagnosis.

DENOMINATOR EXCLUSIONS: • Visits for those without a valid health card number.

• Visits for those without a valid registration date. 

INCLUSIONS/EXCLUSIONS: N/A

DATA SOURCE(S): Ministry-LHIN Performance Agreement (MLPA), MOHLTC (for data up to and including Q3 of FY 2014-15), Ministry-LHIN Accountability Agreement (MLAA), MOHLTC (for data beginning in Q4 of FY 2014-15)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

Note that the LHIN-level results are based on "LHIN of Patient" (the LHIN where the patient lives), as opposed to "LHIN of Hospital" (the LHIN of the hospital that the patient visits).

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Percent of palliative care patients discharged from hospital with home support

INDICATOR NAME (TECHNICAL): Percent of palliative care patients discharged from hospital with home support

DEFINITION: The percent of palliative patients discharged from acute care hospitals to home with support, out of all palliative patients discharged from acute care hospitals to home. The values being reported are for discrete quarters.

NUMERATOR: Palliative patients discharged from hospital to home with support.

NUMERATORINCLUSIONS: • Includes patients with palliative care diagnosis (Z515) or main patient service of palliative care (058) while in hospital

• Includes patients discharged from hospital to home, with support (Discharge Disposition code = 04)

NUMERATOR EXCLUSIONS: • Excludes patients discharged to other residential settings such as long-term care, nursing homes and hospice

• Excludes patients with invalid LHIN numbers

 

DENOMINATOR: All palliative patients discharged home from hospital.

DENOMINATOR INCLUSIONS: • Includes patients with palliative care diagnosis (Z515) or main patient service of palliative care (058) while in hospital

• Includes patients discharged from hospital to home (Discharge Disposition code = 04 or 05)

DENOMINATOR EXCLUSIONS: • Excludes patients discharged to other residential settings such as long-term care, nursing homes and hospice

• Excludes patients with invalid LHIN numbers

INCLUSIONS/EXCLUSIONS:

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) - Reports, Ontario Ministry of Health and Long-Term Care (for LHIN level data); Discharge Abstract Database, Ontario Ministry of Health and Long-Term Care: IntelliHEALTH ONTARIO (for facility level data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: 2015-19 Ministry-LHIN Accountability Agreement (MLAA) Performance Indicators Technical Information

LINK TO INDICATOR DEFINITION: N/A

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Following service authorization, residents with complex needs will wait no more than 5 days for in-home personal support worker services

INDICATOR NAME (TECHNICAL): Percentage of home care clients with complex needs who received their personal support visit within 5 days of the date they were authorized for personal support service. 

DEFINITION: The percentage of complex Community Care Access Centre (CCAC) clients who receive their initial personal support service within 5 days of that service being authorized by the CCAC. Complex CCAC clients are people with complex medical, physical, cognitive and/or social conditions or complicating factors. The values being reported are for discrete quarters.

NUMERATOR: Number of complex clients who receive their initial personal support service within 5 days of that service being authorized

NUMERATORINCLUSIONS: • Clients received CCAC in-home personal support service within 5 days from service authorization;

• Same criteria listed in the denominator section.

NUMERATOR EXCLUSIONS: • Children receiving personal support services (Age <= 18);

• Service delivered in school setting (Care Site = 12, 24, 25);

• Episodes of care where service on hold date falls between the service authorization date and first service date.

DENOMINATOR: Number of complex clients who have personal support services authorized.

DENOMINATOR INCLUSIONS: • Clients requested in-home program at the time of referral (Request Program = 1);

• Clients received in-home service (SRC = 91 to 95);

• Clients received personal support services (Service Type = 11, 12, 13, 15);

• Age at service authorization date is greater than 18. 

DENOMINATOR EXCLUSIONS: • Children receiving personal support services (Age <= 18);

• Service delivered in school setting (Care Site = 12, 24, 25);

• Episodes of care where service on hold date falls between the service authorization date

and first service date.

INCLUSIONS/EXCLUSIONS:

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final data).

TIMING: Quarterly 

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Following service authorization, residents will wait no more than 5 days for in-home nursing services

INDICATOR NAME (TECHNICAL): Percentage of home care clients who received their nursing visit within 5 days of the date they were authorized for nursing services

DEFINITION: The percentage of complex Community Care Access Centre (CCAC) clients who receive their initial in-home nursing service within 5 days of that service being authorized by the CCAC. Complex CCAC clients are people with complex medical, physical, cognitive and/or social conditions or complicating factors. The values being reported are for discrete quarters

NUMERATOR: Number of CCAC clients who receive their initial in-home nursing service within 5 days of that service being authorized

NUMERATORINCLUSIONS: • Clients received CCAC in-home nursing service within 5 days from service authorization;

• Same list of criteria as for the denominator.

NUMERATOR EXCLUSIONS: • Shift nursing (Service Type = 2);

• Mental health and addiction nursing service, which is a service delivered in school setting for children (Service Type = 16);

• Children receiving nursing service (Age <= 18);

• Service delivered in school setting (Care Site = 12, 24, 25);

• Episodes of care where service on hold date falls between the service authorization date and first service date. 

DENOMINATOR: Number of clients who have in-home nursing services authorized.

DENOMINATOR INCLUSIONS: • Clients requested in-home program at the time of referral (Request Program = 1);

• Clients received in-home service (SRC = 91 to 95);

• Clients received nursing services (Service Type = 1, 17,18);

• Age at service authorization date is greater than 18. 

DENOMINATOR EXCLUSIONS: • Shift nursing (Service Type = 2);

• Mental health and addiction nursing service, which is a service delivered in school setting

for children (Service Type = 16);

• Children receiving nursing service (Age <= 18);

• Service delivered in school setting (Care Site = 12, 24, 25);

• Episodes of care where service on hold date falls between the service authorization date

and first service date.

INCLUSIONS/EXCLUSIONS: • Includes:

 Community referrals to the CCAC from physicians and other CCACs

• Excludes:

 Referrals to CCAC from hospitals

DATA SOURCE(S): Ministry-LHIN Accountability Agreement (MLAA) Report, MOHLTC (for final data).

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION

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DASHBOARD: 2016-17 ANNUAL PLAN PERFORMANCE OUTCOME

INDICATOR NAME (DISPLAYED): Residents will receive timely access to Community Care Access Centre (CCAC) in-home services from time of application to first CCAC service

INDICATOR NAME (TECHNICAL): 90th percentile wait time from community for CCAC in-home services: application from community setting to first CCAC service (excluding case management)

DEFINITION: 90th percentile wait time for Community Care Access Centres (CCAC) in-home services. This indicator measures the time from when a client in the community applies for service until the first in-home service was provided, excluding case management. The values being reported are for discrete quarters.

NUMERATOR:

NUMERATORINCLUSIONS: • In-Home Program includes requested programs being In-Home (01);

• The Service Receipt Code (SRC) on the first service is in-home which includes acute (91); rehabilitation (92); maintenance (93); long-term supportive (94) or palliative (95);

• Community clients

NUMERATOR EXCLUSIONS: • Community referrals:

a. School, LTC placement and other Programs;

b. Home care episodes with calculated wait time less than 0 or greater than 365 days.

• Episodes with only a case management service.

DENOMINATOR: N/A

DENOMINATOR INCLUSIONS: N/A

DENOMINATOR EXCLUSIONS: N/A 

INCLUSIONS/EXCLUSIONS: N/A

DATA SOURCE(S): Ministry-LHIN Performance Agreement (MLPA), MOHLTC (for data up to and including Q3 of FY 2014-15), Ministry-LHIN Accountability Agreement (MLAA), MOHLTC (for data beginning in Q4 of FY 2014-15)

TIMING: Quarterly

INTERPRETATIONS/LIMITATIONS: The values being reported are for discrete quarters.

 This indicator represents the wait time of the 9th person out of 10 people waiting for CCAC in-home services. In other words, 8 other people had shorter wait times than this number and one had a longer wait time.

SOURCE FOR INDICATOR DEFINITION: MOHLTC Resource for Indicator Standards (RIS)

LINK TO INDICATOR DEFINITION 

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