Indicator Definitions by Type of Care

You can also view definitions by type of indicator

An indicator is a standardized measure that allows for the evaluation of relative hospital performance against past performance or against the performance of other hospitals.

Acute Care Indicators

  1. Acute: Overall Impressions (Satisfaction Score out of 100) 
  2. Acute: Communication (Satisfaction Score out of 100) 
  3. Acute: Responsiveness (Satisfaction Score out of 100) 
  4. Hospital Standardized Mortality Ratio (Ratio of Actual to Expected Number of Deaths)
  5. Infection Rate: CDAD (Rate per 1,000 Patient Days)
  6. Infection Rate: MRSA (Rate per 1,000 Patient Days)
  7. Infection Rate: VRE (Rate per 1,000 Patient Days)
  8. Central Line Associated Bloodstream Infection Rates (Rate per 1,000 Central Line Days)
  9. Infection Rate: Ventilator Associated Pneumonia (Rate per 1,000 Ventilator Days)
  10. Infection Prevention: Surgical Site (% of Patients)
  11. Hand Hygiene (% Compliance Before Patient Contact)
  12. Hand Hygiene (% Compliance After Patient Contact)

Maternity & Paediatric Care Indicators

  1. Maternity: Adverse Labour and Delivery Events (Rate of Adverse Events)
  2. Paediatric: Overall Impressions (Satisfaction Score out of 100) 
  3. Paediatric: Access (Satisfaction Score out of 100) 
  4. Paediatric: Respect (Satisfaction Score out of 100) 
  5. Paediatric: Coordination (Satisfaction Score out of 100) 
  6. Paediatric: Comfort (Satisfaction Score out of 100) 
  7. Paediatric: Transition to Home (Satisfaction Score out of 100) 

Chronic & Complex Care Indicators

  1. Chronic and Complex: Family Perception of Overall Quality (Satisfaction Score out of 100) 
  2. Chronic and Complex: Family Perception of Care and Services (Satisfaction Score out of 100) 
  3. Chronic and Complex: Family Perception of Communication (Satisfaction Score out of 100) 
  4. Chronic and Complex: Overall Quality (Satisfaction Score out of 100) 
  5. Chronic and Complex: Food and Food Services (Satisfaction Score out of 100) 
  6. Chronic and Complex: Living Environment (Satisfaction Score out of 100)
  7. Chronic and Complex: Leisure (Satisfaction Score out of 100) 
  8. Chronic and Complex: Dignity (Satisfaction Score out of 100) 
  9. Chronic and Complex: Independent Activity (% of Patients)
  10. Chronic and Complex: New Falls (% of Patients)
  11. Chronic and Complex: Pressure Sores (% of Patients)
  12. Chronic and Complex: Physical Restraints (% of Patients)
  13. Infection Rate: CDAD (Rate per 1,000 Patient Days)
  14. Infection Rate: MRSA (Rate per 1,000 Patient Days)
  15. Infection Rate: VRE (Rate per 1,000 Patient Days)
  16. Hand Hygiene (% Compliance Before Patient Contact)
  17. Hand Hygiene (% Compliance After Patient Contact)

Emergency Care Indicators

  1. Emergency: Overall Impressions (Satisfaction Score out of 100) 
  2. Emergency: Communication (Satisfaction Score out of 100) 
  3. Emergency: Responsiveness (Satisfaction Score out of 100) 
  4. Emergency: Wait Time for Complex Conditions (Hours) 
  5. Emergency: Wait Time for Minor Conditions (Hours) 

Mental Health Care Indicators

  1. Mental Health: Unadvised Discharge (% of Patients)
  2. Mental Health: Responsiveness - Current (Perception Score out of 100)
  3. Mental Health: Responsiveness - Discharge (Perception Score out of 100)
  4. Infection Rate: CDAD (Rate per 1,000 Patient Days)
  5. Infection Rate: MRSA (Rate per 1,000 Patient Days)
  6. Infection Rate: VRE (Rate per 1,000 Patient Days)
  7. Hand Hygiene (% Compliance Before Patient Contact)
  8. Hand Hygiene (% Compliance After Patient Contact)

Rehabilitation Care Indicators

  1. Rehabilitation: Overall Quality (Satisfaction Score out of 100) 
  2. Rehabilitation: Outcomes (Satisfaction Score out of 100) 
  3. Rehabilitation: Emotional Support (Satisfaction Score out of 100) 
  4. Rehabilitation: Education (Satisfaction Score out of 100) 
  5. Rehabilitation: Transition to Home (Satisfaction Score out of 100) 
  6. Infection Rate: CDAD (Rate per 1,000 Patient Days)
  7. Infection Rate: MRSA (Rate per 1,000 Patient Days)
  8. Infection Rate: VRE (Rate per 1,000 Patient Days)
  9. Hand Hygiene (% Compliance Before Patient Contact)
  10. Hand Hygiene (% Compliance After Patient Contact)

Acute Care Indicators
 
 
Acute care involves generally short overnight stays for serious health problems. Acute care hospitals provide diagnostic, medical care and surgery for serious or life-threatening conditions such as a heart attack or stroke.  This website rates how well acute care hospitals provide care to general medical and surgical patients, 18 years of age or older, based on seven indicators measuring various aspects of acute care, including patient satisfaction, patient safety and clinical outcomes.  

Acute Care Indicators

Acute: Overall Impressions (Satisfaction Score out of 100) looks at how acute care patients view their total hospital experience, including the overall quality of care and services. A higher score means they trusted their health care team, and they were likely to recommend the hospital.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Acute: Communication (Satisfaction Score out of 100) looks at whether acute care patients felt informed about their condition, how they were doing and how they would recover. A higher score means patients felt they understood what was happening to them and they knew how to care for themselves after leaving the hospital.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Acute: Responsiveness (Satisfaction Score out of 100) considers how acute care was delivered. A higher score means patients felt they could get help when they needed it and the different departments all had the correct information about their care.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Hospital Standardized Mortality Ratio (Ratio of Actual to Expected Number of Deaths) compares the actual number of deaths in a hospital to the number that would have been expected based on the types of patients the hospital treats. A number below 100 is considered to be below the national experience, i.e., better.  But the Hospital Standardized Mortality Ratio (HSMR) should not be used as a guide for choosing a hospital and is not intended for comparisons between hospitals. Instead, health system leaders may use the number to monitor changes over time and identify areas for organizational or system-wide improvements. For more details on this indicator, visit the original source: Hospital Standardized Mortality Ratio by the Hospital Report Research Collaborative (HRRC).

Infection Rate: CDAD (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a clostridium difficile associated disease (CDAD) – a disease that damages the bowel and causes diarrhea. The effects of CDAD are usually mild, but sometimes can be severe.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Clostridium Difficile Associated Disease (CDAD) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: MRSA (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to a broad class of antibiotics, including penicillin and can cause infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Methicillin Resistant Staphylococcus Aureus (MRSA) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: VRE (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to the antibiotic vancomycin and causes difficult-to-treat infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Vancomycin Resistant Enterococcus (VRE) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Central Line Associated Bloodstream Infection Rates (Rate per 1,000 Central Line Days) show the rate of patients who, while in hospital, developed an infection in the bloodstream from the central venous catheter (or “line”) placed into their vein. When a patient requires long-term access to medication or fluids through an IV, a central line is put in place. A central line blood stream infection can occur when bacteria and/or fungi enters the blood stream, causing a patient to become sick. The bacteria can come from a variety of places (e.g., skin, wounds, environment, etc.), though it most often comes from the patient’s skin. Hospitals follow best practices on how to prevent bacteria from entering into a central line. This indicator helps health system leaders identify areas of improvement for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Central Line-Associated Primary Bloodstream Infection (CLI) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: Ventilator Associated Pneumonia (Rate per 1,000 Ventilator Days) shows the rate of patients who, while in a hospital intensive care unit (ICU), developed a serious lung infection while receiving assistance with breathing through external breathing support (a ventilator).  Patients who are mechanically ventilated are very sick, and do not have normal breathing reflexes to help them clear their lungs. Health care professionals working in an ICU do their best to keep patients lungs healthy, but patients are still at risk for developing pneumonia. This indicator helps health system leaders identify areas of improvement for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Ventilator Associated Pneumonia (VAP) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Prevention: Surgical Site (% of Patients) shows the percent of patients 18 years of age or older who received antibiotics within the appropriate time period prior to undergoing primary hip/knee joint replacement surgery. Antibiotics are given close to the time of these surgeries to prevent infections of the surgical site. Surgical site infections can occur when bacteria that live underneath or on the surface of the patient's skin get into the cut (incision) the surgeon makes in the skin to perform the operation.  This indicator shows the percent of all eligible patients who get antibiotics at the right time, just before a “first time” joint replacement surgery and helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, and a SSI prevention fact sheet that contains patient risk factors for surgical site infection, visit the original source: Patient Safety Indicators - Surgical Site Infections (SSI) by the Ontario Ministry of Health and Long-Term Care (MOHLTC). 

Hand Hygiene (% Compliance Before Patient Contact) shows the hand-cleaning compliance rate before initial contact with the patient/patient environment for all health care providers. What this measures is how often hospital workers clean their hands just before they touch a patient, or the immediate space around the patient's bed to provide care.  For example, if hand cleaning was performed 50 times before initial patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance After Patient Contact) shows the hand-cleaning compliance rate after contact with the patient/patient environment for all health care providers.  What this measures is how often hospital workers clean their hands after they touch a patient, or the immediate space around the patient's bed, and leave to go to their next task. For example, if hand cleaning was performed 50 times after patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Maternity and Paediatric Care Indicators

Maternity and paediatric care fall under acute care (generally short overnight stays for serious health problems).  This website rates how well hospitals deliver maternity care based on adverse events experienced by women undergoing labour and delivery.  It also rates how well hospitals deliver paediatric care based on the parent's or guardian's satisfaction with various aspects of care delivered to their child (ages 0 to 17 years old).

Maternity and Paediatric Care Indicators

Maternity: Adverse Labour and Delivery Events (Rate of Adverse Events) shows the rate of adverse events (uterine rupture, heart attack, or excessive bleeding, for example) in patients undergoing labour and/or delivery. A lower rate is considered better since it shows that a smaller percentage of patients had adverse events.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Paediatric: Overall Impressions (Satisfaction Score out of 100) looks at how parents whose children are in acute care view the total hospital experience including the overall quality of care for their child and the services they received at the hospital. A higher number means they trusted their doctors and nurses, felt it was easy to visit and stay with their child and that they would recommend the hospital.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Paediatric: Access (Satisfaction Score out of 100) evaluates the extent to which parents whose children are in acute care felt they could speak with or get help from nurses and doctors. A higher score means parents ultimately felt good about the care and services their child receivedFor more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Paediatric: Respect (Satisfaction Score out of 100) evaluates whether parents whose children are in acute care felt they and their child were treated with courtesy and respect. For example, did a child receive privacy when doctors or nurses cared and spoke with him/her?  A higher number means they felt respect was shownFor more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Paediatric: Coordination (Satisfaction Score out of 100) evaluates the extent to which parents whose children are in acute care felt the different hospital departments worked together to ensure smooth transitions between places and services. A higher number means they were well cared for in Emergency, for example, moved easily through admissions and did not wait long to be admitted.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Paediatric: Comfort (Satisfaction Score out of 100) evaluates how parents whose children are in acute care felt the hospital managed their child’s pain. A higher score means staff asked the child about his/her pain regularly and responded quickly to manage the situation.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

Paediatric: Transition to Home (Satisfaction Score out of 100) evaluates the extent to which parents whose children are in acute care felt they received the help, information, and support they needed to care for their child at home. A higher score means they felt prepared to give their child the new medicines, knew how to take care of him/her and what danger signs to watch for.  For more details on this indicator, visit the original source: Hospital Performance Results - Acute Care by the Hospital Report Research Collaborative (HRRC).

 

Chronic and Complex Care Indicators

Chronic and Complex Care (or "Complex Continuing Care") provides services for patients with medically complex conditions who no longer need acute care, but whose condition still requires a hospital stay, including regular on-site physician care and assessment, and active care.  This website rates how well hospitals deliver chronic and complex care based on eight indicators evaluating patient and family satisfaction, as well as four indicators measuring clinical outcomes such as the use of physical restraints and new falls by patients. 

Chronic and Complex Care Indicators

Chronic and Complex: Family Perception of Overall Quality (Satisfaction Score out of 100) looks at how the families of patients view the overall quality of care and services their family member received. A higher score means they felt the family member’s needs were met with dignity, staff provided tender and loving care, and family members were likely to recommend this hospital.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Family Perception of Care and Services (Satisfaction Score out of 100) looks at how patients' families see the care their family member received. A higher score shows they were very satisfied with the way staff addressed a patient's specific needs and provided individualized care. A higher number also shows families are confident the patient was well taken care of when they are not present.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Family Perception of Communication (Satisfaction Score out of 100) looks at how patients' families felt about their interactions with staff and whether they felt welcome on the unit. A higher number means they were kept informed about the patient and involved in planning for his/her care.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Overall Quality (Satisfaction Score out of 100) examines how patients would rate the care they received overall on a scale from terrible to excellent. A higher number means that they were very satisfied and that they would be very likely to recommend the hospital.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Food and Food Services (Satisfaction Score out of 100) looks at whether patients felt satisfied with the food selection and availability. A higher score means that they felt there was a variety of good food, that it was available when they were hungry, and that they received help eating if required.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Living Environment (Satisfaction Score out of 100) looks at whether patients felt satisfied with the facility as a place to live. A higher score means that they found it comfortable, that it was clean and tidy, that they felt their belongings were safe and that it was generally well maintained. It also considers whether patients had any safety concerns over their rooms and whether they were bothered by noises or smells.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Leisure (Satisfaction Score out of 100) looks at whether patients felt satisfied with the personal and communal activities available. A higher score means they knew about and participated in group activities, that they were satisfied with the entertainment and games available and that they received help participating if needed.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Dignity (Satisfaction Score out of 100) examines how patients would rate the manner in which they were treated. A higher score means they felt their privacy was respected, they were not ignored or taken advantage of, and staff called them by name.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Independent Activity (% of Patients) looks at the percentage of patients who have demonstrated growing independence over a typical 90-day period. A higher number means most of the hospitals' chronically ill patients are showing improvements in their ability to perform daily living activities.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: New Falls (% of Patients) estimates the percentage of patients without a recent history of falling who fell during a typical 90-day period. A lower number is better since it shows a smaller percentage of patients had new falls.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Pressure Sores (% of Patients) estimates the percentage of patients in a typical 90-day period that had a pressure ulcer at any stage of development. A pressure ulcer starts as reddened skin but gets progressively worse, forming a blister, then an open sore, and finally a crater. A lower number is considered better since a smaller percentage of patients suffer from pressure sores.  For more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Chronic and Complex: Physical Restraints (% of Patients) estimates the percentage of patients who were physically restrained, on a daily basis, during a typical 90-day period. A lower number is generally considered to reflect better performanceFor more details on this indicator, visit the original source: Hospital Performance Results - Complex Continuing Care by the Hospital Report Research Collaborative (HRRC).

Infection Rate: CDAD (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a clostridium difficile associated disease (CDAD) – a disease that damages the bowel and causes diarrhea. The effects of CDAD are usually mild, but sometimes can be severe.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Clostridium Difficile Associated Disease (CDAD) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: MRSA (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to a broad class of antibiotics, including penicillin and can cause infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Methicillin Resistant Staphylococcus Aureus (MRSA) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: VRE (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to the antibiotic vancomycin and causes difficult-to-treat infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Vancomycin Resistant Enterococcus (VRE) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance Before Patient Contact) shows the hand-cleaning compliance rate before initial contact with the patient/patient environment for all health care providers. What this measures is how often hospital workers clean their hands just before they touch a patient, or the immediate space around the patient's bed to provide care.  For example, if hand cleaning was performed 50 times before initial patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance After Patient Contact) shows the hand-cleaning compliance rate after contact with the patient/patient environment for all health care providers.  What this measures is how often hospital workers clean their hands after they touch a patient, or the immediate space around the patient's bed, and leave to go to their next task. For example, if hand cleaning was performed 50 times after patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC). 

Emergency Care Indicators

While a patient is in the emergency department, doctors and nurses may be diagnosing or treating his/her condition, or ordering tests and waiting for results in order to determine what treatment to provide.  This website rates how well hospitals deliver emergency care based on patient satisfaction and wait times.  Note that wait times on this website are not real-time data and should not be used to assess the time you may spend in the emergency department today. 

Emergency Care Indicators

Emergency: Overall Impressions (Satisfaction Score out of 100) looks at how patients view their emergency department experience, including the overall quality of care and services they received. A higher score means they trusted their doctors and nurses, and that they were likely to recommend this emergency department.  For more details on this indicator, visit the original source: Hospital Performance Results - Emergency Department Care by the Hospital Report Research Collaborative (HRRC).

Emergency: Communication (Satisfaction Score out of 100) looks at whether patients felt informed about their stay in Emergency. A higher score means they were given answers they could understand, informed about delays and left understanding how to care for themselves and who to call with questions.  For more details on this indicator, visit the original source: Hospital Performance Results - Emergency Department Care by the Hospital Report Research Collaborative (HRRC).

Emergency: Responsiveness (Satisfaction Score out of 100) considers whether patients felt they received the care they needed. A higher score means patients felt they did not have to wait long to see a doctor or get tests. It also means they felt staff helped control pain, and the nurses and doctors worked well together.  For more details on this indicator, visit the original source: Hospital Performance Results - Emergency Department Care by the Hospital Report Research Collaborative (HRRC).

Emergency: Wait Time for Complex Conditions (Hours) shows the maximum amount of time 9 out of 10 patients spend in an emergency department receiving care for complex conditions. The wait time, for this indicator, begins when patients are registered and ends when they are admitted to a hospital bed. Ordering tests and waiting for results in order to determine the best course of treatment will add to total times, as will waiting for a hospital bed to become available. Given these variables, the Ministry of Health and Long-Term Care’s performance target for this indicator is eight hours.  For more details on this indicator, visit the original source: Emergency Room Wait Times by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Emergency: Wait Time for Minor Conditions (Hours) shows the maximum amount of time 9 out of 10 patients spend in an emergency department receiving care for minor or uncomplicated conditions. The wait time, for this indicator, begins when patients are registered and ends when they are sent home. As these patients require less time for diagnosis, treatment and observation, the Ministry of Health and Long-Term Care’s performance target for this indicator is four hours.  For more details on this indicator, visit the original source: Emergency Room Wait Times by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

 

Mental Health Care Indicators

Mental illnesses, also called psychiatric disorders, are similar to physical illnesses in that they may manifest themselves in different forms and to varying degrees. Included under this chronic disease group is schizophrenia, mood disorders, anxiety disorders, eating disorders, concurrent disorders (a condition in which a person has both a mental illness and a substance use problem), and dual diagnosis (an individual with a mental illness and a co-occurring developmental disability). General hospital psychiatric units provide assessment, stabilization and discharge planning for individuals who experience acute, severe psychiatric-related problems, while specialty hospitals provide more comprehensive care to individuals with more complex needs requiring longer lengths of stay.  This website rates how well these hospitals deliver mental health care services based on patient perception of care and patients discharged against medical advice.  

Mental Health Care Indicators

Mental Health: Unadvised Discharge (% of Patients) compares the number of mental health patients discharged against medical advice to the total number of mental health discharges. A lower rate is considered better as it shows more patients completed their hospital stays to the satisfaction of treatment teams.  For more details on this indicator, visit the original source: Hospital Performance Results - Mental Health by the Hospital Report Research Collaborative (HRRC).

Mental Health: Responsiveness - Current (Perception Score out of 100) looks at how patients of specialty hospital programs felt about responsiveness of staff. A high number means they felt that they had good access to staff, for example, could see a psychiatrist, access other staff when they wanted, and knew to whom they should address any concerns.  For more details on this indicator, visit the original source: Hospital Performance Results - Mental Health by the Hospital Report Research Collaborative (HRRC).

Mental Health: Responsiveness - Discharge (Perception Score out of 100) looks at how patients at discharge from an acute care program felt about responsiveness of staff. A high number means they felt admissions were organized and that it did not take long to get a room. They also felt that they had good access to staff, for example, could see a psychiatrist, access other staff when they wanted, and knew to whom they should address any concerns.  For more details on this indicator, visit the original source: Hospital Performance Results - Mental Health by the Hospital Report Research Collaborative (HRRC).

Infection Rate: CDAD (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a clostridium difficile associated disease (CDAD) – a disease that damages the bowel and causes diarrhea. The effects of CDAD are usually mild, but sometimes can be severe.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Clostridium Difficile Associated Disease (CDAD) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: MRSA (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to a broad class of antibiotics, including penicillin and can cause infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Methicillin Resistant Staphylococcus Aureus (MRSA) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: VRE (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to the antibiotic vancomycin and causes difficult-to-treat infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Vancomycin Resistant Enterococcus (VRE) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance Before Patient Contact) shows the hand-cleaning compliance rate before initial contact with the patient/patient environment for all health care providers. What this measures is how often hospital workers clean their hands just before they touch a patient, or the immediate space around the patient's bed to provide care.  For example, if hand cleaning was performed 50 times before initial patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance After Patient Contact) shows the hand-cleaning compliance rate after contact with the patient/patient environment for all health care providers.  What this measures is how often hospital workers clean their hands after they touch a patient, or the immediate space around the patient's bed, and leave to go to their next task. For example, if hand cleaning was performed 50 times after patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC). 

Rehabilitation Care Indicators

Rehabilitation is a progressive, dynamic, goal-oriented and often time-limited process that enables an individual with an impairment to identify and reach his/her optimal mental, physical, cognitive and/or social functional level.  A key component in assessing rehabilitation performance is the client’s perspective, which is integral to rehabilitation’s client-centred approach of considering what parts of care matter most to the clients.  This website rates how well hospitals provide rehabilitation based on five client perspective indicators.

Rehabilitation Care Indicators

Rehabilitation: Overall Quality (Satisfaction Score out of 100) considers how clients felt about the overall experience on a scale from excellent to poor. A higher score indicates a more positive perception of the hospital’s quality of care.  For more details on this indicator, visit the original source: Hospital Performance Results - Rehabilitation by the Hospital Report Research Collaborative (HRRC).

Rehabilitation: Outcomes (Satisfaction Score out of 100) examines how clients felt about their rehabilitation progress. A higher score means they felt they were kept well-informed about their progress in areas important to them, they accomplished what they expected, the process was collaborative and they learned to manage their condition at home.  For more details on this indicator, visit the original source: Hospital Performance Results - Rehabilitation by the Hospital Report Research Collaborative (HRRC).

Rehabilitation: Emotional Support (Satisfaction Score out of 100) examines whether clients felt they were treated with dignity and respect, i.e., as a person instead of just another case. A higher score means patients felt their fears and anxieties were addressed and that they were comfortable expressing their feelings to staff.  For more details on this indicator, visit the original source: Hospital Performance Results - Rehabilitation by the Hospital Report Research Collaborative (HRRC).

Rehabilitation: Education (Satisfaction Score out of 100) looks at whether clients felt they received a good balance of information. A higher number means that they received information when they wanted it and in a way they could understand. The education helped them understand their therapy program and what to expect when they got home.  For more details on this indicator, visit the original source: Hospital Performance Results - Rehabilitation by the Hospital Report Research Collaborative (HRRC).

Rehabilitation: Transition to Home (Satisfaction Score out of 100) looks at whether clients felt ready to go home when they were discharged. A higher score means they felt prepared and knew enough about their condition and their medications. It also considers if staff helped to arrange follow-up and home care.  For more details on this indicator, visit the original source: Hospital Performance Results - Rehabilitation by the Hospital Report Research Collaborative (HRRC).

Infection Rate: CDAD (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a clostridium difficile associated disease (CDAD) – a disease that damages the bowel and causes diarrhea. The effects of CDAD are usually mild, but sometimes can be severe.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Clostridium Difficile Associated Disease (CDAD) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: MRSA (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to a broad class of antibiotics, including penicillin and can cause infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Methicillin Resistant Staphylococcus Aureus (MRSA) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Infection Rate: VRE (Rate per 1,000 Patient Days) shows the rate of patients who, while in the hospital, developed a type of bacteria in the bloodstream that is resistant to the antibiotic vancomycin and causes difficult-to-treat infections.  This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Vancomycin Resistant Enterococcus (VRE) by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance Before Patient Contact) shows the hand-cleaning compliance rate before initial contact with the patient/patient environment for all health care providers. What this measures is how often hospital workers clean their hands just before they touch a patient, or the immediate space around the patient's bed to provide care.  For example, if hand cleaning was performed 50 times before initial patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC).

Hand Hygiene (% Compliance After Patient Contact) shows the hand-cleaning compliance rate after contact with the patient/patient environment for all health care providers.  What this measures is how often hospital workers clean their hands after they touch a patient, or the immediate space around the patient's bed, and leave to go to their next task. For example, if hand cleaning was performed 50 times after patient/patient environment contact by all health care providers and there are 100 observed hand hygiene indications, the compliance rate is 50%. This indicator helps health system leaders identify improvements for infection prevention and control.  For more details on this indicator, visit the original source: Patient Safety Indicators - Hand Hygiene by the Ontario Ministry of Health and Long-Term Care (MOHLTC).


 



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