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Indicator Metadata

NameDays Waiting for Admission to Inpatient Rehabilitation
Short/Other Names

Not applicable

DescriptionThe average number of days that clients wait, between the Date Ready for Admission to the rehabilitation program and the actual date of admission. Date Ready for Admission is the calendar date that the client is considered appropriate and ready to start a rehabilitation program.
InterpretationA high value indicates that patients waited longer, on average, to be admitted to inpatient rehabilitation; thus a lower average value is desirable.
HSP Framework Dimension

Health System Outputs: Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory

Indicator Results

https://apps.cihi.ca/mstrapp/asp/Main.aspx?Server=apmstrextprd_i&project=Quick%20Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=0A0BC79745F01D5115D31BB17D5BD2B1

Identifying Information
NameDays Waiting for Admission to Inpatient Rehabilitation
Short/Other Names

Not applicable

Indicator Description and Calculation
DescriptionThe average number of days that clients wait, between the Date Ready for Admission to the rehabilitation program and the actual date of admission. Date Ready for Admission is the calendar date that the client is considered appropriate and ready to start a rehabilitation program.
Calculation: Description

This indicator is calculated annually for the most recently completed seven fiscal years. It is calculated as the average (mean and median) number of days between the Date Ready for Admission and the Admission Date.

Excludes episodes for which Date Ready for Admission was coded as "unknown" or the Admission Class Code (type of inpatient rehabilitation admission) was "(un)planned discharge without assessment."

Unit of Analysis: Episode of care

Calculation: Geographic Assignment

Place of service

Calculation: Type of Measurement

Average or mean

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not applicable

Denominator

Description:
Total number of clients admitted to an NRS-participating inpatient rehabilitation facility with a known Date Ready for Admission coded
Inclusions:
1. Clients with a Date Ready for Admission coded as "known"
Exclusions:
1. Clients with an Admission Class Code (type of inpatient rehabilitation admission) coded as "(un)planned discharge without assessment"

Numerator

Description:
Total number of days spent waiting for admission for all clients admitted to an NRS-participating inpatient rehabiliation facility that have a known Date Ready for Admission coded
Inclusions:
1. Clients with a Date Ready for Admission coded as "known"

2. Days spent waiting for admission may include a value of 0 days (that is, episodes in which Date Ready for Admission is the same as the Admission Date).
Exclusions:
1. Clients with an Admission Class Code (type of inpatient rehabilitation admission) coded as "(un)planned discharge without assessment"

Background, Interpretation and Benchmarks
Rationale

This indicator was designed to speak to issues of access to inpatient rehabilitation. The indicator can be affected by the number of patients that have a known and accurate Date Ready for Admission coded. Ideally, there is consistent coding of Date Ready for Admission within and between facilities.

Interpretation

A high value indicates that patients waited longer, on average, to be admitted to inpatient rehabilitation; thus a lower average value is desirable.

HSP Framework Dimension

Health System Outputs: Access to comprehensive, high-quality health services

Areas of Need

Getting Better

Targets/Benchmarks

The target is 0 days waiting for admission. No benchmarks have been identified.

References

Not applicable

Availability of Data Sources and Results
Data Sources

NRS

Available Data Years

Type of Year:
Fiscal
First Available Year:
2009
Last Available Year:
2015

Geographic Coverage

All provinces/territories except Quebec

Reporting Level/Disaggregation

National, Province/Territory

Result Updates
Update Frequency

Every year

Indicator Results

Web Tool:
Quick Stats
URL: https://apps.cihi.ca/mstrapp/asp/Main.aspx?Server=apmstrextprd_i&project=Quick%20Stats&uid=pce_pub_en&pwd=&evt=2048001&visualizationMode=0&documentID=0A0BC79745F01D5115D31BB17D5BD2B1

Updates

Not applicable

Quality Statement
Caveats and Limitations

The NRS frame does not currently contain all inpatient rehabilitation units/facilities in all provinces and territories. Coverage is less than 100% in all jurisdictions except Ontario, P.E.I. and Newfoundland.

Due to the option of coding Date Ready for Admission as "unknown," the number of episodes included in this calculation may be smaller than the overall number of clients receiving inpatient rehabilitation at these sites.

This indicator does not provide specific reasons for delays in admission to rehabilitation. Facilities wishing to track this indicator more closely may consider independently tracking specific reasons for delays in the admission process.

The indicator includes patients who waited 0 days for admission (that is, Date Ready for Admission = Admission Date). The average number of days waiting for admission would be significantly higher if this indicator included only those patients waiting 1 or more days.

Trending Issues

Since 2006, the number of facilities and jurisdictions submitting to the NRS has fluctuated slightly. As well, the proportion of Date Ready for Admission coded as "known" has increased over the years. Due to these changes, any indicator trends identified need to be interpreted carefully, as they may reflect changes in the underlying sample population rather than actual changes in client characteristics and resource utilization.

Comments

In addition to the mean number of Days Waiting for Admission, the Quick Stats report NRS Days Waiting for Admission to Inpatient Rehabilitation also provides the median number of Days Waiting for Admission and the number of cases (episodes) being included in the calculation. A second Quick Stats report entitled NRS Distribution of Days Waiting for Admission to Inpatient Rehabilitation provides counts of cases that fall into various Days Waiting for Admission groups (0 to 3 days, 4 to 7 days, 8 to 10 days, etc.).

The number of cases and the median and mean values in this report can be further subdivided by Rehabilitation Client Group (the rehabilitation condition that best describes the primary reason for admission to the rehabilitation program), referral source (the facility/agency/individual who initiated the referral) and fiscal year.