<div id="summaryView" role="tabpanel" aria-labelledby="tabSummaryView">
Name
Patient Flow for Hip Replacement
Short/Other Names

Not applicable

Description

This indicator is a ratio, calculated as the number of separations (discharges and deaths) from acute care/same-day surgery facilities within a given region divided by the number of acute care/same-day surgery separations generated by residents of that region.

For further details, please see the General Methodology Notes.

Interpretation
A ratio of less than 1 indicates that health care utilization by residents of a region exceeded care provided within that region, suggesting an outflow effect. A ratio of greater than 1 indicates that care provided by a region exceeded the utilization by its residents, suggesting an inflow effect. A ratio of 1 indicates that care provided by a region was equivalent to the utilization by its residents, suggesting that inflow and outflow activity, if it existed at all, was balanced. A ratio of 0 is an indication that none of the institutions in the region provided the service and residents received care outside of their region.
HSP Framework Dimension

Health System Outputs: Person-centred

Areas of Need

Getting Better

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

Region

Indicator Results

Accessing Indicator Results on Your Health System: In Depth

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<div id="fullView" role="tabpanel" aria-labelledby="tabFullView">

<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>
Name
Patient Flow for Hip Replacement
Short/Other Names

Not applicable


<div role="button" class="expandableTitle" aria-controls="descAndCalRegion">Indicator Description and Calculation</div>
Description

This indicator is a ratio, calculated as the number of separations (discharges and deaths) from acute care/same-day surgery facilities within a given region divided by the number of acute care/same-day surgery separations generated by residents of that region.

For further details, please see the General Methodology Notes.

Calculation: Description

The indicator is expressed as an overall ratio, calculated for hip replacement.

Ratio = Number in numerator ÷ Number in denominator

Unit of Analysis: Single admission

Calculation: Geographic Assignment

Place of residence or service

Calculation: Type of Measurement

Ratio

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not applicable

Denominator

Description:
Number of separations (discharges and deaths) from acute care facilities generated by residents of the region for hip replacement
Inclusions:
CCI: 1.VA.53.^^ (excluding 1VA53LASLN and 1VA53LLSLN when intervention status attribute does not equal R), 1.SQ.53.^^

Note that procedure codes may be recorded in any position.

Numerator

Description:
Number of separations (discharges and deaths) from acute care facilities within a given region (including non-residents) for hip replacement
Inclusions:
CCI: 1.VA.53.^^ (excluding 1VA53LASLN and 1VA53LLSLN when intervention status attribute does not equal R), 1.SQ.53.^^

Note that procedure codes may be recorded in any position.


<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
Rationale

This indicator reflects the balance between the quantity of hospital stays provided to both residents and non-residents by all relevant facilities (acute care/same-day surgery) in a given region and the extent of utilization by residents of that region, whether they received care within or outside of the region.

Interpretation

A ratio of less than 1 indicates that health care utilization by residents of a region exceeded care provided within that region, suggesting an outflow effect. A ratio of greater than 1 indicates that care provided by a region exceeded the utilization by its residents, suggesting an inflow effect. A ratio of 1 indicates that care provided by a region was equivalent to the utilization by its residents, suggesting that inflow and outflow activity, if it existed at all, was balanced. A ratio of 0 is an indication that none of the institutions in the region provided the service and residents received care outside of their region.

HSP Framework Dimension

Health System Outputs: Person-centred

Areas of Need

Getting Better

Targets/Benchmarks

Not applicable

References

Not applicable


<div role="button" class="expandableTitle" aria-controls="availabilityRegion">Availability of Data Sources and Results</div>
Data Sources

DAD, HMDB

Available Data Years

Type of Year:
Fiscal
First Available Year:
2010
Last Available Year:
2015

Geographic Coverage

All provinces/territories

Reporting Level/Disaggregation

Region


<div role="button" class="expandableTitle" aria-controls="resultRegion">Result Updates</div>
Update Frequency

Every year

Indicator Results

Web Tool:
Your Health System: In Depth
URL:
Accessing Indicator Results on Your Health System: In Depth

Updates

Not applicable


<div role="button" class="expandableTitle" aria-controls="qualityRegion">Quality Statement</div>
Caveats and Limitations

Not applicable

Trending Issues

Not applicable

Comments

Beginning with 2015–2016 data, cement spacers are excluded from hip replacement cases when they are not revisions; comparability with previous years should not be affected.

Results for this indicator are also available in

–The Health Indicators e-publication: http://yourhealthsystem.cihi.ca/epub/?language=en

Note: The indicator's name is displayed as Inflow/Outflow Hip Replacement 20+ in the Health Indicators e-publication tool; data is updated annually starting from 2001–2002.

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