Indicator Metadata
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Name |
Wait Times for Hip Fracture Repair: From ED Registration (Percentiles) |
Short/Other Names |
Not applicable |
Description |
The number of hours patients waited, from the time of first registration in an emergency department (ED) with a hip fracture (index admission) to the time that patients received hip fracture repair surgery |
Interpretation |
50th percentile means a time period that typical patients have to wait to receive care. 90th percentile means that provinces could treat 90% of patients within that time period. |
HSP Framework Dimension |
Health System Outputs: Access to comprehensive, high-quality health services |
Areas of Need |
Getting Better |
Geographic Coverage |
Newfoundland and Labrador, Prince Edward Island, Ontario, Alberta |
Reporting Level/Disaggregation |
Province/Territory |
Indicator Results |
Name |
Wait Times for Hip Fracture Repair: From ED Registration (Percentiles) |
Short/Other Names |
Not applicable |
Description |
The number of hours patients waited, from the time of first registration in an emergency department (ED) with a hip fracture (index admission) to the time that patients received hip fracture repair surgery |
Calculation: Description |
This indicator is calculated based on National Ambulatory Care Reporting System (NACRS), Discharge Abstract Database (DAD) and provincial wait time data for the first 2 quarters of the fiscal year (April 1 to September 30). Percentiles are obtained by calculating
|
Calculation: Geographic Assignment |
Place of service |
Calculation: Type of Measurement |
Number - 50th percentile, 90th percentile |
Calculation: Adjustment Applied |
None |
Calculation: Method of Adjustment |
Not applicable |
Denominator |
Description: Inclusions:
*Code may be recorded in any position. Procedures coded as out of hospital and abandoned after onset (status attribute = A or OOH indicator flag = Y) are excluded. Exclusions:
|
Numerator |
Description: |
Rationale |
In 2004, Canada's first ministers agreed to work toward reducing wait times for five priority areas: cancer treatment, cardiac care, diagnostic imaging, joint replacement and sight restoration. CIHI was mandated to collect wait time information and monitor provincial progress in meeting benchmarks. Many factors affect wait times, for example, availability of resources, efficiency of a particular facility, seasonal effects, volumes, patient choice, patient condition, follow-up care and/or treatment complexity. This indicator can be used to understand access to care and to know how provinces are performing in terms of providing access to services. |
Interpretation |
50th percentile means a time period that typical patients have to wait to receive care. 90th percentile means that provinces could treat 90% of patients within that time period. |
HSP Framework Dimension |
Health System Outputs: Access to comprehensive, high-quality health services |
Areas of Need |
Getting Better |
Targets/Benchmarks |
Within 48 hours |
References |
Health Canada. A 10-Year Plan to Strengthen Health Care. Updated September 16, 2004. Accessed June 7, 2013. |
Data Sources |
DAD, NACRS, Provincial Wait Times Registry |
Available Data Years |
Type of Year: |
Geographic Coverage |
Newfoundland and Labrador, Prince Edward Island, Ontario, Alberta |
Reporting Level/Disaggregation |
Province/Territory |
Update Frequency |
Every year |
Indicator Results |
Web Tool: |
Updates |
Hip fracture diagnosis must now appear in the index and surgical acute abstracts. Hip fracture must now be the main pre-admit condition in the index hospitalization. Minor changes were made to the episode-building methodology. |
Caveats and Limitations |
There may be some limitations in terms of comparability of wait time data each year. Open-year data may not contain complete provincial submissions to CIHI. For more information, visit the Wait Times website (http://waittimes.cihi.ca/procedure/fracture?level=emergency#year |
Trending Issues |
There is a new methodology starting with the 2017 data year that mainly affects surgical volumes. |
Comments |
Not applicable |