Indicator Metadata
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- Detailed View
Name |
30-Day Readmission for Mood Disorders |
Short/Other Names |
Not applicable |
Description |
The indicator measures the risk-adjusted rate of mental illness* readmission following discharge for a mood disorder. Note For further details, please see the General Methodology Notes (PDF). |
Interpretation |
Lower rates are desirable. |
HSP Framework Dimension |
Health System Outputs: Person-centred |
Areas of Need |
Living With Illness, Disability or Reduced Function |
Geographic Coverage |
All provinces/territories |
Reporting Level/Disaggregation |
National, Province/Territory, Region |
Indicator Results |
https://www.cihi.ca/sites/default/files/document/hmhdb-supplementary-tables-2018-2019-en.xlsx |
Name |
30-Day Readmission for Mood Disorders |
Short/Other Names |
Not applicable |
Description |
The indicator measures the risk-adjusted rate of mental illness* readmission following discharge for a mood disorder. Note For further details, please see the General Methodology Notes (PDF). |
Calculation: Description |
Risk-adjusted rate for each region = Observed number of readmissions in each region ÷ Expected number of readmissions in the region × Canadian average readmission rate Unit of Analysis: Episode of care An episode of care refers to all contiguous inpatient hospitalizations in general hospitals and psychiatric facilities and all day surgery visits regardless of diagnoses. To construct an episode of care, a transfer is assumed to have occurred if the following condition is met:
|
Calculation: Geographic Assignment | Place of residence |
Calculation: Type of Measurement |
Rate - per 100 |
Calculation: Adjustment Applied |
The following covariates are used in risk adjustment: |
Calculation: Method of Adjustment |
Logistic regression |
Denominator |
Description:
Exclusions:
|
Numerator |
Description:
|
Rationale |
Readmission to inpatient care may be an indicator of relapse or complications after an inpatient stay. Inpatient care for a person living with a mood disorder aims to stabilize acute symptoms. Once stabilized, the individual is discharged, and subsequent care and support are ideally provided through outpatient and community programs in order to prevent relapse or complications. Discharge planning, continuity of services after discharge and availability of community services and supports are factors that are expected to influence readmission rates. |
Interpretation |
Lower rates are desirable. |
HSP Framework Dimension |
Health System Outputs: Person-centred |
Areas of Need |
Living With Illness, Disability or Reduced Function |
Targets/Benchmarks |
Not applicable |
References |
Agency for Healthcare Research and Quality. Hospital Readmissions Involving Psychiatric Disorders, 2012. May 2015. Hermann R, Mattke S. Selecting Indicators for the Quality of Mental Health Care at the Health System Level in OECD Countries (PDF). 2004. Leslie DL, Rosenheck RA. Comparing quality of mental health care for public-sector and privately insured populations. Psychiatric Services. 2000. Lin E, Durbin J, Zaslavska M, et al. Hospital Report 2007: Mental Health (PDF). 2008 |
Data Sources |
DAD, HMDB, NACRS, OMHRS |
Available Data Years |
Type of Year: |
Geographic Coverage |
All provinces/territories |
Reporting Level/Disaggregation |
National, Province/Territory, Region |
Update Frequency |
Every year |
Indicator Results |
Web Tool: |
Updates |
Not applicable |
Caveats and Limitations |
A patient may have had additional inpatient hospitalizations in psychiatric hospitals that are excluded from the methodology. Potentially, these could be contiguous with hospitalizations in general hospitals that are included in the methodology. Episode building was based only on episodes in general hospitals. |
Trending Issues |
Not applicable |
Comments |
A 30-day readmission can occur in the same facility as the index episode or in a different facility. A readmission can be a planned or unplanned admission. Planned versus unplanned admissions cannot be distinguished in all available data sources. |