<div id="summaryView" role="tabpanel" aria-labelledby="tabSummaryView">


<table class="confluenceTable">


<tr><td>Name</td><td>

Time in Emergency Department Until Disposition Decision (Hours, Percentile)

</td></tr>

<tr><td>Short/Other Names</td><td>

Not applicable

</td></tr>


<tr><td>Description</td><td>

This indicator measures the time interval between the earlier of Triage Date/Time or Registration Date/Time and the Disposition Date/Time (as determined by the main service provider).

</td></tr>

<tr><td>Interpretation</td><td>

The 90th or 50th percentile of this indicator represents the maximum length of time that 90% or 50% of patients spend in the ED until a visit disposition decision is made.

A small number is desirable for this indicator.

</td></tr>

<tr><td>HSP Framework Dimension</td><td>

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

</td></tr>

<tr><td>Areas of Need</td><td>

Getting Better

</td></tr>

<tr><td>Geographic Coverage</td><td>

Prince Edward Island, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon

</td></tr>


<tr><td>Reporting Level/Disaggregation</td><td>

National, Province/Territory, Region, Facility, Corporation, Peer group

</td></tr>



<tr><td>Indicator Results</td><td>

https://secure.cihi.ca/cas/login?service=https%3A%2F%2Fsecure.cihi.ca%2Fuserprofile%2Fj_spring_cas_security_check

</td></tr>

</table>

</div>





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





<div role="button" class="expandableTitle" aria-controls="identifyingInfoRegion">Identifying Information</div>

<table id="identifyingInfoRegion">

<tr><td>Name</td><td>

Time in Emergency Department Until Disposition Decision (Hours, Percentile)

</td></tr>

<tr><td>Short/Other Names</td><td>

Not applicable

</td></tr>
</table>



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

<table id="descAndCalRegion">

<tr><td>Description</td><td>

This indicator measures the time interval between the earlier of Triage Date/Time or Registration Date/Time and the Disposition Date/Time (as determined by the main service provider).

</td></tr>

<tr><td>Calculation: Description</td><td>

The indicator is measured in hours, usually using the 90th percentile and/or 50th percentile, which represents the maximum length of time that 90% and/or 50% of patients stay in the emergency department (ED) until a visit disposition decision is made.

Unit of analysis: Single ED visit

</td></tr>

<tr><td>Calculation: Geographic Assignment</td><td>

Place of service

</td></tr>

<tr><td>Calculation: Type of Measurement</td><td>

Number - Number of hours, percentile

</td></tr>

<tr><td>Calculation:  Adjustment Applied</td><td>

None

</td></tr>


<tr><td>Calculation:  Method of Adjustment</td><td>

Not applicable

</td></tr>

<tr><td>Denominator</td><td>
</td></tr>

<tr><td>Numerator</td><td>

Description:
All emergency visits
Inclusions:

  1. Unscheduled emergency visits
  2. ED visits with a valid and known Registration Date/Time or Triage Date/Time and a valid and known Disposition Date/Time

Exclusions:

  1. Scheduled emergency visits
  2. ED visit with Visit Disposition = 61 (leave post-registration)
  3. Both Registration and Triage Date/Time are invalid/unknown, or physician Disposition Date/Time is invalid/unknown
    </td></tr>
    </table>
    
    
    
    <div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>
    
    <table id="backgroundRegion">
    
    <tr><td>Rationale</td><td>
    
    Time is crucial to the effectiveness and outcome of patient care, especially for emergency patients. In conjunction with other indicators, this can be used to monitor the total time patients spend in the ED in an effort to improve the efficiency and, ultimately, the outcome of patient care.

Multiple factors can influence the indicator results, including triage level, patient population and hospital resources.

</td></tr>


<tr><td>Interpretation</td><td>

The 90th or 50th percentile of this indicator represents the maximum length of time that 90% or 50% of patients spend in the ED until a visit disposition decision is made.

A small number is desirable for this indicator.

</td></tr>

<tr><td>HSP Framework Dimension</td><td>

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

</td></tr>

<tr><td>Areas of Need</td><td>

Getting Better

</td></tr>

<tr><td>Targets/Benchmarks</td><td>

Not applicable

</td></tr>


<tr><td>References</td><td>

Not applicable

</td></tr>
</table>



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

<table id="availabilityRegion">

<tr><td>Data Sources</td><td>

NACRS

</td></tr>

<tr><td>Available Data Years</td><td>

Type of Year:
Fiscal
First Available Year:
2015
Last Available Year:
2020

</td></tr>

<tr><td>Geographic Coverage</td><td>

Prince Edward Island, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon

</td></tr>


<tr><td>Reporting Level/Disaggregation</td><td>

National, Province/Territory, Region, Facility, Corporation, Peer group

</td></tr>
</table>



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

<table id="resultRegion">

<tr><td>Update Frequency</td><td>

Every month

</td></tr>



<tr><td>Indicator Results</td><td>

Web Tool:
Your Health System: Insight
URL: https://secure.cihi.ca/cas/login?service=https%3A%2F%2Fsecure.cihi.ca%2Fuserprofile%2Fj_spring_cas_security_check

</td></tr>

<tr><td>Updates</td><td>

Not applicable

</td></tr>
</table>



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

<table id="qualityRegion">

<tr><td>Caveats and Limitations</td><td>

Not applicable

</td></tr>


<tr><td>Trending Issues</td><td>

Coverage in the National Ambulatory Care Reporting System (NACRS) changes over time as more jurisdictions participate.

For more information on NACRS coverage, please see the NACRS Quick Stats: https://www.cihi.ca/en/quick-stats.

</td></tr>


<tr><td>Comments</td><td>

Not applicable

</td></tr>


</table>


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