System Outcomes |
Reason for 911 call (ie, breathing, falls, other) |
LTCF charts |
Percentage of patients transported who had no visit from a family physician in LTCF within 1 and 4 weeks prior to transport to emergency department |
LTCF charts |
Number of times family physician attended a team meeting during study time period |
LTCF charts |
Family physician visits to patient 3 months prior to most recent Emergency Health Service call |
LTCF charts |
Number of notes in chart from family physician during time period |
LTCF charts |
Health care profession who made on-site assessment |
LTCF charts |
Any investigations (ie, diagnostic imaging, blood work, other) 7 days prior to Emergency Health Service call |
LTCF charts |
LTC-CGA present |
LTCF charts; Hospital charts |
Percentage of cases where facility was able to reach the family physician prior to Emergency Health Service call |
LTCF charts |
Percentage of cases with an onsite assessment by a family physician prior to Emergency Health Service call |
LTCF charts |
Number of times Emergency Health Service (ECP and/or emergency paramedics) involved during time period |
LTCF charts |
Number of patients transported to emergency department by ambulance |
LTCF charts; EHS database |
Proportion of patients who are transported to emergency department who have advance comfort care directive requesting no transfer to hospital/acute care |
LTCF charts; EHS database |
Whether LTC-CGA sent with resident to emergency department |
Hospital charts |
If ECP involved in call |
EHS database |
If ECP involved, whether they consulted with EHS physician |
EHS database |
If ECP involved, whether they consulted with family physician |
EHS database |
Length of Emergency Health Service call |
EHS database |
Ambulance offload time in emergency department |
EHS database; Hospital charts |
Length of stay in emergency department |
Hospital charts |
Percentage of residents who were transported to emergency department that were admitted to hospital |
Hospital charts |
Length of stay in hospital |
Hospital charts |
Percentage of transferred residents who returned to LTCF upon hospital discharge |
LTCF charts; Hospital charts |
Clinical and Quality of Care |
Number of assessments and treatments provided by Emergency Health Service |
EHS database |
Admitting diagnosis |
Hospital charts |
Death rate in hospital |
Hospital charts |
Influenza vaccination rates |
LTCF charts |
Rates of falls |
LTCF charts |
Pressure wound care |
LTCF charts |
Polypharmacy rates |
LTCF charts |
Safety Outcomes |
Relapse rate back to Emergency Health Service system (number of patients seen by ECP and/or paramedics and not transported who had unexpected repeat 911 call made for them within 48 hours for a related reason) |
EHS database |