Placement within 30 days | HQCA Focus

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Long Term Care

Placement within 30 days

Percentage of residents placed into long term care (LTC), or designated supportive living (DSL), within 30 days of assessment. (see data dictionary)

Alberta Health Services, Analytics. “Living Options – Admitted within 30 days by admitted location”. (2019). [Dashboard showing percent of individuals placed into continuing care within 30 days, by province, zone, and level of care, by fiscal year]. AHS Tableau Reporting Platform. Retrieved from https://tableau.ahs.ca.

What do you think?

  • Looking at these results over time, are there differences between zones? Between designated supportive living and long term care? What factors could account for these differences?

Understanding “placement within 30 days”

Monitoring the percentage of people placed into designated supportive living and long term care within 30 days of assessment provides insight into how well the continuing care and the broader healthcare system is functioning. People can be placed into continuing care from the community or acute/subacute (hospital) settings.

The system is performing better when the percentage of people admitted into designated supportive living and long term care within 30 days is higher. This means that people who are assessed as needing this level of support and care are able to get this type of service in a timely manner and are receiving the right care in the right place.

Considerations when viewing the results

When thinking about placement into designated supportive living or long term care within 30 days, providers and leaders can consider a number of things to better understand and improve these results. Some questions they could ask before taking action include:

  • How are results different by the setting that the individual is being admitted from (e.g., acute/subacute, or community)? Are people more likely to be admitted within 30 days from one setting over another? Are there changes over time? What reasons might account for these trends or differences?
  • What strains exist for other areas of the healthcare system like acute care, home care, and informal supports (e.g., family member caregivers) when individuals wait for extended periods of time for their placement?
  • Just because there is a space available at a site, it may not be suitable for an individual waiting for a space. The continuing care system makes sure that available spaces meet the assessed needs of each individual admitted as a resident. How can the system proactively manage demand and capacity?

The system is performing better when the percentage of people admitted into designated supportive living and long term care within 30 days is higher. This means that people who are assessed as needing this level of support and care are able to get this type of service in a timely manner and are receiving the right care in the right place.

Alberta Quality Matrix for Health

The Health Quality Council of Alberta uses the Alberta Quality Matrix for Health as a way of organizing information and thinking around the complexity of the healthcare system. This measure can be used as input to assess long term care’s performance in these dimensions of quality: Acceptability, Accessibility, Appropriateness, and Efficiency.

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