"Identifying Information: Name","Information and Understanding When Leaving the Hospital"
"Identifying Information: Short/Other Names","Discharge Management"
"Identifying Information: Description","The Information and Understanding When Leaving the Hospital patient-reported experience measure (PREM) looks at one of the key elements of patient experience. It is based on 3 questions from the Canadian Patient Experiences Survey — Inpatient Care (CPES-IC): Q37. Before you left the hospital, did you have a clear understanding about all of your prescribed medications, including those you were taking before your hospital stay? Q38. Did you receive enough information from hospital staff about what to do if you were worried about your condition or treatment after you left the hospital? Q39. When you left the hospital, did you have a better understanding of your condition than when you entered? This PREM calculates the percentage of patients who responded favourably to survey questions 37, 38 and 39. "
"Background, Interpretation and Benchmarks: Rationale","Public reporting of PREMs amplifies the voice of patients. Results highlight opportunities for care providers and decision-makers to develop improvement initiatives that respond to patient preferences and needs. Patient experience measurement and comparison can help address information gaps to improve patient-centred care and facilitate peer-to-peer learning and sharing of best practices."
"Background, Interpretation and Benchmarks: Interpretation","Higher is better. The higher the Top Box result, the higher the number of patients who responded favourably."
"Background, Interpretation and Benchmarks: HSP Framework Dimension",Person-centred
"Available Data Years","2015
 to 2021"
"Available Data Years: Type of Year",Fiscal
"Availability of Results: Geographic Coverage","New Brunswick"
"Reporting Level/Disaggregation",National
"Reporting Level/Disaggregation: Other reporting level/disaggregation","Hospital Peer group"
"Result Updates: Indicator Results","Web Tool: Your ������ϱ� System: In DepthPDF: Accessing Indicator Results on Your ������ϱ� System: In Depth (PDF)Web Tool: Canadian Patient Experiences Survey: Comparative Results tool "
"Update Frequency","Every year"
"Result Updates: Latest Results Update Date","May 2023"
"Indicator Calculation: Description","Information and Understanding When Leaving the Hospital is a composite PREM based on 3 questions in the CPES-IC. Please see Canadian Patient Experiences Survey — Inpatient Care: Patient-Reported Experience Measures (PDF) for further detail. This measure is calculated as a Top Box result, which is the percentage of survey respondents who chose the most positive response (e.g., “Always”). For this composite measure, the Top Box result is calculated by averaging the Top Box results for each corresponding question. Each question’s Top Box result is calculated as follows:(Number of patients who chose the most positive response for a question in the CPES-IC survey) ÷ (Total number of respondents for that question)"
"Indicator Calculation: Type of Measurement","Percentage or proportion"
"Denominator: Description:","Patients age 18 and older who responded to questions regarding information and understanding when leaving the hospital in the CPES-IC survey (questions 37 to 39)"
"Denominator: Inclusions:","Admission to an acute care institution (Facility Type Code = 1)Age at admission: 18 and olderSex recorded as male or female"
"Denominator: Exclusions:","Non-response categories (refusal, don’t know, not stated)Records with invalid health card numberRecords with missing or invalid discharge dateNewborn, stillbirth or cadaveric donor records (Admission Category Code = N, R or S)Records with discharge as death, self sign-out or patient not returning from a pass (Discharge Disposition Code = 61, 62, 65, 66, 67, 72, 73 or 74)Patients receiving care primarily for a psychiatric condition or mental health disorder (ICD-10-CA: F00–F99)Patients who were in an alternate level of carePatients with a substance-use disorder (ICD-10-CA: E24.4, F10, F11, F12, F13, F14, F15, F16, F18, F19, F55, G31.2, G62.1, G72.1, I42.6, K29.2, K70, K85.2, K86.0, Q86.0, T40.0, T40.1, T40.2, T40.3, T40.4, T40.5, T40.6, T40.7, T40.8, T40.9, T42.3, T42.4, T42.6, T42.7, T43.6, T43.8, T43.9, T51, O35.4, O99.3)Patients discharged to another facility such as residential care, group/supportive living or a correctional facility (Discharge Disposition Code = 30, 40 or 90)Patients excluded for sensitive or compassionate reasons with the following diagnoses (ICD-10-CA):Pregnancy with abortive outcome (O00–O08)Threatened abortion (O20.003, O20.009)Complications specific to multiple gestation: delivery of papyraceous fetus, spontaneous abortion of 1+ fetus, selective fetal reduction, intrauterine death, complications specific to multiple gestation, maternal care for known or suspected fetal abnormality and damage (O31.001–O31.801, O35.001–O35.901) Maternal care for intrauterine death (O36.421–O36.499)Maltreatment syndromes (including sexual, psychological or physical abuse; neglect/abandonment; unspecified maltreatment) (T74.0–T74.9)Intentional self-harm (X60–X84)Assault, cruelty, torture or abuse (including sexual assault) (X85–Y09)Event of undetermined intent (Y10–Y34)Examination and observation following alleged adult rape and seduction (Z04.4)Examination and observation following alleged adult/child sexual and physical abuse (Z04.50, Z04.51) Outcome of delivery (Z37.100, Z37.101, Z37.300, Z37.301, Z37.400, Z37.401, Z37.600, Z37.601, Z37.610, Z37.611, Z37.620, Z37.621, Z37.630, Z37.631, Z37.680, Z37.681, Z37.690, Z37.691, Z37.700, Z37.701, Z37.710, Z37.711, Z37.720, Z37.721, Z37.730, Z37.731, Z37.780, Z37.781, Z37.790, Z37.791)Palliative care (Z51.5)Patients excluded for sensitive or compassionate reasons with the following diagnosis (CCI):Pregnancy with abortive outcome (5.CA.20, 5.CA.24, 5.CA.88, 5.CA.89, 5.CA.90, 5.CA.93)Patients who have duplicate submissions (determined by submitting province, submitting hospital, health card jurisdiction code and encrypted health card number in the last 12 months)"
"Numerator: Description:","A subset of the denominator that represents patients age 18 and older who chose the most positive responses to the questions about information and understanding when leaving the hospital in the CPES-IC survey (questions 37 to 39)"
"Method of Adjustment: Other method of adjustment:","To ensure comparability, results have beenSample weightedNon-response weightedAge–sex standardized to the hospital Discharge Abstract Database (DAD) populationAdjusted for survey mode (mail, telephone, online)Adjusted for service line (medical, surgical, maternity)"
"Adjustment Applied: Covariates used in risk adjustment:"," Acute Care Patient-Reported Experience Measures — Methodology Notes (PDF)CPES-IC Mode and Service Line Adjustments — Data Tabless (XLSX)"
"Data Sources: Other Data Source","Canadian Patient Experiences Reporting System (CPERS)"
"Quality Statement: Caveats and Limitations","This measure captures the experiences of individuals who were admitted to an acute care hospital.As CPERS-submitting jurisdictions have different survey cycles, the jurisdictions within each fiscal year (data year) may vary. Some jurisdictions collect annually, while others collect every 3 years. The available fiscal years (data years) for each jurisdiction are as follows:Nova Scotia: 2017 (partial data coverage)New Brunswick: 2015 and 2018 (surveys are conducted over a 3-to-4-month period)Ontario: 2016 to 2021 (partial data coverage)Manitoba: 2015 to 2021Alberta: 2017 to 2021Data coverage is partial for the following jurisdictions in the most recent data year (2021):Nova Scotia (38%)Ontario (52%)The frequency of survey collection also varies across hospitals within jurisdictions. The following hospitals collected data up to fiscal year 2020, whereas organizations within their province reported up to 2021:Hôpital Glengarry Memorial Hospital, OntarioLennox and Addington County General Hospital, OntarioHuron Perth ������ϱ�care Alliance, Ontario Hamilton ������ϱ� Sciences, Ontario The following hospitals collected data up to fiscal year 2019, whereas organizations within their province reported up to 2021:Norfolk General Hospital, OntarioNorth Bay Regional ������ϱ� Centre, OntarioNorth York General Hospital, OntarioSunnybrook ������ϱ� Sciences Centre, OntarioHardisty ������ϱ� Centre, AlbertaTo enable comparisons and benchmarking year over year when data isn’t available annually, all respondents from each hospital’s most recent year of data are used to calculate peer, regional, provincial and national averages. Blended averages include data up to a maximum of 3 fiscal years only.As a result of the 3-year blended average methodology, caution should be taken when comparing Nova Scotia and New Brunswick results with other hospital, peer, regional, provincial and national averages."
"Quality Statement: Trending Issues","For a trend assessment, at least 3 data years (within the past 10 years) are required. At this time, results for Nova Scotia and New Brunswick will not be reported with trending information. Trending results are not available when the most recent data year (2021) is not available. "
"Quality Statement: Comments","Details about performance assessment, funnel plots, trending and suppression rules are found in the methodology notes."
References,"CIHI’s Patient experience web pageCanadian Patient Experiences Survey — Inpatient Care (CPES-IC) (ZIP)CPES-IC Procedure Manual (PDF)Canadian Patient Experiences Survey — Inpatient Care: Patient-Reported Experience Measures (PDF)Canadian Patient Experiences Survey — Inpatient Care Data Dictionary Manual (PDF)"