Patient Flow for Hip Replacement
A ratio of less than 1 indicates that health care utilization by residents of a region exceeded care provided within that region, suggesting an outflow effect. A ratio of greater than 1 indicates that care provided by a region exceeded the utilization by its residents, suggesting an inflow effect. A ratio of 1 indicates that care provided by a region was equivalent to the utilization by its residents, suggesting that inflow and outflow activity, if it existed at all, was balanced. A ratio of 0 is an indication that none of the institutions in the region provided the service and residents received care outside of their region.
The indicator is expressed as an overall ratio, calculated for hip replacement.
Ratio = Number in numerator ÷ Number in denominator
Unit of Analysis: Single admission
Number of separations (discharges and deaths) from acute care or same-day surgery facilities generated by residents of the region for hip replacement
Number of separations (discharges and deaths) from acute care or same-day surgery facilities within a given region (including non-residents) for hip replacement
Methodology
Name
Patient Flow for Hip Replacement
Short/Other Names
Not applicable
Description
This indicator is a ratio, calculated as the number of separations (discharges and deaths) from acute care/same-day surgery facilities within a given region divided by the number of acute care/same-day surgery separations generated by residents of that region for hip replacement.
For further details, please see the General Methodology Notes (PDF).
Rationale
This indicator reflects the balance between the quantity of hospital stays provided to both residents and non-residents by all relevant facilities (acute care/same-day surgery) in a given region and the extent of utilization by residents of that region, whether they received care within or outside of the region.
Interpretation
A ratio of less than 1 indicates that health care utilization by residents of a region exceeded care provided within that region, suggesting an outflow effect. A ratio of greater than 1 indicates that care provided by a region exceeded the utilization by its residents, suggesting an inflow effect. A ratio of 1 indicates that care provided by a region was equivalent to the utilization by its residents, suggesting that inflow and outflow activity, if it existed at all, was balanced. A ratio of 0 is an indication that none of the institutions in the region provided the service and residents received care outside of their region.
HSP Framework Dimension
Health system outputs: Person-centred
Areas of Need
Getting Better
Targets/Benchmarks
Not applicable
Available Data Years
to (fiscal years)
Geographic Coverage
- All provinces/territories
Reporting Level/Disaggregation
- Region
Indicator Results
Update Frequency
Every year
Latest Results Update Date
Updates
Not applicable
Description
The indicator is expressed as an overall ratio, calculated for hip replacement.
Ratio = Number in numerator ÷ Number in denominator
Unit of Analysis: Single admission
Type of Measurement
Ratio
Denominator
Description:
Number of separations (discharges and deaths) from acute care or same-day surgery facilities generated by residents of the region for hip replacement
Inclusions:
CCI: 1.VA.53.^^ (excluding 1VA53LASLN and 1VA53LLSLN when intervention status attribute does not equal R), 1.SQ.53.^^
Note that procedure codes may be recorded in any position.
Numerator
Description:
Number of separations (discharges and deaths) from acute care or same-day surgery facilities within a given region (including non-residents) for hip replacement
Inclusions:
CCI: 1.VA.53.^^ (excluding 1VA53LASLN and 1VA53LLSLN when intervention status attribute does not equal R), 1.SQ.53.^^
Note that procedure codes may be recorded in any position.
Method of Adjustment
Not applicable
Adjustment Applied
None
Geographic Assignment
Place of residence or service
Data Sources
- DAD
- HMDB
Caveats and Limitations
Not applicable
Trending Issues
Beginning with 2015–2016 data, separations include hip replacements performed in day surgery settings; comparability with previous years is not affected.
References
Not applicable
How to cite:
Canadian Institute for Health Information. Patient Flow for Hip Replacement . Accessed October 22, 2024.
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Comments
Beginning with 2015–2016 data, cement spacers are excluded from hip replacement cases when they are not revisions; comparability with previous years is not affected.
Results for this indicator are also available in
Note:
The indicator's name is displayed as Inflow/Outflow Hip Replacement in the Health Indicators e-Publication tool; data is updated annually starting from 2010–2011.