Clinical characteristics and service needs of alternate-level-of-care patients waiting for long-term care in Ontario hospitals

Healthcare Policy

Volumn 6, Issue 1, 2010, Pages 32-46

  Costa, Andrew P ^a   Hirdes, John P ^a,b  

^a UNIVERSITY OF WATERLOO   (Canada)

^b HOMEWOOD RESEARCH INSTITUTE   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

AGED; ALTERNATE LEVEL OF CARE; ARTHRITIS; CANADA; CONGESTIVE HEART FAILURE; CONTROLLED STUDY; DEMENTIA; DIABETES MELLITUS; EMERGENCY CARE; FEMALE; HEALTH CARE NEED; HEALTH CARE UTILIZATION; HEALTH SERVICE; HIP FRACTURE; HOME CARE; HOSPITAL; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HOSPITALIZATION; HUMAN; KIDNEY FAILURE; LONG TERM CARE; MAJOR CLINICAL STUDY; MALE; MENTAL DISEASE; META ANALYSIS; MULTICENTER STUDY; OSTEOPOROSIS; PATIENT CARE; REVIEW; STROKE; URINARY TRACT INFECTION;

EID: 79851498281     PISSN: None     EISSN: 17156572     Source Type: Journal    
DOI: 10.12927/hcpol.2010.21899     Document Type: Review

References (32)

1. ALC Expert Panel. 2006 (December). Appropriate Level of Care: A Patient Flow, System Integration and Capacity Solution. Report. Toronto: Ministry of Health and Long-Term Care.
2. Burrows, A.B., J.N. Morris, S.E. Simon, J.P. Hirdes and C. Phillips. 2000. "Development of a Minimum Data Set-Based Depression Rating Scale for Use in Nursing Homes." Age and Ageing 29(2): 165-72. (Pubitemid 30193154)
3. Canadian Institute for Health Information (CIHI). 2009. Alternate Level of Care in Canada. Retrieved June 23, 2010. 〈http://secure.cihi.ca/cihiweb/ dispPage.jsp?cw-page=PG-1751-E&cw-topic=1751&cw-rel=AR-2610- E#full〉.
4. Covinsky, K.E., R.M. Palmer, R.H. Fortinsky, S.R. Counsell, A.L. Stewart, D. Kresevic et al. 2003. "Loss of Independence in Activities of Daily Living in Older Adults Hospitalized with Medical Illnesses: Increased Vulnerability with Age." Journal of the American Geriatrics Society 51(4): 451-58. (Pubitemid 36457342)
5. Creditor, M.C. 1993. "Hazards of Hospitalization of the Elderly." Annals of Internal Medicine 118(3): 219-23. (Pubitemid 23034809)
6. Dawson, H., J. Weerasooriya and G. Webster. 2008. "Hospital Admissions via the Emergency Department: Implications for Planning and Patient Flow." Healthcare Quarterly 11(1): 20-22.
7. Department of Health and Wellness, Prince Edward Island. 2009. "Prince Edward Island's Healthy Aging Strategy - February 2009." Retrieved June 23, 2010. 〈http://www.gov.pe.ca/publications/getpublication. php3?number=1474〉.
8. Fortinsky, R.H., K.E. Covinsky, R.M. Palmer and C.S. Landefeld, 1999. "Effects of Functional Status Changes Before and During Hospitalization on Nursing Home Admission of Older Adults." The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 54(10): M521-26.
9. Fraser, C. and D.J. Warr. 2009. "Challenging Roles: Insights into Issues for Men Caring for Family Members with Mental Illness." American Journal of Men's Health 3(1): 36-49.
10. Fujino, Y. and S. Matsuda. 2009. "Prospective Study of Living Arrangement by the Ability to Receive Informal Care and Survival among Japanese Elderly." Preventive Medicine 48(1): 79-85.
11. Government of Alberta - Health and Wellness. 2008. "Alberta Continuing Care Strategy." Retrieved June 23, 2010. 〈http://www. health.alberta.ca/initiatives/continuing-care-strategy.html〉.
12. Graf, C. 2006. "Functional Decline in Hospitalized Older Adults." American Journal of Nursing 106(1): 58-67.
13. Gray, L.C., K. Berg, B.E. Fries, J.C. Henrard, J.P. Hirdes, K. Steel and J.N. Morris. 2009. "Sharing Clinical Information across Care Settings: The Birth of an Integrated Assessment System." BMC Health Services Research 29(9): 71.
14. Hartmaier, S.L., P.D. Sloane, H.A. Guess and G.C. Koch. 1995. "Validation of the Minimum Data Set Cognitive Performance Scale: Agreement with the Mini-Mental State Examination." The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences 50(2): M128-33.
15. Hirdes, J.P., B.E. Fries, J.N. Morris, K. Steel, V. Mor, D. Frijters, S. LaBine, C. Schalm, M.J. Stones, G. Teare, T. Smith, M. Marhaba, E. Pérez and P. Jónsson. 1999. "Integrated Health Information Systems Based on the RAI/MDS Series of Instruments." Health Care Management Forum 12(4): 30-40.
16. Hirdes, J.P., D.H. Frijters and G.F. Teare. 2003. "The MDS-CHESS Scale: A New Measure to Predict Mortality in Institutionalized Older People." Journal of the American Geriatrics Society 51(1): 96-100. (Pubitemid 36119942)
17. Hirdes, J.P., G. Ljunggren, J.N. Morris, D.H. Frijters, H. Finne-Soveri, L. Gray, M. Björkgren and R. Gilgen. 2008a. "Reliability of the interRAI Suite of Assessment Instruments: A 12-Country Study of an Integrated Health Information System." BMC Health Services Research 8: 277.
18. Hirdes, J.P., J.W. Poss and N. Curtin-Telegdi. 2008b. "The Method for Assigning Priority Levels (MAPLe): A New Decision-Support System for Allocating Home Care Resources." BMC Medicine 6: 9.
19. interRAI Clinical Assessment Protocols (CAPs) for Use with interRAI's Community and Long-Term Care Assessment Instruments. 2008 (March). Ann Arbor, MI: interRAI.
20. Koehler, M., T. Rabinowitz, J.P. Hirdes, M.J. Stones, G.I. Carpenter, B.E. Fries, J.N. Morris and R.N. Jones. 2005. "Measuring Depression in Nursing Home Residents with the MDS and GDS : An Observational Psychometric Study." BMC Geriatrics 5(1): 1.
21. Kydd, A. 2008. "The Patient Experience of Being a Delayed Discharge." Journal of Nursing Management 16(2): 121-26.
22. Lim, S.C., V. Doshi, B. Castasus, J.K. Lim and K. Mamun. 2006. "Factors Causing Delay in Discharge of Elderly Patients in an Acute Care Hospital." Annals of the Academy of Medicine, Singapore 35(1): 27-32.
23. Martin, L., J.W. Poss, J.P. Hirdes, R.N. Jones, M.J. Stones, B.E. Fries and T. Rabinowitz. 2008. "Predictors of a New Depression Diagnosis among Older Adults Admitted to Complex Continuing Care: Implications for the Depression Rating Scale (DRS)." Age and Ageing 37(1): 51-56. (Pubitemid 351146976)
24. Ministry of Health and Long-Term Care (MOHLTC). 2008. "Ontario Tackles ER Waits with $109 Million Investment." News release. Retrieved June 23, 2010. 〈http://www.health.gov.on.ca/english/media/news- releases/archives/nr-08/may/nr-20080530.html〉.
25. Ministry of Health and Long-Term Care (MOHLTC). 2009. "Public Information: Ontario's Aging at Home Strategy." Retrieved June 23, 2010. 〈http://www.health.gov.on.ca/english/public/program/ltc/ 33-ontario-strategy.html〉.
26. Morris, J.N., B.E. Fries, D.R. Mehr, C. Hawes, C. Phillips, V. Mor and L. Lipsitz. 1994. "MDS Cognitive Performance Scale." Journal of Gerontology 49(4): M174-82.
27. Morris, J.N., B.E. Fries, K. Steel, N. Ikegami, R. Bernabei, G.I. Carpenter, R. Gilgen, J.P. Hirdes and E. Topinková. 1997. "Comprehensive Clinical Assessment in Community Setting: Applicability of the MDS-HC." Journal of the American Geriatrics Society 45(8): 1017-24. (Pubitemid 27330135)
28. Ontario Association of Community Care Access Centres (OACCAC), Ontario Association of Non-Profit Homes and Services for Seniors, Ontario Hospital Association, Ontario Long-Term Care Association. 2006. "Alternate Level of Care - Challenges and Opportunities. A Collaborative Position Paper." Toronto: Ontario Hospital Association.
29. Ontario Hospital Association (OHA) ALC Survey Results. 2009 (April). Toronto: OHA.
30. Poss, J.W., N.M. Jutan, J.P. Hirdes, B.E. Fries, J.N. Morris, G.F. Teare and K. Reidel. 2008. "A Review of Evidence on the Reliability and Validity of Minimum Data Set Data." Health Care Management Forum 21(1): 33-39.
31. Rock, B.D., A. Beckerman, C. Auerbach, C. Cohen, M. Goldstein and E. Quitkin. 1995. "Management of Alternate Level of Care Patients Using a Computerized Database." Health and Social work 20(2): 133-39.
32. Sager, M.A., T. Franke, S.K. Inouye, C.S. Landefeld, T.M. Morgan, M.A. Rudberg et al. 1996. "Functional Outcomes of Acute Medical Illness and Hospitalization in Older Persons." Archives of Internal Medicine 156(6): 645-52. (Pubitemid 26095014)