Hospital Days During the Last Six Months of Life
- 1 Basic facts
- 2 Brief overview of the measure
- 3 Application and interpretation of the measure
- 4 Calculation of the measure
- 5 Appraisal of the measure
- 6 Other items
- 7 Owner detail
Stage of development
Potential or current usage
This measure identifies the number of days spent in hospital during the last six months of life.
Brief overview of the measure
This measure addresses the management of death, covering the interface between primary and secondary care.
Rationale for selection
From the point of view of patient experience and system efficiency, it is preferred that death be managed outside of the hospital environment. Improvements in the management of death should be reflected in shorter average in-hospital care.
Type of measure
Domain(s) of quality
Application and interpretation of the measure
Stated intent of the measure
To measure the number in days in hospital during the last six months of life.
Caveats - Considerations
The purpose of this is to identify the strengths and limitations of the measure, and to provide parameters around the ideal use of the measure according to its strengths and limitations. These strengths and limitations need to be considered by all users of the measure. This is to ensure both appropriate use of the measure and that the limitations of the measure are taken into account when interpreting results obtained on the measure.
Calculation of the measure
Output of calculation
The average publicly funded, personal healthcare, inpatient bed days in any six month period for each death.
Hospital days during last six months of life.
Disability support services, Mental Health, Health of Older People, Palliative care services
Patients who have died
Merged NMDS and Mortality collections
Key issues and challenges for data management
Analytical Services in MoH is confident that fact of death is relatively quickly loaded into the Mortality database.
Appraisal of the measure
Availability of evidence to support application of the measure
The measure has been developed or endorsed by an organisation seeking to improve clinical effectiveness as part of a continuous quality improvement cycle (at an international, national, regional or local level).
Evidence of feasibility and reliability of implementation
Reliability - The measure has been demonstrated to be reliable (i.e. free from random error)., Interpretation - The measure allows unambiguous interpretation of better or worse performance., Cultural values - The measure is able to reflect cultural values., Data extraction - Data collection specifications for the measure are well defined., Data sources - Required data elements for the measure can be obtained from existing data sources., Availability of data - Required data elements for the measure can be gathered during routine practice activities, IT software - Existing IT software is sufficient for data collection., Adaptability - Measure is able to be adapted for use in multiple care settings, Validity - The measure has been demonstrated to be valid (i.e. it measures what it purports to).
Date of entry to library
Owner (Organisation name)
Health Quality and Safety Commission, Indicators project team
Owner (Email contact)
Creator (Organisation name)
Institute for Healthcare Improvement
Creator (Email contact)