Hospital Report 2007: Complex Continuing Care is the fourth in a series of hospital reports that uses a balanced scorecard approach to describe the performance of hospitals that provide complex continuing care services in Ontario.

A total of 39 indicators were chosen by health care providers, managers, and researchers to examine the four important areas of complex continuing care activity that form a balanced scorecard approach - system integration and change, clinical utilization and outcomes, patient and family satisfaction, and financial performance and condition. Local Integration Network (LHIN) level analyses are included in this report.

This balanced scorecard approach describes a comprehensive performance measurement system for complex continuing care hospitals and hospital-based programs in Ontario and identifies successes within the hospital system as well as important areas for quality improvement. High performing hospitals within quadrants are identified.

Technical Reports describing the methodological approaches used to develop this report are available.



Reporting Focus: 
System level and hospital-specific 

Analysis Available: 
Three classifications are used: above average performance, average performance, and below average performance. For some financial performance and condition indicators, two classifications are used: inside range to reflect optimal performance, and outside range to reflect optimal performance. 
Results are summarized by hospital type (acute hospital or freestanding complex continuing care hospital), LHIN and province.

Data Baseline: 
System Integration and Change Indicators: 2007 
Clinical Utilization and Outcomes Indicators: 2005-2006 
Patient Satisfaction Indicators: 2005-2006 
Financial Performance and Condition Indicators: 2005-2006 

Coverage: 
Eighty-one (81) out of 107 hospital corporations with designated CCC beds participated in at least one quadrant and 20 hospital corporations participated in all four quadrants of the report. The 81 participating hospitals represent 93.1% of stays in designated complex continuing care beds in 2005/06.

Contributors: 
Stephanie Bonnell, Geta Cernat, Imtiaz Daniel, Anky Glussich, Linda McGillis Hall, Maureen Kelly, Jeanie Lacroix, Marcus Loreti, Ian McKillop, Lisa Milgram, George Pink, Clara Pong, Stefan Popowycz, Natalie Rashkovan, Anne-Marie Robert, Gary F. Teare, Joanne Tse, Lynn Weiler, Walter P. Wodchis