Applying Newly Identified Financially Focused Home Care Quality and Performance Indicators In Alberta's $23.5B/annum Health System - Preliminary Findings

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Max Jajszczok
Hude Quan
Catherine A Eastwood
Mingshan Lu
Ceara Cunningham

Abstract

Through a multi-phased mixed-method research program including an international scoping review and a modified-Delphi panel with expert policy/academic/operational representatives from across Canada, three health-system, financially focused quality and performance home care indicators were identified.  


This presentation will provide preliminary results of the application of the three financial indicators on overall health-system measures, system utilization and population outcomes within the province of Alberta.  The time-period covered is the last five years data leading up to the start of the deceleration of the covid-19 global pandemic.  


Based on provincial annual financial reporting, baseline 2016/17 fiscal year home care expenditures were $585K, this rose to significantly to $716M for fiscal year 2019/20, with the most significant increase (13%) occurred between the 2017/18 and 2018/19 years.  Prior to 2016/17 home care expenditures increased at a rate less than 3%.  These significant home care investments increased the percent of the overall expenditures in Alberta from 3.94 to 4.6%.   Furthermore, the average annual expenditures per home care client rose from $5,417 to $6,112.  


During this same time-period, numerous health-system indicators shifted to more favorable positions, with notable decreases in acute care days prior to death, number of those waiting in hospital for LTC, and preventing/delaying the need for LTC overall.  


Based on comparisons of home care investments on the overall health-system and key health-system performance indicators focused on measuring system efficiencies, preliminary examinations suggest that significant home care focused investments in Alberta significantly improved health-system performance, efficiencies, and overall outcomes for the population.

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How to Cite
Jajszczok, M., Quan, H., Eastwood, C. A., Lu, M. and Cunningham, C. (2024) “Applying Newly Identified Financially Focused Home Care Quality and Performance Indicators In Alberta’s $23.5B/annum Health System - Preliminary Findings”, International Journal of Population Data Science, 9(5). doi: 10.23889/ijpds.v9i5.2493.

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