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Table 4 Application of the set of indicators related to clinical management coordination across levels of care

From: Development and testing of indicators to measure coordination of clinical information and management across levels of care

Indicator   Baix Empordà Girona Ciutat Vella
ICS- Parc de Salut Mar ICS- Parc de Salut Mar
CC1. Percentage of secondary care visits of patients diagnosed with HF in which the specialist ordered tests that were performed in the previous six months in primary care Duplication of radiographies %; n 3.6 %; n:56 - - -
Duplication of electrocardiograms %; n 48.2 %; n:56 - - -
Duplication of analytics %; n 16.1 %; n:56 - - -
CC2. Percentage of pneumology visits of patients diagnosed with COPD in which the specialist ordered a spirometry that was performed in the previous six months in primary care %; n 2.5 %; n:81 - - -
CC3. Percentage of patients with DM who started insulin therapy during hospitalization and whose primary care medical record documents a follow-up within one week of discharge %; n - - - -
CC4. Percentage of patients with HF correctly referred from primary care to non-urgent outpatient secondary care % (95 % IC) n 85.7 % (69.4-100) n:42 81.0 % (68.9-93.3) n:42 83.3 % (75.6-95.1) n:42 88.5 % (75.3-100) n:26
CC5. Percentage of patients with HF that have been correctly referred to emergency care from primary care % (95 % IC) n 97.4 % (92.0-100) n:39 - - 95.2 % (88.5-100) n:42
CC6. Percentage of patients with HF diagnosed in the past year who had an echocardiogram as part of the diagnostic process %; n 22.7 %; n:203 13.9 %: n:216 - -
FU1. Percentage of hospital discharges with contact between the hospital and primary care prior to the discharge of patients hospitalized for severe exacerbation of COPD %; n 58 %; n:88 36.8 %; n:407 3.2 %; n:95 0 %; n:49
FU2. Percentage of hospital discharges with contact between the hospital and primary care prior to the discharge of patients hospitalized for decompensated HF %; n 40.3 %; n:119 44.78 %; n:201 0 %; n:48 2.78 %; n:36
FU3. Percentage of hospital discharges of patients admitted for exacerbation of COPD who have a consultation in primary care in less than 72 h %; n 76.7 %; n:86 52.9 %; n:240 26.0 %; n:68 53.3 %; n:45
FU4. Percentage of hospital discharges of patients admitted for decompensated HF who have a consultation in primary care in less than 7 days %; n 70.9 %; n:110 79.6 %; n:157 55.3 %; n:38 70.6 %; n:19
AAL1. Mean time elapsed from non-urgent, non-priority primary care referral of HF patients to cardiologist visit Mean (SD); n 28.2 (4.0); n:42 - 39.6 (5.6); n:57 100.9 (9.1); n:86
AAL2. Mean time elapsed from the referral of a patient with suspected cancer (lung, colorectal, breast, bladder and prostate) to the first specialist visit Mean (SD); n 5.3 (0.3); n:362 - 6.5 (0.4); n:87 6.6 (1.0); n:17
AAL3. Mean time elapsed from the referral of a patient with suspected cancer (lung, colorectal, breast, bladder and prostate) to cancer diagnosis Mean (SD); n 46.9 (9.7); n:70 - 31.4 (4.6); n:36 39.9 (8.5); n:8
AAL4. Mean time elapsed from the referral of a patient with suspected cancer (lung, colorectal, breast, bladder and prostate) to the initiation of cancer treatment (surgery and/or chemotherapy and/or radiotherapy) Mean (SD); n 71.4 (9.2); n:64 - 48.1 (5.1); n:33 46.9 (5.8); n:8
  1. CI confidence interval, COPD chronic obstructive pulmonary disease, DM diabetes mellitus, HF heart failure, SD standard deviation