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Goals of Care – Indicator Methodology

See bottom for list of initials and acronyms used on this page.

Topic Description
Indicator Proportion of incident chronic dialysis patients with a documented Goals of Care conversation
Reporting Frequency Quarterly
Directionality Higher is better
Denominator Inclusion Criteria:

Patients newly registered for chronic dialysis or patients transferring into the province for chronic dialysis

Exclusion Criteria:
  • Patients younger than 18 years of old at the time of chronic dialysis registration
  • Patients who recovered kidney function within 30 days of chronic dialysis registration
  • Patients who did not stay in the program for the full observation period (i.e., 90 days from dialysis start) due to death, recovery, transfer out of province, withdrawal, transplant or program transfer greater than 3 days, and did not have a GOC conversation in the observation period.
Numerator Number of incident chronic dialysis patients who had their goals and values incorporated into a documented plan of treatment within 90 days after chronic dialysis registration.
Data Source(s) Ontario Renal Reporting System, PCDM Manual Collection Tool
Considerations This indicator reflects only whether a conversation has taken place and not the outcomes of the conversation.

The reported proportions, denominators and numerators are calculated using cumulative data from the last 4 quarters.

Initials and Acronyms Used on This Page

GOC – Goals of Care

PCDM – person-centred decision-making

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