1. 2018–2019 Updates to Care Transitions
Revisions to Care Transition Data Collection Requirements
December 2017

2. Revisions as of December 2017
Following our previous communication in June 2017, further revisions have been made to the 2018–2019 DAD Discharge Dispositions and NACRS Visit Dispositions
No revisions were made to the 2018–2019 Institution Types
Care transitions will be covered in our What’s New for DAD and NACRS in –2019? education sessions in March and April 2018
A customized webinar on care transitions will also be available in Q4 for those requiring in-depth review

3. 2018–2019 Discharge/Visit Disposition legend
Category
Disposition
Description
DAD code
NACRS code
Transfer
Inpatient Care
Transfer to reporting or another facility for inpatient care, including specialty hospitals (inpatient rehab, inpatient psychiatry and inpatient chronic/complex continuing care), military medical facilities and subacute care where this occurs within acute care hospitals 10
Admit to reporting facility as inpatient to special care unit or OR from ambulatory care visit functional centre 06
Admit to reporting facility as an inpatient to another unit of the reporting facility from the ambulatory care visit functional centre 07
Transfer to another acute care facility directly from the ambulatory care visit functional centre (includes transfer to another acute care facility with entry through ED) 08
Transfer to another non–acute care facility directly from ambulatory care functional centre (e.g., stand-alone rehab, mental health) 09
ED and Ambulatory
Care
Transfer to reporting or another facility for ED, day surgery or ambulatory care; includes nursing stations, although on occasion inpatients are also treated in such settings 20
Intra-facility transfer to day surgery 12
Intra-facility transfer to the ED 13
Intra-facility transfer to clinic 14
Residential Care
Transfer to long-term care home (24-hour nursing), mental health and/or addiction treatment centre or hospice/palliative care facility 30
Group/Supportive Living
Transfer to assisted living/supportive housing or transitional housing, including shelters; these settings do not have 24-hour nursing care 40
Correctional Facility
Transfer to jail or halfway house 90

4. 2018–2019 Discharge/Visit Disposition legend (cont’d)
Category
Disposition
Description
DAD code
NACRS code
Home
Home With Support/Referral
Discharge to private home, condominium or apartment with supports from the community at home or referred to services; does not include discharge to group/supportive housing 04 16
Private Home
Discharge to private home, condominium or apartment without supports from the community at home or referred to services; does not include discharge to group/supportive housing 05 17
Leave
Absent Without Leave (AWOL) or Leave Post-Registration
DAD: Absent without leave (AWOL)
NACRS: Patient left at his/her own risk following registration; triage (if an ED visit), further assessment by a service provider and treatment did not occur 61
Left Against Medical Advice (LAMA) or Leave Post–Initial Treatment
DAD: Left against medical advice (LAMA)
NACRS: Patient left at his/her own risk following registration, triage (if an ED visit), further assessment by a service provider and initiation of treatment 62
Left After Triage
Patient left the ED at his/her own risk following registration and triage; further assessment by a service provider and treatment did not occur
Note: This visit disposition is limited to ED visits 63
Left After Initial Assessment
Patient left at his/her own risk following registration, triage (if an ED visit) and further assessment by a service provider; treatment did not occur 64
Did Not Return From Pass/Leave
Patient did not return from pass/leave 65
Died While on Pass/Leave
Patient died (excluding suicides) while on pass/leave 66
Suicide Out of Facility
Patient died by suicide while on pass/leave 67

5. 2018–2019 Discharge/Visit Disposition legend (cont’d)
Category
Disposition
Description
DAD code
NACRS code
Died
Dead on Arrival (DOA)
Patient is dead on arrival to the ambulatory care service; there is no resuscitation (e.g., no CPR); includes cases where the patient is brought in for pronouncement of death 71
Died in Facility
Excludes: MAID and in-facility suicide 72
Medical Assistance in Dying (MAID)
Medically assisted death 73
Suicide in Facility
In-facility suicide 74
Cadaveric Donor
Cadaveric donor admitted for organ/tissue procurement 08
Stillbirth
Stillborn 09

6. 2018–2019 Institution Type legend
Category
Institution/Facility Type description
Code
Inpatient Care
Acute inpatient care 1
Inpatient rehabilitation 2
Inpatient complex continuing care 3
Inpatient psychiatry (mental health) 5
Inpatient palliative care 9
Sub-acute S
Residential Care
Nursing stations 6
Long-term care (24-hour nursing care) 4
Hospice/palliative care facility P
Mental health and/or addiction treatment centre T
Group living/supportive housing G
Transitional housing H
ED and Ambulatory Care
Day surgery A
Ambulatory care clinic N
Emergency department E
Community-Based Care
Community-based clinic
Home care program 8
Community mental health services M
Other
Other health facility F
Correctional facility C
Other non-health facility J
Unknown facility U

7. 2018–2019 validation rules
Edits pertaining to care transitions are being revised accordingly
The edits will ensure the entry of
Valid Disposition codes
Institution To numbers where required
Institution Numbers associated with certain Institution Types where required