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Evidence to Improve Care

Schizophrenia

Care for Adults in Hospitals

Click below to see a list of brief quality statements and scroll down for more information.


Quality standards are sets of concise statements designed to help health care professionals easily and quickly know what care to provide, based on the best evidence.

See below for the quality statements and click for more detail.


Quality Statement 1: Comprehensive Interprofessional Assessment
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia undergo a comprehensive interprofessional assessment that informs their care plan.


Quality Statement 2: Screening for Substance Use
Adults who present to an emergency department or in an inpatient setting with a primary diagnosis of schizophrenia are assessed for substance use and, if appropriate, offered treatment for concurrent disorders.


Quality Statement 3: Physical Health Assessment
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia undergo a physical health assessment focusing on conditions common in people with schizophrenia. This assessment informs their care plan.


Quality Statement 4: Promoting Physical Activity and Healthy Eating
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered interventions that promote both physical activity and healthy eating.


Quality Statement 5: Promoting Smoking Cessation
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered behavioural and pharmacological interventions to alleviate nicotine-withdrawal symptoms and to help them reduce or stop smoking tobacco.


Quality Statement 6: Treatment With Clozapine
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia who have failed to respond to previous adequate trials of treatment with two antipsychotic medications are offered clozapine.


Quality Statement 7: Treatment With Long-Acting Injectable Antipsychotic Medication
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered the option of a long-acting injectable antipsychotic medication.


Quality Statement 8: Cognitive Behavioural Therapy
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered individual cognitive behavioural therapy for psychosis either in the inpatient setting or as part of a post-discharge care plan.


Quality Statement 9: Family Intervention
Adults who are admitted to an inpatient setting with a primary diagnosis of schizophrenia are offered family intervention.


Quality Statement 10: Follow-Up Appointment After Discharge
Adults with a primary diagnosis of schizophrenia who are discharged from an inpatient setting have a follow-up appointment within 7 days.


Quality Statement 11: Transitions in Care
Adults with a primary diagnosis of schizophrenia who are discharged from an inpatient setting have a team or provider who is accountable for communication and the coordination and delivery of a care plan that is tailored to their needs.

10

Follow-Up Appointment After Discharge

Adults with a primary diagnosis of schizophrenia who are discharged from an inpatient setting have a follow-up appointment within 7 days.


A follow-up appointment after hospitalization helps to support a person’s transition to the community. It can allow for the identification of medication-related issues; it also helps to maintain clinical and functional stability and aims to prevent readmission to hospital.

For Patients

A follow-up appointment after hospitalization helps to support a person’s transition to the community. It can allow for the identification of medication-related issues; it also helps to maintain clinical and functional stability and aims to prevent readmission to hospital.


For Clinicians

Make arrangements for people with schizophrenia who are discharged from hospital to receive a follow-up appointment within 7 days of discharge.


For Health Services

Ensure systems, processes, and resources are in place for health care teams to arrange for a follow-up appointment for people within 7 days of discharge from an inpatient setting.

Process Indicator

Percentage of adults admitted to hospital with a primary diagnosis of schizophrenia who have a follow-up appointment with a care provider within 7 days of discharge

  • Denominator: total number of adults discharged from an inpatient setting after an admission for a primary diagnosis of schizophrenia

  • Numerator: number of people in the denominator who have a follow-up appointment with a care provider within 7 days of discharge

  • Data source: local data collection, measureable for physicians who bill for services using Ontario Health Insurance (OHIP)


Structural Indicator

Percentage of adults admitted to hospital with a primary diagnosis of schizophrenia who have a follow-up appointment with a physician (primary care provider or psychiatrist) within 7 days of discharge

  • Denominator: total number of adults discharged from an inpatient setting after an admission for a primary diagnosis of schizophrenia

  • Numerator: number of people in the denominator who have a follow-up appointment with a physician (primary care provider or psychiatrist) within 7 daysof discharge

  • Data sources: Canadian Institute for Health Information’s Discharge Abstract Database or Ontario Mental Health Reporting System, and OHIP

Follow-up appointment

This visit can be with either:

  • A trained peer support worker or

  • A registered or unregistered professional (e.g., case worker, social worker, psychologist, nurse practitioner, occupational therapist, general or family practitioner, or psychiatrist)

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