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INDICATOR NAME
Name
Minimum Dataset Health Status Index (MDSHSI, contextual indicator)
Alternate Name
Minimum Dataset Health Status Index (MDSHSI, contextual indicator)
 
INDICATOR DESCRIPTION
Description
Average MDSHSI (a generic, preferencebased measure of health-related quality of
life) among long-stay home care clients >65 years of age
HQO Reporting tool/product
Ontario Health Teams: Quality
Dimension
Patient-centred
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Ratio
Calculation Methods
Assessments that are not the most recent in the reporting period, for those with multiple assessments.
Numerator (short description i.e. not inclusions/exclusions)
MDSHSI score
Denominator (short description i.e. not inclusions/exclusions)
Total population age 66 years or older with an interRAIHC assessment in the observation period. For home care clients with >1 assessment, we take the most recent.
Adjustment (risk, age/sex standardization)- generalized
Risk adjusted
Data Source
InterRAI Quality of Life Survey, OHTAM (Ontario Health Teams Attribution Model), Registered Persons Database (RPDB)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
For calculation of the MDSHSI from RAI data, see: Wodchis WP, Hirdes JP and Feeny DH. Health-related quality of life measure based on the minimum data set. Int J Technol Assess Health Care. 2003; 19(3): 490-506 • MDSHSI ranges from -0.03 to 1, with higher scores (approaching 1) indicative of good health. • A value of ≥0.03 is a clinically meaningful difference in MDSHSI • The MDSHSI was validated on the RAIHC assessment instrument, which is no longer used in Ontario. Data items collected on the interRAIHC assessment instrument (which was adopted in Ontario in March 2018) differs, notably for assessing mobility, which results in a marginally higher MDSHSI score. Interpretation requires caution. • A higher value (mean score) is desirable for this measure
Comments Summary
OHT Indicator
 
TAGS
Sector
Ontario Health Team
Type
Outcome
Topic
Aging
Dimension
Patient-centred
Source
InterRAI Quality of Life Survey, OHTAM (Ontario Health Teams Attribution Model), Registered Persons Database (RPDB)
 
PUBLISH
Publish Datetime
10/03/2022 13:40:00