Change-Activities-Daily-Living-ADL-EN - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Change in Activities of Daily Living (ADL)

Alternate Name

Change in Activities of Daily Living (ADL)

INDICATOR DESCRIPTION

Description

Change in ADL Long form score among long-stay home care clients >65 years of age that had two interRAIHC assessments in a 365-day period

Indicator Status

Active

HQO Reporting tool/product

Ontario Health Teams: Quality

Dimension

Patient-centred

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Ratio

Calculation Methods

Clients with <2 interRAIHC assessments within 365d

Numerator including inclusion/exclusion

Change in ADL Long score from first to most interRAIHC assessment

Denominator including inclusion/exclusion

Total population age 66 years or older with an interRAIHC assessment in the observation period (index assessment)
and a second interRAIHC assessment within 365d prior. The index assessment is the most recent in theobservation period.

Adjustment (risk, age/sex standardization)- detailed

Model-based risk-adjusted via generalized regression (assuming a normal distribution and identity link function) using individual-level data, controlling for age (continuous) and sex.

Data Source

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

InterRAIHC data was not available in 2017/18 ADL Long ranges from 0 to 28, with higher values indicating greater difficulty in performing activities. Therefore, a lower/ negative value (mean change score) is desirable for this indicator