The number of residents diagnosed with dementia without psychosis who had antipsychotic medications dispensed (with Long-Term Care flag) during 90 days preceding the index date (a resident’s last service date in the quarter). 

Inclusions:

1. Antipsychotic drug can be any drug from list (i.e., change to a different antipsychotic medication throughout 90 days is included). The grace period, the number of days between the end of one prescription and start of the next prescription, was 1.5 times the number of days supplied for the prescription.

The total number of residents in the OHIP/ODB cohort for the reporting period who are aged 66 years and older, who were diagnosed with dementia, without psychosis, were not new to the Long-Term Care home, and were not in palliative care. 

Inclusions:

1. To be included in the OHIP/ODB cohort a residents must have a combination of two records from the Ontario Health Insurance Plan or Ontario Drug Benefit databases.  This can be any combination of two OHIP W codes for LTC services or ODB claims with an LTC flag. 
 2. Valid ICES key number.

Exclusions:       

1. Diagnosis of psychosis in the preceding 5 years
2. No diagnosis of dementia in the preceding 5 years
3. Age 65 or less on index date
4. Residents with palliative care in past six months
5. Residents new to their LTC home (less than 100 days in home)

Residents in a physician’s group with five or fewer residents within the LTC home (apply this exclusion ONLY when stratifying rates by physician)