LTCPR-AP-new-starts - Health Quality Ontario (HQO)

INDICATOR NAME

Name

New Starts: Percentage of residents aged 66 and older with a new prescription for an antipsychotic medication (retired)

Alternate Name

New Starts: Percentage of residents aged 66 and older with a new prescription for an antipsychotic medication (retired)

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of LTC residents who have at least one prescription for an antipsychotic medication dispensed in the reporting quarter who did not have an antipsychotic medication dispensed in the preceding 12 months.

Indicator Status

Retired

HQO Reporting tool/product

Personalized/Custom Reports (includes Practice Reports)

Dimension

Effective

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per 100

Calculation Methods

(Total number of residents aged 66 and older who have at least one prescription for an antipsychotic medication dispensed in the quarter with no antipsychotic medication dispensed in the previous 12 months / Total number of residents aged 66 and older) X 100

(i.e. Numerator/Denominator *100 )

Numerator including inclusion/exclusion

The number of residents with at least one prescription for an antipsychotic without a prescription for antipsychotics in the previous 12 months. No additional exclusions.

Denominator including inclusion/exclusion

The total number of residents in OHIP/ODB cohort for the relevant fiscal quarter who are 66 years and older and not in palliative care.

Exclusions:

Age 65 or less on index date
Residents with palliative care in past six months
Residents in a physician patient group of <= 5 within the LTC home (apply this exclusion ONLY when stratifying rates by physician)

Adjustment (risk, age/sex standardization)- detailed

None

Data Source

Discharge Abstract Database (DAD), Ontario Drug Benefit (ODB), Ontario Health Insurance Plan (OHIP) Claims History Database, Ontario Mental Health Reporting System (OMHRS), Registered Persons Database (RPDB)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Diagnosis

OTHER RELEVANT INFORMATION

Caveats and Limitations

The indicator also captures antipsychotic medications dispensed that are prescribed on an as-needed basis (PRN). This indicator is strictly for measuring quality improvement efforts. It is not to measure accountability or performance.

Comments Detailed

This indicator was reported during the period September 2015 to September 2016, and retired in September 2016.