LTCPR-AP-polypharmacy - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Antipsychotic Polypharmacy: Percentage of residents aged 66 and older with concomitant prescriptions for at least two different antipsychotic medications (retired)

Alternate Name

Antipsychotic Polypharmacy: Percentage of residents aged 66 and older with concomitant prescriptions for at least two different antipsychotic medications (retired)

INDICATOR DESCRIPTION

Description

This indicator provides information on your residents aged 66 and older who have concomitant prescriptions for at least two different antipsychotic medications, each for 90 continuous days.

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

(Number of residents with two or more continuous antipsychotic drug prescriptions for a 90-day period / Total number of residents 66 and older, not in palliative care, with at least one prescription for an antipsychotic, and in LTC for at least 100 days ) X 100

(i.e. Numerator/Denominator * 100 )

Numerator including inclusion/exclusion

The number of residents with two or more continuous antipsychotic drug prescriptions (with LTC flag) during 90 days prior to the index date. Switching antipsychotic drugs (differentiated by drug name) during the 90-day continuous use period is not allowed for this indicator. 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, not in palliative care, have at least one prescription for an antipsychotic drug during the past 90 days, and are not new to their LTC home.

Exclusions:

Age 65 or less on index date
Residents with palliative care in past six months
Residents with no antipsychotic prescription with LTC flag during 90 days prior to and including index date
Residents new to their LTC home (<100 days in home)
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 privately reported during the period from September 2015 to July 2016, and retired in Fall 2016.