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INDICATOR NAME
Name
Placement in long-term care homes for people with low to moderate care needs (retired)
Alternate Name
Percentage of people with low to moderate care needs who entered a long-term care home
 
INDICATOR DESCRIPTION
Description
This indicator reports the percentage of people placed in long-term care (LTC) homes with a Method for Assigning Priority Levels (MAPLe) score that is less than high or very high.
Indicator Status
Retired
HQO Reporting tool/product
Public reporting
Dimension
Efficient
Type
Process
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by denominator times 100
Numerator including inclusion/exclusion
Number of people placed in a long-term care home who had a MAPLe score that is less than high or very high (i.e. moderate, mild, or low) in their most recent Resident Assessment Instrument for Home Care (RAI-HC) assessment prior to placement.
Denominator including inclusion/exclusion

Number of people placed in a long-term care home in the time period for whom a RAI-HC assessment could be identified.

Exclusions:

  1. Transfers from one LTC home to another
Data Source
Community Care Access Centre (CCAC) Client Management System, Legacy Client Profile Database (CPRO Legacy), Resident Assessment Instrument-HomeCare (RAI-HC) via (LSAS)
Data provided to HQO by
Ontario Association of Community Care Access Centres(OACCAC)
Reported Levels of comparability /stratifications (defined)
Region, Time
 
RESULT UPDATES
Indicator Results
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
There are circumstances under which it could be more appropriate for such patients to live in long-term care homes. Factors that might be taken into consideration include the availability of family caregivers, sufficiency of financial resources, caregivers' and patients' ability to cope, and patients' own personal choices.
Comments Detailed
The MAPLe categorizes home care patients into five priority levels based on their risk of adverse outcomes (i.e., urgency for service). The algorithm for categorizing patients is made up of clinical, functional and behavioural factors, such as having fallen, presence of pressure ulcers, cognitive functioning, dependence on others to perform activities of daily living, and presence of difficult behaviours. The priority levels have been shown to be predictors of caregiver distress, admission to LTC, and family/patient feelings that they would be better off elsewhere. The MAPLe is an empirically sound decision-support system that enables case managers to make systematic evaluations of the needs of the clients and the urgency with which they should respond to those needs; however, case managers should consider MAPLe scores in conjunction with clinical judgement and discussion with clients, family and other formal service providers. All patients placed in LTC from the community or hospital receive a RAI-HC assessment, as this is a requirement under the Long-Term Care Home Act.
 
TAGS
Sector
Home Care
Type
Process
Topic
Integration
Dimension
Efficient
Source
Community Care Access Centre (CCAC) Client Management System, Legacy Client Profile Database (CPRO Legacy), Resident Assessment Instrument-HomeCare (RAI-HC) via (LSAS)
 
PUBLISH
Publish Datetime
15/02/2019 16:34:00