Percentage-people-entered-long-term-care-home - Health Quality Ontario (HQO)

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:

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

Click here to view Health Quality Ontario results for this indicator

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.