INDICATOR NAME
Name
Proportion of older adults with frailty (contextual indicator)
Alternate Name
Proportion of older adults with frailty (contextual indicator)
INDICATOR DESCRIPTION
Description
Proportion of older adults >65 years of age identified as being frail
Indicator Status
Active
HQO Reporting tool/product
Ontario Health Teams: Quality
Dimension
Patient-centred
Type
Outcome
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
N/A
Numerator including inclusion/exclusion
All persons:
• With a history of dementia (see Jaakkimainen RL et al. (2016) Identification of physician-diagnosed Alzheimer’s
disease and related dementias in population-based administrative data: a validation study using family physicians’
electronic medical records. Journal of Alzheimer’s Disease, 54: 337-349 for codes), or
• Residents in a long-term care facility (based on having any record in CCRS in the last 5 years), or
• Receiving palliative care services (in the past 1 year) based on:
• DAD: ICD-10 codes that begin with Z515, patserv=58, prvserv or inserv=00121
• OHIP: feecodes that begin with A945, K023, G512, G511, B998,B997, K700, B966, B997, B998, G511,
C945, C945, C882, C982, E083 (following C982, C882, C122, C123, C124, C142, C143), B966 (billed with
B998/B996), K023, B400, C945, C982, G512, Q641, )
• NACRS: prvserv or consultserv = 00121
• HCD: src_admission, service_rpc or src_discharge=95, residence_type=2000
• RAICA: b2c=1 or b4=12, or
• With two or more of the following seven conditions identified in DAD or OHIP:
• Cognitive impairment, including dementia and delirium (ICD-10 codes F05X: F050, F051, F058, F059 and
ICD-9 codes 293)
• Incontinence (ICD-10: R32, R15),
• Falls (ICD-10: E9177, E9178, E9293, W01,W05-W19)
• Nutritional difficulties (ICD-10: R627, R634, R633, R630, F500, F501, R63, R636, R638,78322, 7833,
7839),
• Functional difficulties (ICD-10: R26, R262, M6250-9, M6281, L89X)
• Targeted health service utilization (OHIP specialty 07 with OHIP feecodes W770, W775, W795, A770,
A775, A795, C770, C775, C795, E071, E075, E077, E703, DAD patserv 77, OHIP location home with OHIP
feecodes B960-4, B966, B986, B987, B988, B990-8)
Decline in general health status (2+ non-elective hospital admissions or unscheduled ED visits in the last year, or
malaise, fatigue/debility and/or cachexia diagnoses (ICD-10 R53, G933, R64, ICD-9: 795).
• With a history of dementia (see Jaakkimainen RL et al. (2016) Identification of physician-diagnosed Alzheimer’s
disease and related dementias in population-based administrative data: a validation study using family physicians’
electronic medical records. Journal of Alzheimer’s Disease, 54: 337-349 for codes), or
• Residents in a long-term care facility (based on having any record in CCRS in the last 5 years), or
• Receiving palliative care services (in the past 1 year) based on:
• DAD: ICD-10 codes that begin with Z515, patserv=58, prvserv or inserv=00121
• OHIP: feecodes that begin with A945, K023, G512, G511, B998,B997, K700, B966, B997, B998, G511,
C945, C945, C882, C982, E083 (following C982, C882, C122, C123, C124, C142, C143), B966 (billed with
B998/B996), K023, B400, C945, C982, G512, Q641, )
• NACRS: prvserv or consultserv = 00121
• HCD: src_admission, service_rpc or src_discharge=95, residence_type=2000
• RAICA: b2c=1 or b4=12, or
• With two or more of the following seven conditions identified in DAD or OHIP:
• Cognitive impairment, including dementia and delirium (ICD-10 codes F05X: F050, F051, F058, F059 and
ICD-9 codes 293)
• Incontinence (ICD-10: R32, R15),
• Falls (ICD-10: E9177, E9178, E9293, W01,W05-W19)
• Nutritional difficulties (ICD-10: R627, R634, R633, R630, F500, F501, R63, R636, R638,78322, 7833,
7839),
• Functional difficulties (ICD-10: R26, R262, M6250-9, M6281, L89X)
• Targeted health service utilization (OHIP specialty 07 with OHIP feecodes W770, W775, W795, A770,
A775, A795, C770, C775, C795, E071, E075, E077, E703, DAD patserv 77, OHIP location home with OHIP
feecodes B960-4, B966, B986, B987, B988, B990-8)
Decline in general health status (2+ non-elective hospital admissions or unscheduled ED visits in the last year, or
malaise, fatigue/debility and/or cachexia diagnoses (ICD-10 R53, G933, R64, ICD-9: 795).
Denominator including inclusion/exclusion
Total population age 66 years or older
Adjustment (risk, age/sex standardization)- detailed
Model-based risk-adjusted via logistic regression using individual-level data, controlling for age (continuous) and sex
Data Source
Continuing Care Reporting System (CCRS), Discharge Abstract Database (DAD), Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Ontario Drug Benefit (ODB), Ontario Health Insurance Plan (OHIP) Claims History Database, Registered Persons Database (RPDB), Resident Assessment Instrument-HomeCare (RAI-HC) via (LSAS)
Data provided to HQO by
Institute for Clinical Evaluative Sciences (ICES)
OTHER RELEVANT INFORMATION
Caveats and Limitations
A lower value is desirable for this measure
TAGS
Sector
Ontario Health Team
Type
Outcome
Topic
Aging
Dimension
Patient-centred
Source
Continuing Care Reporting System (CCRS), Discharge Abstract Database (DAD), Home Care Database (HCD), National Ambulatory Care Reporting System (NACRS), Ontario Drug Benefit (ODB), Ontario Health Insurance Plan (OHIP) Claims History Database, Registered Persons Database (RPDB), Resident Assessment Instrument-HomeCare (RAI-HC) via (LSAS)
PUBLISH
Publish Datetime
10/03/2022 13:43:00
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