Incontinence-home-care-patients - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Percentage of home care patients who have newly developed bladder incontinence or whose bladder functioning has not improved (retired)

Alternate Name

Percentage of long stay home care patients who have newly developed bladder incontinence or whose bladder functioning has not improved since their previous assessment

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of long-stay home care patients who either developed a new problem with bladder function, or whose bladder function worsened or did not improve since their previous assessment. A lower percentage is better.

HQO Reporting tool/product

Public reporting

Dimension

Effective

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

The unadjusted percentage is calculated as: numerator divided by the denominator times 100.

Numerator (short description i.e. not inclusions/exclusions)

Number of patients who 1) have developed a new bladder continence problem OR 2) experienced a decline or failed to improve in bladder continence between previous and most recent assessment.

Denominator (short description i.e. not inclusions/exclusions)

All long-stay patients with at least one reassessment.

Adjustment (risk, age/sex standardization)- generalized

Risk adjusted

Data Source

Home Care Reporting System (HCRS)

Data provided to HQO by

Canadian Institute for Health Information (CIHI)

OTHER RELEVANT INFORMATION

Caveats and Limitations

1) The underlying indicator population changes each year as the characteristics of the home care population change; therefore, careful interpretation of trends over time is required since any change may be the result of a combination of changes in the underlying population as well as the resource utilization of the patients being served and the performance of the service providers and CCACs. 2) Jurisdictions differ in their requirements for RAI-HC assessment frequency, in the process that the data go through for production, and in the regions assessed; therefore, comparison of Ontario results to other jurisdictions should only be made with these limitations noted. 3) Only long-term home care patients receive RAI-HC assessments and are included in the HCRS database (i.e., clients who require care for more than 60 days of continuous service). 4) Incontinence may be underreported by home care patients due to the nature of the condition See here for more details: Home Care Reporting System (HCRS) RAI-HC Output Specifications 2016-2017, CIHI.

Comments Summary

Data are based on information from mandatory Resident Assessment Instrument - Home Care (RAI-HC) assessments. The RAI-HC is a standardized assessment that is completed for long-stay home care patients (those requiring services for at least 60 consecutive days). Assessments are completed at authorization for home care services and at least once every 6 months thereafter.