This indicator measures the percentage of long-stay home care patients who report they have not been vaccinated for the prevention of influenza in the past two years. A lower percentage is better.

Public reporting

Effective

Outcome

1) 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 2) Only long-stay home care patients receive RAI-HC assessments and are included in the HCRS database (i.e., home care patients who require care for more than 60 days of continuous service). 3) The measure inquires about vaccination in the past two years regardless of how long the individual was considered a long-stay home care patient, so the patient may not have been receiving home care services throughout the two year look-back period. 4) Once a long-stay home care patient is vaccinated for influenza, they are included in the numerator for the next eight quarters, regardless of whether or not they were vaccinated again before the next flu season. 5) The annual result is calculated as a sum of the four quarters, so long-stay home care patients may be included in the numerator and denominator up to four times. 6) Because this is a self-reported measure, recall of vaccination in the past two years can be challenging, particularly for those with cognitive impairment 7) Several other jurisdictions also submit HCRS data to CIHI, but with differing frequency, processes, and coverage, making comparability a challenge See here for more details on some of the limitations: Home Care Reporting System (HCRS) RAI-HC Output Specifications 2016-2017, CIHI.

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.

15/02/2019 16:34:00