LTCPR-AP-90days-dementia - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Antipsychotics for at Least 90 Days: Percentage of residents aged 66 and older diagnosed with dementia, without psychosis, who were prescribed an antipsychotic medication for at least 90 continuous days

Alternate Name

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of Long-Term Care residents diagnosed with dementia but not diagnosed with psychosis, who had an antipsychotic medication dispensed for at least 90 continuous days measured from the last date of contact in the reporting period.

HQO Reporting tool/product

Personalized/Custom Reports (includes Practice Reports)

Dimension

Effective, Patient-centred, Safe

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

Number of residents with an antipsychotic medication dispensed for at least 90 days divided by the total number of residents who were older than 66 years of age, not new to the Long-Term Care home, not in palliative care, and who were diagnosed with dementia without psychosis. This is multiplied by 100.

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

The number of residents diagnosed with dementia without psychosis who had antipsychotic medications dispensed (with Long-Term Care flag) during 90 days preceding the index date (a resident’s last service date in the quarter).

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

The total number of residents in the OHIP/ODB cohort for the reporting period who are aged 66 years and older, who were diagnosed with dementia, without psychosis, were not new to the Long-Term Care home, and were not in palliative care.

Adjustment (risk, age/sex standardization)- generalized

None

Data Source

Discharge Abstract Database (DAD), Ontario Drug Benefit (ODB), Ontario Health Insurance Plan (OHIP) Claims History Database, Ontario Mental Health Reporting System (OMHRS), Physician Database (IPDB), Registered Persons Database (RPDB)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Province

OTHER RELEVANT INFORMATION

Caveats and Limitations

Due to data limitations, this indicator includes medications dispensed that are prescribed on an as-needed basis (PRN). This indicator is strictly for quality improvement efforts, and is not reportable or for accountability.