LTCPR-AP-Newstarts-dementia - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Antipsychotics New Starts: Percentage of residents aged 66 and older diagnosed with dementia, without psychosis, who were newly prescribed an antipsychotic medication

Alternate Name

Antipsychotics New Starts: Percentage of residents aged 66 and older diagnosed with dementia, without psychosis, who were newly prescribed an antipsychotic medication

INDICATOR DESCRIPTION

Description

This indicator measures the percentage of Long-Term Care residents diagnosed with dementia but not diagnosed with psychosis, who had at least one antipsychotic medication dispensed in the reporting period and did not have an antipsychotic medication dispensed in the preceding 12 months.

HQO Reporting tool/product

Personalized/Custom Reports (includes Practice Reports)

Dimension

Effective, Patient-centred

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Percentage

Calculation Methods

The total number of residents who had at least one antipyschotic medication dispensed in the reporting period who did not have an antipsychotic medicaiton dispensed in the preceding twelve months divided by the total number of Long-Term Care residents older than 66, not new to Long-Term Care, not in palliative care, 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 at least one prescription for an antipsychotic medication dispensed, and did not have a prescription for antipsychotics dispensed in the previous 12 months.

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 LTC home, 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.