LTCPR-AP-continuous-use - Health Quality Ontario (HQO)

INDICATOR NAME

Name

Continuous Use: Percentage of residents aged 66 and older with a prescription for an antipsychotic medication for at least 90 continuous days (retired)

Alternate Name

Continuous Use: Percentage of residents aged 66 and older with a prescription for an antipsychotic medication for at least 90 continuous days (retired)

INDICATOR DESCRIPTION

Description

This indicator provides information on your residents aged 66 and older who have a prescription for an antipsychotic medication for a period of 90 continuous days measured from the last date of contact in the reporting quarter.

HQO Reporting tool/product

Personalized/Custom Reports (includes Practice Reports)

Dimension

Effective

Type

Outcome

DEFINITION AND SOURCE INFORMATION

Unit of Measurement

Rate per 100

Calculation Methods

(Number of residents with a continuous antipsychotic drug prescription for a 90-day period / Total number of residents 66 and older, not in palliative care, with at least one prescription for an antipsychotic medication, and in LTC for at least 100 days) X 100

(i.e. Numerator/Denominator* 100 )

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

The number of residents with continuous antipsychotic drug prescriptions (with LTC flag) during 90 days prior to index date. Antipsychotic drug can be any antipsychotic drug from the DIN list (i.e. changes in antipyschotic drug type throughout 90 days are allowed).

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

The total number of residents in OHIP/ODB cohort for the relevant fiscal quarter who are 66 years and older, not in palliative care, have at least one prescription for an antipsychotic drug during past 90 days, and are not new to their LTC home.

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), Registered Persons Database (RPDB)

Data provided to HQO by

Institute for Clinical Evaluative Sciences (ICES)

Reported Levels of comparability /stratifications (defined)

Diagnosis

OTHER RELEVANT INFORMATION

Caveats and Limitations

The indicator also captures antipsychotic medications dispensed that are prescribed on an as-needed basis (PRN). This indicator is strictly for measuring quality improvement efforts. It is not to measure accountability or performance.

Comments Summary

This indicator was reported during the period September 2015 to September 2016, and retired in September 2016.