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INDICATOR NAME
Name
Percentage of home care patients who developed a stage 2 to 4 pressure ulcer (retired)
Alternate Name
Percentage of long stay home care patients with a new pressure ulcer (stage 2 to 4) since their last assessment
 
INDICATOR DESCRIPTION
Description
This indicator measures the percentage of long-stay home care patients who didn’t have a pressure ulcer or had a stage 1 pressure ulcer on their previous assessment that developed a stage 2 to 4 pressure ulcer by their target assessment. A lower percentage is better.
HQO Reporting tool/product
Public reporting
Dimension
Safe
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
The unadjusted rate is calculated as: numerator divided by the denominator times 100. 
Numerator (short description i.e. not inclusions/exclusions)
Patients with a newly developed pressure ulcer (stages 2 to 4)
Denominator (short description i.e. not inclusions/exclusions)
All long-stay patients with at least one reassessment and did not have a stage 2 to 4 pressure ulcer on their previous assessment
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). For more details, see 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.
 
TAGS
Sector
Home Care
Type
Outcome
Topic
Patient Safety and Never Events
Dimension
Safe
Source
Home Care Reporting System (HCRS)
 
PUBLISH
Publish Datetime
15/02/2019 16:34:00