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INDICATOR NAME
Name
Home Care Clients' Decreased Ability to Perform Daily Activities
Alternate Name
Home care clients whose ability to perform daily activities has decreased
 
INDICATOR DESCRIPTION
Description
This is the percentage of clients, of all ages, receiving publicly funded home care services for at least 60 days, whose ability to perform daily activities (such as eating and bathing) decreased over the last six months. A lower percentage of clients is better.
HQO Reporting tool/product
On-Line Public Reporting
Dimension
Effective, Safe
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by the denominator times 100.
Numerator (short description i.e. not inclusions/exclusions)
The number of long-stay home care clients whose status in Activities of Daily Living (ADL) (bathing, personal hygiene and locomotion) functioning was higher in their prior assessment than their target assessment
Denominator (short description i.e. not inclusions/exclusions)
The number of home care clients with at least two consecutive assessments
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)
Reported Levels of comparability /stratifications (defined)
Region, Time
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
1) The underlying denominator 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 results of a combination of changes in the underlying population as well as the resource utilization of the clients being served and the performance of the service providers and LHINs. Risk adjustment may not be able to compensate for all of these changes. 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 limitations noted. 3) Only long-stay home care clients 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). These long-stay clients represent approximately half of home care clients. The other half of clients are short-stay clients who require short-term service while they recover from injury or surgery.
Comments Summary
Data are based on information from mandatory Resident Assessment Instrument - Home Care (RAI-HC) assessments.
 
TAGS
Sector
Home Care
Type
Outcome
Topic
Patient Safety and Never Events
Dimension
Effective, Safe
Source
Home Care Reporting System (HCRS)
 
PUBLISH
Publish Datetime
10/01/2019 13:37:00