Communication Decline
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Proportion of home care clients with a score of less than 8 on the communication scale at baseline who experience a decline (higher score on the communication scale). Includes clients with new difficulties in communication. Incidence indicator.
Numerator
Number of home care clients with a score of less than 8 on the communication scale at baseline who experience a decline (higher score on the communication scale). Includes clients with new difficulties in communication. Incidence indicator.
Denominator
All home care clients with some difficulty in communication impairment at baseline and both baseline and target assessment (at 6 months).
Exclusions
Use of Risk Adjustment
Risk Adjustments
Adjusted for: difficulty managing finances, managing medications, and with phone use, Alzheimer's disease, clinical risk, ADL hierarchy scale score.
Stratifications
IADL performance scale.
Data Attributes
Type of Data Collection
Data Collection Methods
Data using the RAI-HC by specially trained assessors, usually nurses, who verify collected information that included direct interviews of home care clients and family members, as well as review of physician reports medical records.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting in publication level for 7 countries: Czech Republic, Denmark, Finland, Germany, Italy, and the Netherlands for HC recipients.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Foebel AD, van Hout HP, van der Roest HG, et al. Quality of care in European home care programs using the second generation interRAI Home Care Quality Indicators (HCQIs). BMC Geriatr 2015;15:148.