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.

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.

All home care clients with some difficulty in communication impairment at baseline and both baseline and target assessment (at 6 months).

Adjusted for: difficulty managing finances, managing medications, and with phone use, Alzheimer's disease, clinical risk, ADL hierarchy scale score.

IADL performance scale.

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.

Reporting in publication level for 7 countries: Czech Republic, Denmark, Finland, Germany, Italy, and the Netherlands for HC recipients.

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.