Long-Stay Home Care Clients Whose Unpaid Caregivers Experience Distress

Identifying Attributes

Care Settings
Home Care
Country
Canada
Publishing Organisation
Health Quality Ontario: Home Care Reporting System (HCRS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Person-Centredness
Domain
Caregiver Distress

Defining Attributes

Definition

Percentage of long-stay home care clients whose unpaid caregivers experience distress in a 1-year period

Numerator

Total number of home care clients who, at the time of their most recent assessment in the given year, have an unpaid caregiver who is experiencing distress

Denominator

Total number of long-stay home care clients with a caregiver at the time of their most recent assessment in the given year

Exclusions

Assessments with "initial assessment" as the reason for the assessment are excluded

Use of Risk Adjustment
Yes
Risk Adjustments

Risk adjusted using following covariates: Activities of Daily Living Self-Performance Hierarchy Scale (ADL Hierarchy); Cognitive Performance Scale (CPS); Changes in Health, End-Stage Disease and Signs and Symptoms (CHESS)

Stratifications

Collection and Reporting Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Resident Assessment Instrument-Home Care (RAI-HC) or interRAI HC assessments

Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods

Public reporting

Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
No

Source and Reference Attributes

Evidence Source

Health Quality Ontario. Measuring Up 2018: A yearly report on how Ontario's health system is performing, 2018. www.hqontario.ca/Portals/0/Documents/pr/measuring-up-2019-en.pdf

Technical Specifications

Indicator library of Ontario Health website not accessible (transition from health quality ontario website)

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
02 December 2025