Percentage of clients whose cognitive ability declined [assessed by Cognitive Performance Scale (CPS)]. CPS summarises the patient's cognitive status based on RAI-MDS 2.0 assessment items relating to short-term memory, ability to make daily decisions, making self-understood and eating. Incidence indicator.

Home care clients with a lower Cognitive Performance Scale (CPS) score on their target assessment compared with their prior assessment.

All home care clients (must have target assessment and had an assessment 3-15 months prior).

None

Risk adjustment at individual client level (individual covariates) and home care organizational level (direct standardisation).

IADL performance score.

Outcome and Assessment Information Set (OASIS).

HCRS based on 2 consecutive quarters (to ensure minimum number of assessments to apply risk adjustment procedures). CIHI is transitioning to the Integrated interRAI Reporting System (IRRS) for long-term care (LTC) and home care data. As a result, CIHI will decommission the previous reporting systems for home care (HCRS and HCRS-CA) by March 2025. Reported at National, Province/Territory level.

Canadian Institute for Health Information. Home Care Reporting System — Contact Assessment: Output Specifications, 2021–2022. Ottawa, ON: CIHI; 2021.
www.cihi.ca/sites/default/files/document/hcqi-infosheet-en-web.pdf

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