The percentage of clients that have shown signs of depression over the past three days.

The number of clients that scored 3 or more points on the depression scale on the day/in the week of measuring.

The number of clients with whom measurements have been carried out on the day/in the week of measuring.

• Clients who, on the day/in the week of measuring, cannot or do not want to be tested for depression • Clients with whom it has been agreed (and put down in writing) in the care contract or the care (treatment)/ life plan that systematic testing for depression is not to be carried out for the benefit of the Quality Framework • Home Care: Clients who have not been indicated for the function nursing and / or personal care (so clients should only be measured if they have been indicated for the function nursing and/ or personal care).

Survey of clients at least once every 2 years by an accredited independent agency by means of a clients' consultation (CQ-index).

The long-term care facilities in the Netherlands are obliged to conduct client surveys with the CQ-index every two years. They have to contract a certified research organisation to collect data that will be submitted to a central database for nationwide comparisons, benchmarking and public reporting on internet (www.kiesbeter.nl).

Winters-Van Der Meer S, Kool RB, Klazinga NS, Huijsman R. Are the Dutch long-term care organizations getting better? A trend study of quality indicators between 2007 and 2009 and the patterns of regional influences on performance. Int J Qual Health Care. 2013 Oct;25(5):505-14. doi: 10.1093/intqhc/mzt061. Epub 2013 Aug 20. PMID: 23962991.

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CQ-index Long-term Care