Percentage of clients whose activities of daily living (ADL) functioning declined (bathing, personal hygiene, locomotion). Incidence indicator.

Home care clients with worsened ADLs self performance on their target assessment compared with their previous 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).

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

Restricted access to Resident Assessment Instrument-Home Care (RAI-HC) User's Manual, Canadian version secure.cihi.ca/estore/productSeries.htm?pc=PCC130&gl=1*4124y5*gaODgxMzkxMDI5LjE2OTIxNDg5NDk.ga44X3CK377B*MTY5NjIxNzg4NC44LjEuMTY5NjIxODA5NS4wLjAuMA..&_ga=2.152660921.1203545925.1696217885-881391029.1692148949 Restricted access to Home Care Reporting System (HCRS) Data Submission Specifications Manual secure.cihi.ca/estore/productSeries.htm?pc=PCC305