Declined Activities of Daily Living
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of clients whose activities of daily living (ADL) functioning declined (bathing, personal hygiene, locomotion). Incidence indicator.
Numerator
Home care clients with worsened ADLs self performance on their target assessment compared with their previous assessment.
Denominator
All home care clients (must have target assessment and had an assessment 3-15 months prior).
Exclusions
None
Use of Risk Adjustment
Risk Adjustments
Risk adjustment at individual client level (individual covariates) and home care organizational level (direct standardisation).
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Outcome and Assessment Information Set (OASIS).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
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.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
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
Technical Specifications
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