Home Care Clients' Decreased Ability to Perform Daily Activities
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of clients, of all ages, receiving publicly funded home care services for at least 60 days, whose ability to perform daily activities (such as eating and bathing) decreased over the last six months. A lower percentage of clients is better.
Numerator
The number of long-stay home care clients (i.e., clients who require care for more than 60 days of continuous service) whose status in Activities of Daily Living (ADL) (bathing, personal hygiene and locomotion) functioning was higher in their prior assessment than their target assessment.
Denominator
The number of home care clients with at least two consecutive assessments.
Exclusions
Only long-stay home care clients receiving RAI-HC assessments are included. ADL items included are dressing upper and lower body; eating; toilet use; personal hygiene; bathing.
Use of Risk Adjustment
Risk Adjustments
Adjustment Factors: Age ≥65, 12 Months or less between Assessments, Clinical Risk, Meal Prep Difficulty, Difficulty housework, Difficulty bathing, Falls, Unsteady gait, Admitted Hospitals, CPS, Number of Months between Assessments, ADL Hierarchy 2+, Age greater than or equal to 80, Institutional Risk, ADL Hierarchy 3+
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
Data are based on information in Home Care Reporting System from mandatory Resident Assessment Instrument - Home Care (RAI-HC) assessments. Jurisdictions differ in their requirements for RAI-HC assessment frequency.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
On-Line Public Reporting.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Health Quality Ontario. Measuring Up 2018: A yearly report on how Ontario's health system is performing, 2018.
Technical Specifications
Indicator library of Ontario Health website not accessible (transition from health quality ontario website)