Home Care Clients' Decreased Ability to Perform Daily Activities

Identifying Attributes

Care Settings
Home Care
Country
Canada
Publishing Organisation
Health Quality Ontario Home Care Reporting System (HCRS)
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Function / Activities of Daily Living

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
Yes
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
Standardised clinical data
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
No

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)

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
Yes
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025