Pain Not Controlled
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Proportion of home care clients who have pain and are receiving inadequate pain control or no pain medication. Prevalence indicator.
Numerator
Number of home care clients who have pain and are receiving inadequate pain control or no pain medication. Prevalence indicator.
Denominator
All home care clients with a target assessment.
Exclusions
Use of Risk Adjustment
Risk Adjustments
Adjusted for: use of assistive device, unsteady gait, ADL hierarchy scale, age over 80 years.
Stratifications
Clinical risk.
Data Attributes
Type of Data Collection
Data Collection Methods
Data collected for the Aged in Home Care (ADHoC) project (2000-2002). Data were collected using the RAI-HC by specially trained assessors, usually nurses, who verify collected information that included direct interviews of home care clients and family members, as well as review of physician reports medical records.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Reporting in publication level for 7 countries: Czech Republic, Denmark, Finland, Germany, Italy, and the Netherlands for HC recipients.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
Foebel AD, van Hout HP, van der Roest HG, et al. Quality of care in European home care programs using the second generation interRAI Home Care Quality Indicators (HCQIs). BMC Geriatr 2015;15:148.