Percentage of residents with worsened bladder continence.

Residents whose bladder incontinence worsened (a greater value for bladder incontinence) on target assessment compared with prior assessment.

All residents with an assessment in the previous quarter.

Residents who are comatose, end-stage (6 months or less to live) or receiving hospice / palliative care. Residents who have the maximum score for bladder incontinence on the previous assessment (i.e. can not get worse).

Direct standardisation, indirect standardisation Standard Population: 3,000 facilities in 6 U.S. states and 92 residential care facilities and continuing care hospitals in Ontario and Nova Scotia. Individual covariates: Personal Severity Index (PSI) subset 1 (diagnoses); PSI subset 2 (non-diagnoses); Cognitive Performance Scale; Resource Utilisation Group; nursing Case Mix Index; age younger than 65.

Facility-level stratification: Activities of Daily Living Long Form Scale.

Data availability 2017-21. Resident Assessment Instrument–Minimum Data Set 2.0 (RAI-MDS 2.0) and submitted to the Continuing Care Reporting System (CCRS), or using the interRAI Long-Term Care Facilities (interRAI LTCF) assessment and submitted to the Integrated interRAI Reporting System (IRRS).

Publicly reported at national and provincial/territory level as part of national Continuing Care Reporting System (CCRS), quarterly. Also includes reporting at region, LTCF, corporation, and sector level (not public). The CCRS quality indicators use 4 rolling quarters of data for calculations in order to have a sufficient number of assessments for risk adjustment. Since residents are assessed on a quarterly basis, each resident can contribute to the indicator up to 4 times.

www.cihi.ca/en/topics/long-term-care/indicators

www.cihi.ca/en/indicators/worsened-bladder-continence