Long-Term Care Home Residents With Worsened Symptoms of Depression

Identifying Attributes

Care Settings
Residential Aged Care
Country
Canada
Publishing Organisation
Health Quality Ontario Long Term Care Home Performance Quality Indicators
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Depression

Defining Attributes

Definition

Percentage of long-term care (LTC) home residents whose mood from symptoms of depression worsened.

Numerator

Number of LTC home residents in a fiscal quarter with a higher Depression Rating Scale (DRS) score on their target assessment than on their previous assessment.

Denominator

Number of LTC home residents in a fiscal quarter with 2 valid RAI-MDS assessments whose depression symptoms could worsen (i.e., excludes residents who had a maximum DRS score on their previous assessment).

Exclusions

Residents whose depression symptoms could not worsen (i.e., had a maximum DRS score on prior assessment or who were comatose.

Use of Risk Adjustment
Yes
Risk Adjustments

Risk adjusted at the individual covariate level and through direct standardisation. Individual covariates: Age younger than 65 years Direct standardisation: Case Mix Index (CMI)* *The relative resource use compared to the overall average resource use for all Ontario LTC home residents.

Stratifications

None

Data Attributes

Type of Data Collection
Standardised clinical data
Data Collection Methods

Resident Assessment Instrument - Minimum Data Set 2.0 (RAI-MDS) from continuing care reporting system (CCRS).

Frequency of Data Collection
90 days
Frequency of Data Collection in Days
90
Reporting Methods

Publicly reported quarterly by LTCF, city, and Local Health Integration Network Region. The indicator is calculated as a rolling 4 quarter average by fiscal year.

Reporting Frequency
90 days
Reporting Frequency in Days
90
Indicator Has Recommended Targets
Yes

Source and Reference Attributes

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)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025