Long-Term Care Home Residents With Worsened Symptoms of Depression
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
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
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
Data Collection Methods
Resident Assessment Instrument - Minimum Data Set 2.0 (RAI-MDS) from continuing care reporting system (CCRS).
Frequency of Data Collection
Frequency of Data Collection in Days
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.