Antipsychotic Medication Use
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 without psychosis on antipsychotics in the last 7 days.
Numerator
Number of LTC home residents in a fiscal quarter who received antipsychotic medication on 1 or more days in the 7 days before their target assessment.
Denominator
Number of LTC home residents in a fiscal quarter with a valid RAI-MDS assessment.
Exclusions
Residents were excluded if they had a diagnosis of schizophrenia or Huntington's chorea, experienced hallucinations or delusions, have an end-stage disease or are receiving hospice care.
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.