Long-Term Care Home Residents Experiencing Pain
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of long-term care home residents who experienced moderate pain daily or any severe pain during the 7 days prior to their most recent resident assessment.
Numerator
Number of LTC home residents in a fiscal quarter with moderate pain at least daily or horrible/excruciating pain at any frequency documented on their target assessment.
Denominator
Number of LTC home residents in a fiscal quarter with a valid RAI-MDS assessment.
Exclusions
Resident assessments with no pain symptoms frequency AND have pain symptoms intensity of 1, 2 or 3 on their target assessments.
Use of Risk Adjustment
Risk Adjustments
Risk adjusted at the individual covariate level and through direct standardisation. Individual covariates: Adjustment (risk, age/sex standardisation): cognitive performance scale (CPS), long-term memory problem, age younger than 65 years. Direct standardisation: depression rating scale (DRS).
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.