Percentage of residents whose stage 2 to 4 pressure ulcer worsened since the prior assessment.

Residents who have a pressure ulcer at stage 2 to 4 on their target assessment and for whom the stage of pressure ulcer is greater on their target assessment than on their prior assessment.

All residents (must have assessment in previous quarter).

Residents who had a stage 4 pressure ulcer on their prior assessment.

Direct standardisation, indirect standardisation. Standard Population: 3,000 facilities in 6 U.S. states and residential care facilities and continuing care hospitals in Ontario and Nova Scotia. Individual covariates: Resource Utilisation Group (RUG); late loss of activities of daily living (ADLs); age younger than 65.

Facility-Level Stratification: Case Mix Index.

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-pressure-ulcer-in-long-term-care