Long-Term Care Home Residents With Pressure Ulcers
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 with new or worsening pressure ulcers.
Numerator
Number of LTC home residents in a fiscal quarter who had a pressure ulcer at stage 2 to 4 on their target assessment and either they did not have a pressure ulcer on their previous assessment or the stage of pressure ulcer is greater on their target compared with their previous assessment.
Denominator
Number of LTC residents in a fiscal quarter with 2 valid RAI-MDS assessments, excluding those who had a stage 4 pressure ulcer on their prior assessment (i.e., residents are only included if they did not have a pressure ulcer at the maximum stage on their previous assessment).
Exclusions
Stage of pressure ulcer at prior assessment [0-4]
Use of Risk Adjustment
Risk Adjustments
Risk adjusted at the individual covariate level and through direct standardisation. Individual covariates: Age younger than 65 years, resource utilisation group (RUG), late loss activities of daily living (ADL).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.