Percentage of residents whose ability to communicate improved on their target assessment compared with their prior assessment.

Residents with a lower combined score for ability to understand others and making self understood on their target assessment compared with their prior assessment.

Residents with valid assessments whose communication could improve (did not have minimum score on prior assessment).

Residents who are comatose or end-of-life.

Direct standardisation, indirect standardisation Standard Population: 3,000 facilities in 6 U.S. states and 92 residential care facilities and continuing care hospitals in Ontario and Nova Scotia Individual Covariates: Personal Severity Index (PSI): Subset 1 — Diagnoses, age younger than 65.

Facility-level stratification: Cognitive Performance Scale.

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. Retired.

www.cihi.ca/en/topics/long-term-care/indicators

www.cihi.ca/en/indicators/residents-improved-in-ability-to-communicate