Percentage of residents with symptoms of delirium.

Residents meeting any of the following conditions: Acute change in mental status from usual functioning on their target assessment; 1 or more behaviour symptoms that appeared to be different from usual functioning on their target assessment; 1 or more behaviour symptoms that appeared to be different from usual functioning on their prior assessment and that were consistent with usual functioning on their target assessment; Not severely cognitively impaired (Cognitive Performance Scale score of 3 or less) and 1 or more behaviour symptoms present consistent with usual functioning on their target assessment that were not present on their prior assessment.

All residents.

Comatose, end-of-life residents or receiving palliative care.

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: age younger than 65

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Facility-level stratification: Depression Rating 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.

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

www.cihi.ca/en/indicators/residents-with-symptoms-of-delirium