Improved Bowel Continence
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of residents with improved bowel continence on their target assessment compared with their prior assessment.
Numerator
Residents with a lower value for bowel incontinence on their target assessment compared with their prior assessment.
Denominator
Residents with valid assessments whose bowel continence could improve (did not have minimum score on prior assessment).
Exclusions
Comatose and end-of-life residents.
Use of Risk Adjustment
Risk Adjustments
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.
Stratifications
Facility-level stratification: Cognitive Performance Scale.
Data Attributes
Type of Data Collection
Data Collection Methods
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).
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
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.