Residents Worsened in Activities of Daily Living Self-Performance
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of residents whose activities of daily living (ADL) self-performance worsened on their target assessment compared with their prior assessment.
Numerator
Residents with worse ADL self-performance (increased ADL score) on target assessment compared with prior assessment.
Denominator
Residents with valid assessments.
Exclusions
Residents who are comatose, end-stage or receiving hospice/palliative care, residents whose ADLs aren't available (missing an ADL score on current and prior assessments).
Use of Risk Adjustment
Risk Adjustments
Direct standardisation Stratification: indirect standardisation. Individual Covariates: Not totally dependent in transferring, locomotion problem, Personal Severity Index (PSI): Subset 2 — Non-Diagnoses, Age younger than 65.
Stratifications
Facility-level stratification: Case Mix Index.
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.