Residents Worsened in Activities of Daily Living Self-Performance

Identifying Attributes

Care Settings
Residential Aged Care
Country
Canada
Publishing Organisation
Canadian Institute for Health Information (CIHI): Long-Term Care Indicators
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Function / Activities of Daily Living

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
Yes
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
Standardised clinical data
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
90 days
Frequency of Data Collection in Days
90
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.

Reporting Frequency
Quarterly
Reporting Frequency in Days
91
Indicator Has Recommended Targets
No

Source and Reference Attributes

Link to Measurement Tools
Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025