Percentage of residents whose activities of daily living (ADL) self-performance worsened on their target assessment compared with their prior assessment.

Residents with worse ADL self-performance (increased ADL score) on target assessment compared with prior assessment.

Residents with valid assessments.

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).

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.

Facility-level stratification: Case Mix Index.

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-worsened-in-adl-self-performance