Residents With Worsened or Unchanged Respiratory Condition
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of residents who have developed a respiratory condition or have not gotten better.
Numerator
Residents without pneumonia, shortness of breath or recurrent aspirations on prior assessment and at least one of the conditions on their target assessment, or residents with at least one of the respiratory conditions on their prior assessment and the same or higher count of respiratory conditions on their target assessment.
Denominator
Residents with valid assessments.
Exclusions
Residents without valid assessment prior (incidence QI).
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: Resource Utilisation Group (RUG): Clinically Complex, Age younger than 65, RUG: Nursing Case Mix Index.
Stratifications
Facility-level stratification: Pain 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.