Percentage of residents who have developed a respiratory condition or have not gotten better.

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.

Residents with valid assessments.

Residents without valid assessment prior (incidence QI).

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.

Facility-level stratification: Pain Scale.

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-with-worsened-or-unchanged-respiratory-condition