Use of Nine or More Medicines
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Nine or more medicines per 1,000 occupied bed days.
Numerator
Number of residents using nine or more different medicines.
Denominator
Number of occupied bed-days for all residents (include respite), divided by 1000.
Exclusions
Lotions/creams/ointments used in wound care, dietary supplements (including those containing vitamins), alcohol (even if it is written up on medication chart), short-term medicines, such as antibiotics, temporary eye drops, PRN medicines.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
None
Data Attributes
Type of Data Collection
Data Collection Methods
Data collected as quarterly audit of resident medication charts and/or administration records. Audit conducted on one nominated week in the quarter.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
Publicly reported quarterly. Individualised LTCF public reporing with benchmarking for each QI (iservice size, region, care level). Traffic light icons to indicate where results fall within upper and lower reference ranges. Also provides a summary report and a consumer report.