Ley General para la Prevención y Gestión Integral de los Residuos

Table 2.A2.1. Definition of pressure ulcers

Definition

Availability by physical and cognitive function

(ADL, IADL, ICF) Ontario,

Canada

Numerator: Residents who had a pressure ulcer at stages 2 to 4 on their target assessment and the stage of pressure ulcer is greater on their target compared with their prior assessment Denominator: Residents with valid assessments excluding those who had a stage 4 ulcer on their prior assessment

Data is risk-adjusted with Case Mix Index (CMI) but not available broken down

Finland (NH) Numerator: (LTC) Residents with stage 1-4 pressure ulcers in latest assessment Denominator: All long-term residents

Yes Finland (HC) Numerator: Regular Home Care clients with stage 1-4 pressure ulcer in the most recent

assessment

Denominator: All regular Home Care clients

Yes

Portugal (NH) Numerator: Number of patients with pressure ulcers

Denominator: Patients treated in inpatients units (in the National Network of Integrated Continuous Care) and home care

Yes

Portugal (HC) Numerator: Number of patients with pressure ulcers Denominator: Patients treated in home care

Yes

Note: ADL: Activities of daily living, IADL: Instrumental activities of daily living, International Classification of

Functioning, Disability and Health.

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I.2. MEASURING QUALITY IN LONG-TERM CARE

A GOOD LIFE IN OLD AGE? MONITORING AND IMPROVING QUALITY IN LONG-TERM CARE © OECD/EUROPEAN COMMISSION 2013

Table 2.A2.2. Definition of incidence of falls and fall-related fractures and data availability by function

Column 1 Definition: Incidence of falls and fall-related fractures

Availability by physical and cognitive function (ADL, IADL, ICF) Ontario, Canada Falls

Numerator: Residents who had a fall in the last 30 days recorded on their target assessment

Denominator: Residents with valid assessments

Data is risk-adjusted with Case Mix Index (CMI) but not available broken down Finland (NH) Falls

Numerator: Residents who experienced one or more falls in the preceding 180 days (90 days in facilities using RAI-HC)

Denominator: All long-term residents Fall-related fractures

Numerator: Residents who experienced one or more falls AND a new fracture in the preceding 180 days (90 days in facilities using RAI-HC)

Denominator: All long-term residents

Yes

Finland (HC) Falls

Numerator: Clients who experienced one or more falls in the preceding 90 days Denominator: All regular home care clients

Fall-related fractures

Numerator: Clients who experienced one or more falls AND one or more fractures in the preceding 90 days

Denominator: All regular home care clients

Yes

Portugal (NH) Falls

Numerator: Patients with Falls

Denominator: Patients treated in inpatients units and home care

Yes

Portugal (HC) Falls

Numerator: Patients with Falls

Denominator: Patients treated in home care

Yes

Note: ADL: Activities of daily living, IADL: Instrumental activities of daily living, International Classification of

Functioning, Disability and Health.

Source: OECD 2012 Questionnaire on Long-Term Care Quality.

Table 2.A2.3. Definition of use of physical restraints and data availability by function and type

Definition By physical and cognitive _{function (ADL, IADL, ICF)} By type of restrains Ontario,

Canada

Numerator: Residents who were physically restrained daily on their target assessment

Denominator: Residents with valid assessments, excluding comatose residents and those who are quadriplegic

Data is risk-adjusted with Case Mix Index (CMI) but not available broken down

Data is available for percentage of residents who were physically restrained Finland (NH) Numerator: Residents, whose care involved a physical restraints,

not including bed rails

Denominator: All long-term care residents

Yes Yes

Finland (HC) Numerator: Clients whose care involved a physical restraints Denominator: All regular home care clients

Yes No

Norway Numerator: Number of LTC receivers with decision of physical restraint as of 31 December

Denominator: All receivers of LTC as of 31 December

Yes Yes

Portugal Numerator: Patients with restraints Denominator: Patients treated in inpatient units

Yes No

Note: ADL: Activities of daily living, IADL: Instrumental activities of daily living, International Classification of

Functioning, Disability and Health.

Table 2.A2.4. Definition of over prescribed medication and medication errors and availability by function

Column 1 Definition: Use of nine or more medications, Medication Errors By physical and cognitive function _{(e.g. ADL, IADL, ICF, etc.)} Finland (NH) Use of nine or more medications

Numerator: Residents who received nine or more medications (different preparations) during the previous seven days Denominator: All long-term care residents

Yes

Finland (CH) Use of nine or more medications

Numerator: Clients who received nine or more medications (different preparations) during the previous seven days Denominator: All regular home care clients

Yes

Portugal Use of nine or more medications

Numerator: Patients with nine or more medications Denominator: Patients treated in inpatient units

No

Note: ADL: Activities of daily living, IADL: Instrumental activities of daily living, International Classification of

Functioning, Disability and Health.

Source: OECD 2012 Questionnaire on Long-Term Care Quality.

Table 2.A2.5. Definition of involuntary weight loss and availability by function

Prevalence of unplanned weight loss: Numerator By physical and cognitive function _{(e.g. ADL, IADL, ICF, etc.)} Finland (NH) Numerator: Residents, who experienced weight loss of more than 5% of body weight

over 30 days OR more than 10% of body weight over 180 days Denominator: All long-term care residents

Yes

Finland (CH) Numerator: Clients, who experienced an unplanned weight loss of more than 5% of body weight over 30 days OR more than 10% of body weight over 180 days Denominator: All regular home care clients

Yes

Portugal Numerator: Patients with unplanned weight loss

Denominator: Patients treated in inpatients units and home care

No

Note: ADL: Activities of daily living, IADL: Instrumental activities of daily living, International Classification of

Functioning, Disability and Health.

Source: OECD 2012 Questionnaire on Long-Term Care Quality.

Table 2.A2.6. Definition of depression and availability by function

Column 1 Numerator By physical and cognitive function _{(e.g. ADL, IADL, ICF, etc.)} Finland (NH) Numerator: Residents with a Depression Rating Scale score of 3 or more

Denominator: All long-term care residents

Yes Finland (HC) Numerator: Clients with a Depression Rating Scale score of 3 or more

Denominator: All regular home care clients

Yes

Note: ADL: Activities of daily living, IADL: Instrumental activities of daily living, International Classification of

Functioning, Disability and Health.

A Good Life in Old Age?

Monitoring and Improving Quality in Long-term Care © OECD/European Commission 2013

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PART I

Chapter 3

Using interRAI assessment systems