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Table 2 Unadjusted HCQI rates comparing the WRHA and Ontario*

From: Risk adjustment methods for Home Care Quality Indicators (HCQIs) based on the minimum data set for home care

  WRHA Offices Ontario CCACs p value**
  n = 10 n = 12  
Prevalence HCQIs Mean (sd) 95% CI Mean (sd) 95% CI  
Inadequate meals 2.7 (1.2) 1.9, 3.6 4.4 (1.9) 2.1, 7.1 0.02
Weight loss 5.7 (3.4) 3.2, 8.1 7.6 (2.2) 5.1, 10.3 0.13
Dehydration 0.6(0.7) 0.08, 1.1 2.4 (1.6) 1.0, 5.0 0.003
Not receiving a medication review by a physician 3.8 (1.8) 2.5, 5.0 10.3 (4.3) 6.6, 17.1 0.0002
No assistive device among clients with difficulty in locomotion 13.8 (16.4) 2.1, 25.5 10.2 (5.2) 4.2, 15.6 0.52
ADL/rehabilitation potential and no therapies 84.0 (7.4) 78.7, 89.3 73.7 (5.5) 69.6, 78.5 0.001
Falls 20.8 (7.8) 15.2, 26.3 24.4 (4.5) 19.7, 30.3 0.18
Social isolation 21.6 (4.5) 18.4, 24.8 24.3 (5.9) 17.6, 32.4 0.24
Delirium 5.1 (2.3) 3.4, 6.7 5.9 (2.6) 3.4, 9.0 0.45
Negative mood 7.9 (3.2) 5.6, 10.1 11.6 (6.2) 5.2, 18.4 0.10
Disruptive or intense daily pain 30.5 (4.0) 27.6, 33.3 39.6 (6.3) 33.6, 44.3 0.0008
Inadequate pain control among those with pain 26.6 (5.3) 22.8, 30.4 29.7 (7.4) 22.3, 35.8 0.27
Neglect/abuse 3.0 (2.6) 1.2, 4.9 2.5 (2.1) 0.8, 5.2 0.58
Injuries 13.6 (6.4) 9.0, 18.2 11.0 (3.7) 8.6, 14.3 0.26
No influenza vaccine 28.4 (7.1) 23.2, 33.5 30.3 (9.8) 21.1, 44.0 0.61
Hospitalization 32.0 (7.2) 26.8, 37.2 36.4 (4.9) 31.1, 40.4 0.11
Incidence HCQIs n = 8 n = 3  
Failure to improve/incidence of bladder incontinence 29.5 (9.7) 21.4, 37.5 23.1 (7.4) 4.8, 41.4 0.33
Failure to improve/incidence of skin ulcers 3.4 (4.54) 0.0, 7.1 3.4 (3.2) -5.0, 11.3 0.96
Failure to improve/incidence of decline on ADL long form 41.5 (12.5) 31.1, 51.9 30.3 (4.4) 19.3, 41.3 0.17
Failure to improve/incidence of impaired locomotion in the home 11.0 (9.0) 3.5, 18.5 16.5 (9.2) -6.5, 38.4 0.44
Failure to improve/incidence of cognitive decline 44.6 (13.7) 33.1, 56.0 36.1 (3.9) 26.3, 45.9 0.33
Failure to improve/incidence of difficulty in communication 13.7 (8.1) 6.9, 20.4 14.4 (3.4) 6.0, 22.9 0.88
  1. * in the event that the lower value of the 95% confidence interval was less than zero, the value was set to zero.
  2. ** based on a t-test of independent means.
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