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Table 3 AIP values for the WRHA and Ontario for each of the 19 risk-adjusted HCQIs*

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

  WRHA n = 10 Ontario n = 12 p value
Prevalence HCQIs mean (95% CI)  
Inadequate meals 2.9 (1.7, 4.1) 6.8 (5.3, 8.2) 0.0003
Weight loss 8.2 (4.7, 11.7) 12.8 (10.7, 14.8) 0.02
Dehydration 0.6 (0.2, 1.1) 4.0 (2.5, 5.5) 0.0005
No assistive device among clients with difficulty in locomotion 13.4 (10.8, 16.0) 19.1 (12.7, 25.4) 0.09
Falls 24.4 (20.6, 28.2) 31.4 (27.5, 35.3) 0.01
Social isolation 22.4 (19.4, 25.3) 25.3 (21.2, 29.4) 0.23
Delirium 5.2 (4.0, 6.4) 10.2 (7.8, 12.6) 0.0008
Negative mood 7.7 (5.5, 9.9) 12.8 (8.7, 17.0) 0.03
Disruptive or intense daily pain 31.5 (28.1, 34.9) 42.3 (37.5, 47.0) 0.0008
Inadequate pain control among those with pain 30.6 (26.6, 34.6) 31.4 (26.5, 36.4) 0.79
Neglect/abuse 2.5 (1.5, 3.5) 2.9 (1.3, 4.6) 0.65
Injuries 11.5 (8.5, 14.5) 12.8 (9.1, 16.5) 0.55
Hospitalization 35.3 (31.6, 39.1) 52.0 (47.4, 56.6) <0.0001
Incidence HCQIs n = 8 n = 3  
Failure to improve/incidence of bladder incontinence 0.9 (0.8, 1.0) 0.9 (0.5, 1.2) 0.81
Failure to improve/incidence of skin ulcers 6.3 (5.6, 7.0) 7.6 (4.8, 10.3) 0.07
Failure to improve/incidence of decline on ADL long form 1.9 (1.6, 2.3) 2.8 (0.0, 6.9) 0.45
Failure to improve/incidence of impaired locomotion in the home 0.3 (0.2, 0.4) 0.6 (0.0, 1.6) 0.36
Failure to improve/incidence of cognitive decline 0.8 (0.7, 0.9) 1.0 (0.2, 1.7) 0.21
Failure to improve/incidence of difficulty in communication 0.5 (0.4, 0.6) 0.6 (0.0, 1.6) 0.65
  1. * for prevalence HCQIs and failure to improve/incidence of skin ulcers, the AIP value represents the mean rate (expressed as a percent) of the HCQI on an intake cohort of clients and for the remaining incidence HCQIs, the AIP value represents the mean value for the MDS item(s) involved in calculating the HCQI.
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