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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.