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Table 6 Range in the HCQI rates comparing agencies with the highest rates

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

  Unadjusted Client covariates AIP + client covariates CMI + client covariates
  Range between 1st and 4th highest agency Difference between 1st and 4th agency Range between 1st and 4th highest agency Difference between 1st and 4th agency Range between 1st and 4th highest agency Difference between 1st and 4th agency Range between 1st and 4th highest agency Difference between 1st and 4th agency
  % % % %
Prevalence HCQIs         
Inadequate meals 7.4 – 4.9 2.5 8.3 – 5.4 2.9 6.4 – 4.6 1.8 8.2 – 5.4 2.9
Weight loss 13.3 – 9.3 4.0 13.3 – 9.2 4.1 10.7 – 9.2 1.5 13.6 – 9.8 3.8
Dehydration 6.1 – 2.6 3.5 6.6 – 3.0 3.6 3.8 – 2.3 1.5 6.5 – 2.8 3.7
No assistive device among clients with difficulty in locomotion 60.0 – 15.3 44.7 50.4 – 14.8 35.6 53.8 – 15.6 38.2 52.0 – 14.3 37.7
Falls 38.4 – 28.8 9.6 38.4 – 28.8 9.6 36.5 – 28.4 8.1 39.1 – 29.1 10.0
Social isolation 33.1 – 28.6 4.5 31.8 – 30.2 1.6 31.5 – 30.3 1.2 31.9 – 30.2 1.7
Delirium 11.0 – 8.1 2.9 14.3 – 12.4 1.9 12.8 – 11.9 0.9 14.2 – 12.9 1.3
Negative mood 26.2 – 13.4 12.8 30.4 – 16.1 14.3 18.0 – 15.0 3.0 23.4 – 15.9 7.5
Disruptive or intense daily pain 54.1 – 42.5 11.6 51.6 – 40.8 10.8 43.7 – 39.4 4.3 44.5 – 41.2 3.3
Inadequate pain control among those with pain 46.5 – 32.6 13.9 47.6 – 33.8 13.8 36.6 – 33.0 3.6 47.4 – 34.2 13.2
Neglect/abuse 9.7 – 3.9 5.8 9.5 – 4.0 5.5 6.7 – 3.7 3.0 9.8 – 4.4 5.4
Injuries 22.4 – 18.9 3.5 22.8 – 18.3 4.5 21.9 – 16.1 5.8 22.0 – 19.0 3.0
Hospitalization 46.8 – 40.1 6.7 44.6 – 40.8 3.8 47.7 – 38.4 9.3 46.2 – 41.2 5.0
Incidence HCQIs         
Failure to improve/incidence of bladder incontinence 48.0 – 29.0 19.0 48.4 – 28.4 20.0 44.5 – 31.9 12.6 47.3 – 27.9 19.4
Failure to improve/incidence of skin ulcers 12.9 – 4.2 8.7 13.2 – 4.3 8.9 11.1 – 5.5 5.6 14.1 – 4.9 9.2
Failure to improve/incidence of decline on ADL long form 56.0 – 42.9 13.1 55.1 – 43.4 11.7 54.9 – 43.3 11.6 53.9 – 41.2 12.7
Failure to improve/incidence of impaired locomotion in the home 29.0 – 14.1 14.9 33.4 – 19.1 14.3 36.6 – 22.2 14.4 34.1 – 18.4 15.7
Failure to improve/incidence of cognitive decline 72.0 – 48.4 23.6 70.1 – 46.7 23.4 69.5 – 46.3 23.2 69.6 – 46.0 23.6
Failure to improve/incidence of difficulty in communication 23.8 – 18.3 5.5 30.7 – 22.3 8.4 29.3 – 22.4 6.9 30.6 – 22.4 8.2
Mean difference 11.1 10.5 8.2 9.9
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