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Table 3 Methodological characteristics of RAI-HC quality indicator sets (AIRE instrument)

From: Home care quality indicators based on the Resident Assessment Instrument-Home Care (RAI-HC): a systematic review

 

interRAI’s 1st generation QI set [37]

Swiss RAI-HC

QI set [29]

interRAI’s 2nd generation QI set [30]

Domain 1: Purpose, relevance and organizational context

60%

60%

47%

The purpose of the indicator is described clearly

4

4

3.5

The criteria for selecting the topic of the indicator are described in detail

2.5

4

3

The organizational context of the indicator is described in detail

4

3.5

2

The quality domain the indicator addresses is described in detail

2.5

1.5

2.5

The health-care process covered by the indicator is described and defined in detail

1

1

1

Domain 2: Stakeholder Involvement

44%

28%

56%

The group developing the indicator includes individuals from relevant professional groups

3.5

2.5

4

Considering the purpose of the indicator, all relevant stakeholders have been involved at some stage of the development process

2.5

2

3

The indicator has been formally endorsed

1

1

1

Domain 3: Scientific evidence

11%

0%

0%

Systematic methods were used to search for scientific evidence

1.5

1

1

The indicator is based on recommendations from an evidence-based guideline

1.5

1

1

The supporting evidence has been critically appraised

1

1

1

Domain 4: Additional evidence, formulation and usage

69%

48%

54%

The numerator and denominator are described in detail

4

4

4

The target patient population of the indicator is defined clearly

4

2

2

A strategy for risk adjustment has been considered and described

4

1

4

The indicator measures what it is intended to measure (validity)

2.5

2.5

2.5

The indicator measures accurately and consistently (reliability)

1

3.5

1

The indicator has sufficient discriminative power

3.5

3

3.5

The indicator has been piloted in practice

1

1

1

The efforts needed for data collection have been considered

4

4

4

Specific instructions for presenting and interpreting the indicator results are provided

3.5

1

1.5

  1. Abbreviations: AIRE Appraisal of Indicators through Research and Evaluation;QI Quality indicator
  2. Item scores: Each item score ranges from 1 to 4 with 1 = strongly disagree (confident that the criterion has not been fulfilled or no information was available), 2 and 3 = disagree/agree (unsure whether the criterion has been fulfilled) and 4 = strongly agree (confident that the criterion has been fulfilled) [33]
  3. Domain score calculation: Domain scores for the four AIRE instrument domains were calculated as follows: first, the two authors’ scores per item were summed up and divided by two to obtain an average rating per item; second, the average item scores were summed up per domain to obtain the domain score; and third, the domain score were standardized using the following formula: (total score per domain - minimum possible score) / (maximum possible score - minimum possible score) × 100%
  4. High methodological quality of QI set: If score ≥ 50% across all four AIRE instrument domains