Table 2.
Quality Indicator operational definitions and mean rate in the seriously ill group
| Quality indicator | Mean QI rate (N = 14,312) % (n) |
Operational definition | |
|---|---|---|---|
| Numerator | Denominator | ||
| Prevalence of Falls | 49.0 a (6411) | Clients who record a fall on a follow up assessment | Those not completely dependent on bed mobility Risk Adjusters: Parkinson’s disease, ADL impairment, vision impairment |
| Prevalence of Disruptive or Intense Daily Pain | 46.6 (6664) | Client is having daily pain -AND- It is severe or excruciating pain |
All clients on re-assessment |
| Prevalence of Caregiver Distress | 41.7 (5909) | Client’s primary caregiver experiences feelings of distress, anger or depression | All clients on reassessment who have a primary caregiver |
| Prevalence of Negative Mood | 26.9 (3847) | Feeling of sadness or bring depressed) -AND- -at least two of: persistent anger, repetitive health complaints, sad, pained, worried facial expressions, recurrent crying, tearfulness, withdrawal from activities, reduced social interaction |
All clients on re-assessment |
| Prevalence of Inadequate Medication to Control Pain | 22.8 (2875) | Client has pain -AND- Medications do not adequately control pain |
All clients on reassessment who experience pain |
| Prevalence of Social Isolation | 21.1 (3021) | Client is alone for long periods of time or all of the time - AND - Client indicates feeling lonely -OR- Decline in social activities, client is distressed |
All clients on re-assessment |
| Prevalence of Constipation | 3.5 (499) | No bowel movement in 3 days | All clients on re-assessment |
a adjusted rate