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  • Resident Makes Negative Statements (E1a)
  • Persistent Anger With Self/Others (E1d)
  • Expression of Unrealistic Fears (E1f )
  • Repetitive Health Complaints (E1h)
  • Repetitive Anxious Complaints/Concerns (E1i)
  • Sad/Pained/Worried Facial Expressions (E1l)
  • Crying/Tearfulness (E1m)

Inclusions:

  1. Residents with valid assessments. To be considered valid, the target assessment must
    1. Be the latest assessment in the quarter
    2. Be carried out more than 92 days after the Admission Date
    3. Not be an Admission Full Assessment

Exclusions:

  1. Residents whose depression symptoms could not worsen (had a maximum DRS score of 14 on prior assessment)
  2. Residents who were comatose (B1 = 1)
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<tr><td>Numerator</td><td>

Description:
Residents with a higher DRS score on their target assessment than on their prior assessment

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  1. Residents with valid assessments. To be considered valid, the target assessment must
    1. Be the latest assessment in the quarter
    2. Be carried out more than 92 days after the Admission Date
    3. Not be an Admission Full Assessment
  2. Residents with a higher DRS score on their target assessment than on their prior assessment

Exclusions:

  1. Residents who had a maximum DRS score (14) on their prior assessment
  2. Residents who were comatose (B1 = 1)
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<div role="button" class="expandableTitle" aria-controls="backgroundRegion">Background, Interpretation and Benchmarks</div>

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<tr><td>Rationale</td><td>

CCRS quality indicators were developed by interRAI (www.interrai.org), an international research network, to provide organizations with measures of quality across key domains, including physical and cognitive function, safety and quality of life. Each indicator is adjusted for resident characteristics that are related to the outcome and independent of quality of care. The indicators can be used by quality leaders to drive continuous improvement efforts. They are also used to communicate with key stakeholders through report cards and accountability agreements.

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<tr><td>Interpretation</td><td>

Lower is better. It means that a lower percentage of residents had symptoms of depression that worsened.

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<tr><td>HSP Framework Dimension</td><td>

Health System Outcomes: Improve health status of Canadians

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<tr><td>Areas of Need</td><td>

Living With Illness, Disability or Reduced Function

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<tr><td>Targets/Benchmarks</td><td>

CIHI: None

Health Quality Ontario (external): 13% for long-term care

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