HQO -- Long Term Care, provincial results

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IMPORTANT NOTE: This site is a prototype, in its second phase of development. Please give us feedback on how to make it better. Because information is not available on all homes yet, we suggest that you do not use this website to help you select a home at this time. For more information, see About the Site.

Provincial Results

This section highlights different aspects related to the quality of long-term care homes in the province. Through these key indicators, we detail how our homes are:

Effective in helping LTC residents preserve their health, and function as well as they can
Safe
Resident-centred
Appropriately resourced
Accessible

Understanding the Results

Results are presented as provincial averages
You can view charts showing changes over time for some of the indicators
Click on any indicator for an explanation of what is being measured and ideas for improvement
Find out more about all the indicators (technical document) here

Effective — Keeping People Healthy Long-term care homes in Ontario take care of frail, usually elderly people who have difficulty looking after themselves. Although people’s ability to function independently tends to decrease as they get older, it is possible to slow this process down for some LTC residents. Click on any of the indicators below for ideas on maintaining and improving residents’ health.
PREFERRED DIRECTION: ↓ (lower score is better)
Theme	Indicator	Average Results (April '09–March '10)	Results Over Time
Bladder function	Percentage of residents with worsening bladder control	20.8%	N/A
Mobility and daily tasks	Percentage of residents with increasing difficulty carrying out normal everyday tasks (getting dressed, eating and personal hygiene)	33.2%	N/A
Pain control	Percentage of residents with pain that got worse recently	11.7%	N/A
Mood	Percentage of residents with worsening symptoms of depression or anxiety	25.6%	N/A
Language, memory, thinking	Percentage of residents whose language, memory and thinking abilities have recently decreased	12.5%	N/A
Weight and nutrition	Percentage of residents with recent unintended weight loss	7.1%	N/A
Potentially avoidable emergency department visits	Number of potentially avoidable emergency department visits for every 100 residents per year	3.7
Click here to see more indicators for this category.

Safe — Keeping Residents Safe Long-term care residents are often frail or have multiple medical conditions. These conditions can increase the chance of having a fall, pressure ulcer or infection. Some people with Alzheimer’s or other dementias may wander or become aggressive, which can pose safety risks for themselves and others. Many elderly people also take a number of medications, some of which may have serious side effects that could lead to falls or other injuries. Keeping residents safe depends on careful monitoring and different prevention strategies. Click on any of the indicators below for ideas on maintaining and improving residents’ safety.
PREFERRED DIRECTION: ↓ (lower score is better)
Theme	Indicator	Average Results (April '09–March '10)	Results Over Time
Falls	Percentage of residents who had a recent fall	13.8%	N/A
Pressure ulcers	Percentage of residents who had a pressure ulcer that recently got worse	2.9%	N/A
Pressure ulcers	Percentage of residents with a new pressure ulcer (stage 2 or higher)	2.7%	N/A
Use of restraints	Percentage of residents who were physically restrained	16.6%	N/A
Potentially inappropriate prescribing	Percentage of residents aged 65 years or older prescribed at least one drug that should be avoided among the elderly	18.7%
Responsive behaviour	Percentage of residents whose behaviour has recently worsened	13.5%	N/A
Infection	Percentage of residents with a recent bladder infection	5.4%	N/A
Click here to see more indicators for this category.

Accessible — Access to Long-Term Care Homes Placement into long-term care is a complex process, often involving hospital, home care and community services. Keeping wait times as short as possible lifts the burden on caregivers at home and avoids backlogs in hospitals. It is preferable for people to be placed into their first choice of home — it honours their wishes and keeps disruption to a minimum, since they will only have to move once. Click on each indicator name for more information.
Theme	Indicator	Average Results (April '08–March '09)	Average Results (April '09–March '10)	Preferred Direction	Results Over Time
Wait times	Median number of days to long-term care home placement	105 days	113 days	↓
Choice	Percentage of residents placed into a long-term care home who received their first choice of home the first time around	38.5%	38.6%	↑
Click here to see more indicators for this category.

Appropriately Resourced — Staffing in Long-Term Care Homes Long-term care home residents have high needs for care. There should be enough qualified people to look after residents’ needs while respecting their dignity and privacy. In the future, we will look at staffing levels in homes. The table below shows injury rates among long-term care workers. Keeping staff healthy is an important part of making sure we have enough staff available to care for residents. Click on each indicator name for more information.
PREFERRED DIRECTION: ↓ (lower score is better)
Theme	Indicator	Average Results (2008)	Average Results (April '09–March '10)	Results Over Time
Long-term care staff worker injury	Number of injuries per 100 long-term care workers per year	8.9	8.3
Click here to see more indicators for this category.

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visit our News section.