OANHSS ANALYSIS: LEVEL OF CARE TRENDS IN LONG TERM CARE FACILITIES AS OF 2004

TABLE 1 - CASE MIX MEASURE *

Prov. Avg.

1993

1994

1995

1996

1997

1998

1999

2000

2001

 2002 2003 2004

Change

All

76.39

76.31

78.88

79.63

80.99

82.12

83.30

85.07

86.82

 88.84 90.09 91.58 15.19

20.2%

MHFA

73.40

73.34

76.62

76.83

78.48

79.95

80.98

82.18

84.39

 86.33 87.33 88.75 15.35

20.9%

CHFA

63.79

65.45

69.69

72.79

74.08

76.08

78.00

80.36

83.41

 85.96 87.55 89.30 25.51

40.0%

NH

81.39

80.82

82.49

83.23

84.26

84.96

86.00

87.89

89.03

 90.90 91.96 93.09 11.70

14.4%

Total
E - G(NH & HFA)

50.6%

51.5%

54.9%

57.3%

60.0%

62.2%

64.1%

67.9%

71.2%

 75.0% 77.2% 79.7%

28.2%

*Case Mix Measure – All residents in long term care facilities are classified into categories to reflect their nursing and personal care requirements. The proportion of residents in each category is multiplied by resource use weighting factors to determine the case mix measure.

MHFA – Municipal Home for the Aged
CHFA – Charitable Home for the Aged
NH – Nursing Home


TABLE 2 - HEALTH STATUS AND ACTIVITIES OF DAILY LIVING TRENDS

Note: A 1% increase represents approximately 550 residents.

YEAR

% of
residents in 1993 (# = 55,046)

% of residents in 1995 (# = 55,004)

% of  residents in 1997 (# = 55,825)

% of  residents in 1999 (# = 55,784)

% of  residents in 2001 (# = 56,641)

% of  residents in 2002 (# = 56,595)

% of  residents in 2003 (# = 59,681)

% of  residents in 2004 (# = 64,350)

Diagnoses

Circulatory problems

 

52.4*

 

47.9

 

48.9

 

51.0

 

55.9

 

57.2

 

 

59.1

 

60.7

Musculoskeletal problems

54.8*

45.0

45.8

46.4

48.8

 

49.4

 

50.0

 

50.8

 

Activities of Daily Living

Constant encouragement to eat or complete feeding

 

 

30.4

 

 

30.6

 

 

33.6

 

 

34.3

 

 

36.6

 

38.6

 

 

39.3

 

 

40.0

Constant supervision or 2 person assist to toilet

45.2

50.0

52.0

54.5

58.5

60.0

61.1

65.6

2- person assist to transfer with or without aids

28.5*

19.4

21.3

22.7

23.8

23.8

24.6

22.7

Total assistance with dressing

54.2

59.1

66.3

71.0

76.7

79.2

 

85.3

83.0
Incontinence

Urinary

 

54.1

 

56.6

 

61.3

 

64.5

 

71.8

 

76.1

 

78.2

 

80.5

Bowel

44.8

45.5

48.0

52.2

61.4

66.2

68.4

70.7

External Demands

>Weekly family assist to resident or more

 

 

60.8

 

 

63.0

 

 

64.9

 

 

67.3

 

 

70.0

 

 

71.0

 

 

71.7

 

 

73.6

>Weekly staff assist to family or more

47.3

50.0

49.7

42.2

55.4

57.1

57.8

60.8


Other data for 2004 shows that 8% of residents receive occupational therapy consultation or monitoring and 91.6% receive no OT support. For physiotherapy the 15% receive maintenance programs, 29% receive consultation or monitoring and 55% receive no service. On average, residents take 7 medications in a 24 hour period.

*Note: Some data for 1993 is suspect as it is out of line with future years, may be because it was the first year of full implementation of the system.

 

TABLE 3 - MENTAL HEALTH/PSYCHOGERIATRIC/BEHAVIOURAL TRENDS

Note: A 1% increase represents approximately 550 residents  

YEAR

% of residents in 1993
(# = 55,046)

% of residents in 1995
(# = 55,004)

% of  residents in 1997
( # = 55,825)

% of  residents in 1999
(# = 55,784)

% of  residents in 2001 
(#= 56,641)

% of  residents in 2002 
(#= 56,595)

% of  residents  in 2003
(# = 59,681)

% of  residents in 2004
(#= 64,350)

Diagnosed Mental Health Problems
(incl. Alzheimer's / other dementia)

57.7

58.6

59.8

61.4

63.3

64.2