CCRS Quality Indicators Risk Adjustment Methodology

To lead the development and maintenance of comprehensive and integrated health information that enables sound policy and effective health system management that improve health and health care. Introduction This document provides a technical description of the risk adjustment methodology for the Continuing Care Reporting System (CCRS) quality indicators (QIs) implemented by the Canadian Institute for Health Information (CIHI) in 2010 to replace the first generation Center for Health Systems Research and Analysis (CHSRA) QIs. Please note that at this time, CIHI does not expect facility software vendors to include risk adjustment procedures in their software. This document has been generated to provide users with an understanding of the statistical theory and technical details of risk adjustment procedures. The first section of this document provides some background on the CCRS QIs and explains why they are risk-adjusted. This is followed by a technical description of the multi-step risk adjustment process. The final section provides a worked example of the risk adjustment for one of the CCRS QIs. The CCRS QIs, their specifications, the risk adjustment methodology and the information set out in this document are based on research carried out by interRAI and on documentation provided by the Institute for Aging Research, Hebrew SeniorLife.