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Table 1 QICH elderly-specific quality indicators

From: The quality of primary care provided to the elderly in Israel

Quality indicator Denominator Numerator Comments
Influenza Vaccination All residents aged 65 years and older during the measurement year Number of residents (out of the denominator) who received a seasonal influenza vaccination during the measurement year • “Seasonal” refers to the winter season during the height of the influenza virus, September 1st of the former year to February 28th of current year • Information derived from pharmacy claims and nursing notes
Pneumococcal Vaccination All residents aged 65–74 years during the measurement year Number of residents (out of the denominator) who received the pneumococcal vaccination either once after age 65 or in the last 5 years • Information derived from pharmacy claims and nursing notes • The 65–74 year age group was selected due to data availability being limited to the past 10 years
Body Weight and Height Documentation All residents aged 65–84 years during the measurement year Number of residents (out of the denominator) with documented body weight during the measurement year and at least one height documentation between 65 and 84 years of age • Information derived from medical appointment documentation
Underweight Number of residents aged 65 or older during the measurement year with body weight and height documentation (see above) Number of residents (out of the denominator) with most recent documented BMI < 23 kg/m2 • Information derived from medical appointment documentation
Weight loss All residents aged 65 years or older during the measurement year Number of residents (out of the denominator) experiencing a decline of 10% or more in their body weight within 2 years • Information derived from medical appointment documentation
Benzodiazepine Overuse All residents aged 65 years and older during the measurement year Number of residents (out of the denominator) with benzodiazepine overuse during the measurement year • Overused benzodiazepines defined by purchased benzodiazepines or related drugs ≥ 365 DDD/year in the measurement year (DDD = Defined Daily Dose) • Information derived from pharmacy claims
Benzodiazepine Long-Acting Use All residents aged 65 years and older during the measurement year Number of residents (out of the denominator) with at least one purchase of long-acting benzodiazepines during the measurement year • Long-acting benzodiazepine use defined by the purchase of one or more long-acting benzodiazepines or related drugs • Information derived from pharmacy claims