Appendices
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Appendix D: 3D's Quality Performance Measures
Delirium
Monitor the facility's performance in the detection and prevention of delirium.
Process indicators Outcome indicators
• Percentage of patients assessed for
predisposing and precipitating risk
factors for delirium
• Percentage of patients assessed for
potential causes of delirium
• Percentage of patients for which non-
pharmacologic strategies for delirium
prevention were implemented
• Percentage of patients who were treated
with antipsychotics for delirium only
• Incidence and prevalence (present on
admission to facility) of delirium
Dementia
Monitor facility performance in management of dementia and BPSD.
Process indicators Outcome indicators
• Percent of patients screened for
dementia
• Percent of patients with dementia who
are on an antipsychotic
• Percent reduction and/or stopping of
antipsychotics as part of GDR
• Adverse outcome events in dementia
care, fall with injuries, hospitalization,
aspiration pneumonia
Depression
Monitor the facility performance in the treatment of depression.
Process indicators Outcome indicators
• Implementation of facility protocols
consistent with current standards of
practice for the recognition, assessment
and treatment of depression
• Percentage of patients assessed for risk
factors and/or screened for depression
• Percentage of patients with depression
who receive interventions consistent
with current standards of practices
• Percentage of patients with a noticeable
improvement in target symptoms after
treatment of depression
• Percentage of patients treated to
remission (at least 3 weeks of the
absence of both sad mood and reduced
interest and no more than three
remaining symptoms of the major
depressive episode)
