Transitions in Long-Term Care and Potential Implications for Quality Reporting in Ontario, Canada

Stable residents are the focus of most quality measurement in LTC but transitioning residents are an important part of the caseload for these facilities. In Ontario, transitioning residents accounted for 20% of the population but there was substantial variation in this proportion across facilities. This raises concerns about the comprehensiveness and comparability of publicly reported quality indicators for a population with frequent transitions in Ontario and elsewhere.