Outcome Indicators Definition Calculating Formula = numerator/denominator 1) Improving or maintaining the required care level Ratio of residents whose level of need for long-term care per 100 residents was improved or maintained. Level 1: Residents who require partial care for some aspects of activities of daily living Level 2: Residents who require a low level of care Level 3: Residents who require a moderate level of care Level 4: Residents who require a high level of care. Level 5: Residents who require the highest level of care =Number of residents whose level of need for long-term care improved or was maintained/Total number of residents × 100 2) Improving or maintaining independence in daily living level Ratio of residents whose level of independence in daily living per 100 residents was improved or maintained. Level J: “I have some disability, but my daily life is almost independent, and I can go out alone by myself.” Level A: Indoor life is largely independent, but the resident cannot go out without assistance. Level B: Indoor living requires some assistance. Life is spent mainly in bed during the day, but the resident can remain sitting. Level C: “I spend the whole day in bed and need assistance going to the bathroom, eating meals, and changing my clothes.” =Number of residents whose level of independence in daily living improved or was maintained/Total number of residents × 100 3) Improving or maintaining level of cognitive function in daily living Ratio of residents whose level of cognitive function in daily living per 100 residents improved or was maintained. Level I: Although the individual has dementia, their daily life is independent at home and in society. Level II: Some symptoms interfere with daily life, but the individual is self-sustaining at home and outside, if others provide some attention. Level III: Symptoms interfere with everyday life, and daycare or nighttime care is necessary. Level IV: Frequent symptoms interfere with daily living, and the individual needs constant care. Level M: Significant psychiatric symptoms and problem behaviors are evident, and specialized medical treatment is necessary. =Number of residents whose level of cognitive function in daily living improved or was maintained/Total number of residents × 100 4) Improving or maintaining management of incontinence Ratio of residents with improved or maintained management of incontinence per 100 residents. Level 1: The individual can use a toilet or a portable toilet independently but needs someone to watch over them. Level 2: Some assistance is necessary when using toilets or portable toilets. Level 3: The resident cannot use the toilet so soils the floor. Level 4: The resident cannot use the toilet so uses diapers. Level 5: A catheter or stoma management is required. =Number of residents whose incontinence was improved or maintained/Total number of residents who required assistance going to the bathroom × 100 5) Occurrence rates of tumbles and falls Number of tumbles and falls per 100 residents in one year. =Number of cases of tumbles and falls/Total number of residents × 100 6) Occurrence rates of behavioral problems such as harm to self or others Number of residents with behavior problems such as inflicting harm to self or others per 100 residents in one year. =Number of cases with behavior problems/Total number of residents × 100 7) Occurrence rates of aimless wandering and going out without permission Number of cases with aimless wandering and going out without permission per 100 residents in one year. = Number of cases with aimless wandering and going out without permission/Total number of residents × 100