Presentation is loading. Please wait.

Presentation is loading. Please wait.

Leon Geffen MBChB FCFP(SA). The Albertina and Walter Sislulu Institute of Ageing in Africa, L51 Old Main Building, Groote Schuur Hospital, Observatory,

Similar presentations


Presentation on theme: "Leon Geffen MBChB FCFP(SA). The Albertina and Walter Sislulu Institute of Ageing in Africa, L51 Old Main Building, Groote Schuur Hospital, Observatory,"— Presentation transcript:

1 Leon Geffen MBChB FCFP(SA). The Albertina and Walter Sislulu Institute of Ageing in Africa, L51 Old Main Building, Groote Schuur Hospital, Observatory, Cape Town, South Africa Highlands House, Jewish Aged Home, Cape Town, South Africa

2 Needs of older Persons Effectiveness of service delivery Resource Allocation Quality of care rendered Diagnoses Functional status Medical complexity Mental Health Psychosocial well being

3 Collaborative network of researchers in over 30 countries Committed to improving health care for persons who are elderly, frail, or disabled. Promote evidence-based clinical practice and policy decisions through the collection and interpretation of high quality data about the characteristics and outcomes of persons served Internationally validated – over 550 peer reviewed publications

4 North America Canada US Mexico Europe Iceland, Norway, Sweden, Denmark, Finland, Netherlands, France, Germany, Switzerland, UK, Italy, Spain, Czech Republic, Poland, Estonia, Belgium, Lithuania, Portugal, Austria, Russia Pacific Rim Japan, China, Taiwan, Hong Kong, South Korea, Australia, New Zealand Singapore South Asia, Middle East & Africa India, Israel, Lebanon Ghana, South Africa Central/ South America Brazil, Chile Peru

5 interRAI has created a multi-domain suite of assessment instruments, providing a common language to describe persons across sites of care The instruments support assessment and care planning in aged care, mental health, and disability services Morris JN. Measuring Quality Outcomes accessed 5 Oct 2012http://www.ilcsa.uct.ac.za/downloads/Dr_Morris.ppt

6 Each assessment instrument has: Items common to other instruments – e.g., ADLs, cognitive function, mood, pain, falls, As well as specialized items that are exclusive to that setting __ e.g., suicide and criminality items in the mental health tool Morris JN. Measuring Quality Outcomes accessed 5 Oct 2012http://www.ilcsa.uct.ac.za/downloads/Dr_Morris.ppt

7 Assisted Living Home Care Long term Care Community Health Mental Health Quality of Life Palliative Care Post Acute Care Core Items

8 Mental Health Inpatient Community Emergency Screener Forensic Supplement Child & Youth Correctional Facilities Brief Mental Health Screener Community Health Assessment Functional supplement Mental Health supplement Deafblind supplement Assisted Living supplement Intellectual Disability Home Care + Contact Assessment Nursing Homes, Complex Continuing Care Hospitals Acute Care + ED Screener Palliative Care Post-Acute Care-Rehabilitation Subjective Quality of Life Long term care Home and community care Mental Health

9 Developed by international panel of experts: geriatrics, gerontology, assessment, and health services research Carefully tested psychometric properties New design: assessment driven decision-making at all levels, from clinical to policy Collect data once, use many ways Develop compatible systems across health care sectors

10 Comprehensive, standardized instrument for evaluating the needs, strengths, and preferences of those in chronic care and nursing home institutional settings. Promotes a person-centered approach to care Consists of an assessment form, item-by- item instructions, and a series of care planning protocols.

11 Minimum Data Set (MDS) Core assessment items required for comprehensive assessment Resident Assessment Protocols (RAPs) Guidelines for additional focused care Triggered by individual MDS responses Problem conditions Mood, incontinence Risk factors for decline Dizziness, wandering, use of restraints, use of drugs, risk of falls Potential for improved function Person believes that they may achieve independence if a problem is addressed e.g. Hearing assessed to improve communication

12 Cognition & Mental Health Social Life Functional Performance Clinical Issues 1. Cognitive loss 2. Delirium 3. Communication 4. Mood 5. Behaviour 6. Abusive relationships 1. Physical activities 2. IADLs 3. BADLs 4. Home environment 5. Institutional risk 6. Physical restraints 1. Activities 2. Informal support 3. Social relationship 1.Falls 2.Pain 3.Pressure ulcer 4.Cardiorespiratory 5.Undernutrition 6.Dehydration 7.Feeding tube 8.Prevention 9.Appropriate medication 10.Tobacco and alcohol 11.Urinary incontinence 12.Bowel conditions

13 Useful information about well being of individuals Individualised care plans Ability to track residents functional status over time Allows evidence based decision making Comparing quality in the facility over time Comparing differences between facilities

14 care planning, facility management, needs assessment, policy development, quality improvement and benchmarking, reimbursement, research, service eligibility

15 Assessment Care Plan Outcome Measures Quality Indicators Resource Allocation Prevent Gaming Evaluate Best Practices Case-mix Single Point Entry Patient Safety Quality Improvement Public Accountability Accreditation

16 Organizing a needs assessment, including the types of questions to ask different stakeholders; Establishing monitoring and evaluation procedures and benchmarks. New Zealand Model Implementation of interRAI tools


Download ppt "Leon Geffen MBChB FCFP(SA). The Albertina and Walter Sislulu Institute of Ageing in Africa, L51 Old Main Building, Groote Schuur Hospital, Observatory,"

Similar presentations


Ads by Google