Presentation is loading. Please wait.

Presentation is loading. Please wait.

Enhancing the quality of care for institutionalized older persons through the use of a minimum data set Leon Geffen MBChB FCFP(SA). The Albertina and Walter.

Similar presentations

Presentation on theme: "Enhancing the quality of care for institutionalized older persons through the use of a minimum data set Leon Geffen MBChB FCFP(SA). The Albertina and Walter."— Presentation transcript:

1 Enhancing the quality of care for institutionalized older persons through the use of a minimum data set 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 Lack of Information about Older Persons in Africa…
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 What is InterRAI 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 South America Brazil, Chile
interRAI Countries Europe Iceland, Norway, Sweden, Denmark, Finland, Netherlands, France, Germany, Switzerland, UK, Italy, Spain, Czech Republic, Poland, Estonia, Belgium, Lithuania, Portugal, Austria, Russia North America Canada US Mexico Central/ South America Brazil, Chile Peru Pacific Rim Japan, China, Taiwan, Hong Kong, South Korea, Australia, New Zealand Singapore South Asia, Middle East & Africa India, Israel, Lebanon Ghana, South Africa

5 interRAI Suite of Assessment Instruments
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 2012

6 interRAI Suite of Assessment Instruments
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 2012

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

8 The interRAI family of instruments
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 Why are interRAI Assessments Different?
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 InterRAI – Long Term Care Facility
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 interRAI – Resident Assessment Instrument
Minimum Data Set (MDS) Core assessment items required for comprehensive assessment Resident Assessment Protocols (RAP’s) 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 InterRAI Domains Assessed
Cognition & Mental Health Social Life 1. Activities 2. Informal support 3. Social relationship 1. Cognitive loss 2. Delirium 3. Communication 4. Mood 5. Behaviour 6. Abusive relationships Falls Pain Pressure ulcer Cardiorespiratory Undernutrition Dehydration Feeding tube Prevention Appropriate medication Tobacco and alcohol Urinary incontinence Bowel conditions 1. Physical activities 2. IADL’s 3. BADL’s 4. Home environment 5. Institutional risk 6. Physical restraints Clinical Issues Functional Performance

13 How does the data help Useful information about well being of individuals Individualised care plans Ability to track resident’s functional status over time Allows evidence based decision making Comparing quality in the facility over time Comparing differences between facilities

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

15 Public Accountability
Applications of interRAI Instruments: One assessment … multiple applications Case-mix Single Point Entry Care Plan Resource Allocation Evaluate Best Practices Assessment Prevent Gaming Outcome Measures Quality Indicators Patient Safety Quality Improvement Public Accountability Accreditation

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 "Enhancing the quality of care for institutionalized older persons through the use of a minimum data set Leon Geffen MBChB FCFP(SA). The Albertina and Walter."

Similar presentations

Ads by Google