1. Community Support Services Common Assessment Project (CSS CAP) Interpreting the interRAI Community Health Assessment (CHA) February 2012 Document 2

2. 2 Agenda Welcome, Introductions Objectives Overview of interRAI CHA interRAI Community Health (CHA) Core Assessment interRAI Functional Supplement to CHA interRAI Outcomes - CAPS and Outcome Measures and Scales Putting it all together: Core CHA, Functional Supplement, CAPS and Outcome Measures & Scales Wrap-up, Evaluation

3. 3 Please introduce yourself –Your name –Your HSP –Your role Comment or question about the CHA. Participant Introductions

4. 4 Ice Breaker

5. 55 Education Material Review list of handouts.

6. 6 Objectives The interRAI CHA Assessments How to incorporate the Core CHA and Functional supplement information into their current assessment process Clients needs, strengths and preferences The interRAI Outcomes How to use CHA outcomes to inform a service plan for the client and measure its effectiveness Participants will have increased knowledge of:

7. 7 What is the interRAI CHA? An electronic standardized comprehensive assessment Modular format Not all inclusive – “minimum” data set Data elements designed to be used for: –Care planning –Quality improvement using quality indicators –Outcome measures based on clinical scales interRAI Community Health Assessment (CHA) helps identify adults needing supports to prevent or stabilize early functional or health decline

8. 8 Benefits of Standardized Common Assessments Client: Assesses needs, strengths and preferences Assists with accessing the most appropriate, available services Reduces retelling of personal experience Supports equitable, consistent access to services

9. 9 Benefits of Standardized Common Assessments Assessor: Enhances assessment skills and leads to consistency Reduces repetition and assessment misinterpretation Provides information that informs service planning

10. 10 Benefits of Standardized Common Assessments Organization: Facilitates inter-agency communication through common assessment language Enhances the quality of information by having a consistent approach to collection Identifies client populations and gaps in service

11. 11 Core interRAI CHA Functional Supplement Mental Health Supplement Deafblind Supplement Assisted Living Outcomes CAPs MAPLe Reassessment The interRAI CHA Process Informs service plan based on service needs Informs service plan based on service needs

12. 12 interRAI CHA Core CHA Functional Supplement 12

13. 13 Assessment Guidelines Process -- who is involved in the assessment? Timeframe of assessment Type of responses Client Status

14. 14 The interRAI Core CHA Domains –Identification Information –Intake and Initial History –Cognition –Communication and Vision –Mood –Psychosocial Well-Being –Functional Status –Continence –Disease Diagnosis –Health Conditions –Nutritional Status –Medications –Treatments and Procedures –Social Relationships –Environmental Assessment –Discharge 16 domains are evaluated

15. 15 G1: Performance and Capacity Performance: Measures what a client did within each IADL category over the last three days Capacity: Code based on the client’s presumed ability to carry out the activity. This requires speculation by the assessor.

16. 16 Core CHA – SECTION C. COGNITION Blank Core vs. completed Core for Mr. Patterson

17. 17 Core CHA SECTION G: FUNCTIONAL STATUS Blank Core vs. completed Core on Mr. Patterson

18. 18 Core interRAI CHA Functional Supplement Mental Health Supplement Deafblind Supplement Assisted Living Outcomes CAPs MAPLe Reassessment The interRAI CHA Process Informs service plan based on service needs Informs service plan based on service needs

19. 19 Identification Information Cognition Mood and Behaviour Functional Status Continence Disease Diagnosis Health Conditions Oral and Nutritional Status Skin Condition Medications Treatments and Procedures Responsibility Social Relationships Environmental Assessment Discharge Potential Assessment Information Adapted with permission from ideas for health, University of Waterloo, June 2010 Functional Supplement Domains 16 Domains are Evaluated

20. 20 COGNITION: Completed Core and Functional

21. 21 FUNCTIONAL STATUS: Completed Core and Functional

22. 22 Review of Completed Assessment Guidelines Process –interRAI Process Steps –Assessment Assessment timeframe Type of responses Specific Domains Reason for assessment Assessment Reference date Change 90 days or since last assessment Self-reported Performance and capacity

23. 23 Mr. Patterson Activity: Who is Mr. Patterson? Describe Mr. Patterson in your own words from information in the Core and Functional assessments: 1.Identification information, intake & initial history. 2.Cognition and Psychosocial health. 3.Physical health/clinical issues. 4.Functional status. 5.Social supports. Identify domains in CHA and functional to support your description.

24. 24 Activity: Service Relevant Domains What Domains provide relevant “need to know” information, in order to plan service for clients? What additional information do you need to provide service for clients?

25. 25 interRAI CHA Outcomes Outcome Measures and Scales Clinical Assessment Protocols (CAPS)

26. 26

27. 27 Thank you! CSS CAP Support Centre Contact Information Email: csscap@ccim.on.ca Toll Free: 1-866-909-5600, Option 9 Website: www.ccim.on.ca interRAI: www.interrai.org