1. What is RAI? A quick tour of the Resident Assessment Instrument Brussels, Symposium February 19th, 2008. Prof. Dr. Anja Declercq

2. 2 A quick tour of RAI 1.What is it? 2.Where does it originate? 3.How widespread is it? 4.What can we do with it?

3. 3 1. What is RAI? Resident Assessment Instrument Integrated health information system Primarily: an assessment instrument Use for other purposes is possible

4. 4 Assessment Goal: –an overview of the functioning and the disabilities of a person –giving indications on how to deal with the problems Data/information for creating a good care plan, communicating, detecting problems, …

5. 5 How does RAI do that? See Brant Fries later on InterRAI Suite: one language, common basis, but different versions for different settings: InterRAI Acute Care, InterRAI Home Care, InterRAI Long Term Care Facilities, InterRAI Palliative Care, InterRAI Community Health Assessment, InterRAI Assisted Living,.... see: www.interrai.org

6. 6 RAI consists of 1.MDS = Minimum Data Set 2.CAP = Clinical Assessment Protocol 3.Scales But also 4. QI 5. RUG III ….

7. 7 MDS

8. 8 Who fills that out? Multi-disciplinary Thus: ground for communication and concertation

9. 9 CAP’s Clinical Assessment Protocols Are calculated with algorithms based on the data from the MDS Goal is to define (possible) problem areas Can be prevention, amelioration or keeping the situation as it is

10. 10 CAP’s 4 broad areas –Functional performance CAPs –Cognitive/mental health CAPs –Social life CAPs –Clinical issues CAPs

11. 11 Also possible to calculate RUGs (RUG III): Resource Utilization Groups for case-mix funding to calculate QI: Quality Indicators to monitor quality of care and to benchmark....

12. 12

13. 13 2. Where does it originate? Started in 1980s in US to improve quality of care in nursing homes Developping evidence-based care by collecting data of high quality First was Nursing Home Care Scientifically supported with network of scientists InterRAI

14. 14 3. How widespread is it?

15. 15 4. What can we do with it?