interRAI comprehensive assessment with added value NZNO - - PowerPoint PPT Presentation
interRAI comprehensive assessment with added value NZNO Gerontology Nursing Conference 2018 Michele McCreadie, GM interRAI Services Presentation overview About interRAI How interRAI works in New Zealand What interRAI tells us
NZNO Gerontology Nursing Conference 2018 Michele McCreadie, GM interRAI Services
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Independent review interRAI Long Term Care Facilities (LTCF) instrument interRAI Home Care instrument Pilot in 5 DHBs Health of Older People Strategy
Best Practice Guidelines Assessment Processes for Older People Mandatory for all aged residential care providers from 2015
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This video on Youtube: youtu.be/t_4KzWJaSGs
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Assessment (LTCF) for evaluating the needs, strengths and preferences of those in aged residential care.
planning care and services in community-based settings
screening assessment for people living in the community
for community-based older adults where a palliative care focus is required.
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interRAI education and support
competent
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interRAI assessments
interRAI data
facility’
initial training, skills boosters, site visits, Inside interRAI, quality reviews, on-line evaluation support, coding support
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National reports and education materials at
www.interrai.co.nz/data-and-reporting/
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7% 9% 13% 9% 10% 9% 13% 10% 12% 11% 10% 9% 11% 13% 11% 9% 10% 10% 13% 12% 0% 2% 4% 6% 8% 10% 12% 14% 16%
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Watch this video at youtu.be/gv1pVDY0nCs
Outcomes show a picture of the person’s needs, their clinical and functional status. Usually a higher score indicates higher urgency or need. CAPs is short for Clinical Assessment Protocol. When they are triggered, they indicate an opportunity for improvement, to slow the rate of decline or help symptoms.
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40% 28% 19% 8% 4% 1% 0% 20% 40% 60% 80% 100% 0 - No symptoms 1 - Minimal health instability 2 - Low health instability 3 - Moderate health instability 4 - High health instability 5 - Highest level of instability
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15% 5% 20% 41% 18%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% 1 - Low priority, light home care services 2 - Mild priority, personal care and home care 3 - Moderate priority, range of home care services 4 - High priority, risk of adverse outcomes, residential support 5 - Very high, admission to hospital care or in community with support, need for 24 hour supervision.
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12% 8% 30% 28% 0% 5% 10% 15% 20% 25% 30% 35% HC LTCF National High risk (L2) Medium risk (L1)
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21% 37% 18% 12% 0% 5% 10% 15% 20% 25% 30% 35% 40% HC LTCF National Prevent decline (L2) Facilitate improvement (L3)
3% 3% 3% 3% 1% 5% 0% 1% 2% 3% 4% 5% 6% HC LTCF National Has stage 2 ulcer (L1) At risk, has stage 1 ulcer (L2) At risk, no ulcer now (L3)
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interventions to facilitate social engagement
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Northland Waitemata Auckland Counties Manukau Waikato Lakes Bay of Plenty Tairawhiti Taranaki Hawke’s Bay MidCentral Whanganui Capital & Coast Hutt Valley Wairarapa Nelson Marlborough West Coast Canterbury South Canterbury Southern 30% 25% 20% 15% 10% 5% 0%
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Northland Waitemata Auckland Counties Manukau Waikato Lakes Bay of Plenty Tairawhiti Taranaki Hawke’s Bay MidCentral Whanganui Capital & Coast Hutt Valley Wairarapa Nelson Marlborough West Coast Canterbury South Canterbury Southern 30% 25% 20% 15% 10% 5% 0%
Loneliness is a major predictor of entering aged residential care.
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Research data repository
information
Technical
standards
Metadata standards
standards
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Client level National level International level Regional level DHB level Provider
facility level
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interRAI study - Dr Hamish Jamieson, Geriatrician CHB and Senior Lecturer University of Otago
national population-based study – Dr Hamish Jamieson, Geriatrician CHB and Senior Lecturer University of Otago ‘New Zealand’s world leading dataset on the elderly called interRAI made the study possible’
Aged Care Association
Research for Older People – Mohammed Saji Salahudeen/Prasad Nishtala
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Better understand service quality Identify areas where you are doing well Identify
improve quality Track quality of care over time Evaluate the impact of service improvement exercises Evaluate the influence on policy decisions
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Data Visualisation Phase 2 Linking interRAI to other data sets – Integrated Data Infrastructure Introduce interRAI to new clinical groups – Primary Care Development of an individual client dashboard Online education options Potential new interRAI assessments – PAC Rehab, Acute Care nursing assessment Aged Residential Care Funding Model Review
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www.interrai.co.nz