1 interRAI Preliminary Screener for Primary Care and Community Care Settings (interRAI Preliminary...

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interRAI Preliminary Screener for Primary Care and Community Care Settings

(interRAI Preliminary Screener) Training

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Agenda

Welcome and Introductions

Part 1: CSS CAP Overview

Part 2: Preliminary Screener Assessment Training • Screener Assessment Overview

• Objectives

• Coding the Preliminary Screener

Part 3: Assessment and Communication Skills

Part 4: Putting it all together: Role Play and Coding • Wrap-up and Evaluation

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Workshop Documents

Review binder

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Part 1:

CSS CAP Overview

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CSS CAP High Level Assessment Process

PROVIDE SERVICE AND/OR REFER AS

APPROPRIATE

SERVICE PLANCOMPREHENSIVE ASSESSMENT

(HC/CHA)

SCREENER/ INTAKE

ASSESSMENT

CARE PLAN

Client

CSS Assessment Type by Client and Program

Adult Day Services, Personal Support /Independence

Training, Assisted Living/Supportive Housing (SDL), Attendant Outreach, Case Management/ Care

Coordination

interRAI CHAClients requiring comprehensive assessment to inform care planning – significant ADL/IADL support

ScreenerClients requiring

single service for low intensity supportIndependent in

managing ADL/IADL

Meals on Wheels, Friendly Visiting, Transportation,

HomemakingDeaf, Deafened and Hard of Hearing Care Services, CNIB

Caregiver Support, Crisis Intervention, Overnight

Care, Respite

interRAI CHAor Screener

Clients have ADL/IADL needs, caregiver

involvement

Need for CHA may be informed by caregiver’s

ability to manage

Assessment recipientHSPs/Programs that may support care plan –

client has complete assessment

PRC, Aphasia, Home Maintenance, Congregate Dining,

Foot Care

Types of Program

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What is the interRAI CHA?

• A 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

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Core interRAI CHA domains: A-P

*Identification Information

Intake and Initial History

*Cognition

Communication and Vision

*Mood

Psychosocial Well-being

*Functional Status

Continence

Disease Diagnoses

*Health Conditions

Nutritional Status

Medications

Treatments and Procedures

Social Relationships

Environmental Assessment

Discharge

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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

Adapted with permission from ideas for health, University of Waterloo, June 2010

Functional Supplement Domains

Part 2:

Preliminary Screener Assessment Training


Format

• Interactive, with time for questions/clarification

• Participants are encouraged to:– reflect on their current intake experiences as it

relates to assessment

– explore how the Preliminary Screener impacts their current business practices


Objectives

• Benefits of the Preliminary Screener

• Role of the assessor in the Preliminary Screener process

• How to complete the Preliminary Screener

• How the screener fits into the overall client assessment process

Following this section Preliminary Screener Assessors will have increased knowledge in the following areas:

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interRAI Preliminary Screener Overview

interRAI Preliminary Screener will support the intake process guided by the following two main goals:

• Enable decision-making related to identifying persons who would likely benefit from a comprehensive assessment

• Record basic information about persons who would not be receiving a comprehensive assessment at a later stage


Benefits of the interRAI Preliminary Screener

• Can be completed over the telephone• Collects essential information needed at time

of intake or screening• Informs and supports decisions regarding need

for a comprehensive assessment or not• Facilitates inter-agency communication through

common assessment language• Standardized, aggregate data can inform

evidence-based decision making and planning


What is the interRAI Preliminary Screener?

The interRAI Preliminary Screener:• Is a rudimentary screener to filter out persons least likely

to benefit from undergoing a basic assessment• Is NOT a comprehensive assessment• Only includes the minimum number of assessment items

needed to stratify clients into one of two groups:• Those persons who are likely to benefit form a more detailed

assessment and,• Those who would not benefit from a more detailed

assessment

• Should not be used for service planning• Short, simple and quick to complete


interRAI Preliminary Screener: Structure

The interRAI Preliminary Screener is designed to be used as a multi-step process involving documentation and decision-making in the following sections:

1. Identifiers/Demographics

2. Preliminary Screener – (7 domains)Cognitive skills, 4 ADLs, dyspnea, self-rated health,

unstable condition, self-reported mood, informal helper status

3.Summary• Assessment urgency• Decision re: need for further assessment/interRAI

CHA


Completing the interRAI Preliminary Screener

Section A: Identification Information

Intent - to obtain personal identifiers necessary to identify the person and link sequential assessments in an electronic database.



Contains items used for a decision-making algorithm to differentiate persons who do not require further screening or assessment from those who are likely to benefit from further evaluation.

1. Cognitive skills for daily decision making

2. Activities of daily living

3. Dyspnea

4. Self-reported health

5. Instability of conditions

6. Self-reported mood

7. Informal helper status

Section B: Screener Questions

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Assessment Urgency Algorithm v2interRAI Preliminary Screener for Primary Care and Community Care Settings© v1

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ideas for health October 15, 2010

Self-reliant Impaired No Yes No Yes No Yes No Yes No Yes

No Yes

Self –reliance Index Person is IMPAIRED if ANY of the following characteristics are present:

Modified independent or any impairment in Cognitive Skills for Daily Decision Making (B1 = 1) Received supervision or any physical help in the assessed ADLs:

o Bathing (B2a = 1) o Personal hygiene (B2b = 1) o Dressing lower body (B2c = 1) o Locomotion (B2d = 1)

Family Overwhelmed (B7b= 1)

Self –rated Health: Excellent or Good (B4 = 0 or 1)

Unstable Condition (B5a=1)

Dyspnea OR Unstable Condition

(B3 = 1, 2, or 3 OR B5a=1)

Support in Personal Hygiene ADL

(B2b = 1)

2 3 6 1 3

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Self –rated Mood: Sad, Depressed, Hopeless

(B6= 1)

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Section C: Summary

Intent: to record the computer-generated algorithm score (that is embedded in the interRAI Preliminary Screener) so that it may be used to inform decisions related to assessment urgency.


Q&A / Evaluations

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Thank you!

Project Support CentreContact InformationEmail: [email protected]

Toll Free: 1-866-909-5600

Website: www.ccim.on.ca

1 interRAI Preliminary Screener for Primary Care and Community Care Settings (interRAI Preliminary...

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