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
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Leon Geffen MBChB FCFP(SA). The Albertina and Walter Sislulu Institute of Ageing in Africa, L51 Old Main Building, Groote Schuur Hospital, Observatory,
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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 AfricaHighlands House, Jewish Aged Home, Cape Town, South Africa
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
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
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
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
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.
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