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
22 Classification: Medium2
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
1111 Classification: Medium11
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
1212 Classification: Medium12
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
1414 Classification: Medium14
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
1515 Classification: Medium15
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
1616 Classification: Medium16
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
1717 Classification: Medium17
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.
1818 Classification: Medium18
Completing the interRAI Preliminary Screener
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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2020 Classification: Medium20
Completing the interRAI Preliminary Screener
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.
2121 Classification: Medium21
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