Bupa Private and Confidential Date if required 1

interRAI

Gina LanglandsDirector of Quality & Risk

Bupa G Langlands NENZ 15 August 2014 2

interRAI fast tracked

• OAG report – recommended speeding up adoption of interRAI into ARC

• Used internationally - NZ is the first country in the world

to mandate use by all

• Certainly beneficial to have everyone using the same

assessment tool

• For small stand alones it could be a great improvement

• A fantastic data base for the MOH who will have direct line of site into every resident in aged care

Pinch points

• Many providers have invested many thousands into software programmes l

• V Care - I care - Lee Care - all are having problems with linking across

• ONLY RNs can complete the on line assessments

• It IS taking RN’s away from care

• Care plans that fall directly out of interRAI do not meet current best practice

• There is no strategic document or framework about what comes next

• No decision yet about who will hold the ‘quality data’ and who can access it

• Unclear who and how they will manage annual competency updates

• Only being funded for 1 RN : 15 residents

• Bupa will be funded to train 350 nurses and have another 250 that won’t be trained

• YPDs, Mental Health, Palliative care ???

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Bupa’s plan

• Partnered with Selwyn Foundation

• Will do our own training in house - Train-the-trainer intensive training sessions

• Six month development project

> 3 Bupa sites: Parkwood, Parklands and Te Puke

> 2 Selwyn care homes, Franklin Memorial Hospital and CMDHB

• Using the learning that comes from the development sites to inform national roll out

It’s a big job

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2 senior RNs + a project manager

+ an administrator all seconded

57 care homes - 350 RN’s to be trained

Identifying and releasing regional trainers

Class size is capped

1 trainer : 4 nurses

Releasing and replacing

Commissioned an evaluation report

• Contracted Chris Howard Brown to complete an evaluation of the pilot

> What has been the impact of rolling out of interRAI ?

> What has been the cost ?

> How has it impacted on current processes

> Has there been an impact on the quality of care

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Progress to date

• Over 50 RN’s trained to date

• In house resources:

◦ Intro to interRAI pre-learning

◦ LTCF nurse assessor workbook

◦ Momentum care plan guide

◦ Computer essentials for interRAI guide

◦ Administrator guide

◦ Manager guide – How to embed interRAI

• Information technology – iPads vs laptops

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Infographic