Community Support Services Common Assessment Project

(CSS CAP)

Interpreting the interRAI Community Health Assessment

(CHA)

February 2012Document 2

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AgendaWelcome, Introductions

Objectives

Overview of interRAI CHA

interRAI Community Health (CHA) Core Assessment

interRAI Functional Supplement to CHA

interRAI Outcomes - CAPS and Outcome Measures and Scales

Putting it all together: Core CHA, Functional Supplement, CAPS and Outcome Measures & Scales

Wrap-up, Evaluation

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Please introduce yourself– Your name– Your HSP– Your role

Comment or question about the CHA.

Participant Introductions

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Ice Breaker

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Education Material

Review list of handouts.

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Objectives

• The interRAI CHA Assessments

• How to incorporate the Core CHA and Functional supplement information into their current assessment process

• Clients needs, strengths and preferences

• The interRAI Outcomes

• How to use CHA outcomes to inform a service plan for the client and measure its effectiveness

Participants will have increased knowledge of:

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What is the interRAI CHA?

• An electronic 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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Benefits of Standardized Common Assessments

Client:• Assesses needs, strengths and preferences• Assists with accessing the most appropriate,

available services• Reduces retelling of personal experience • Supports equitable, consistent access to services

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Benefits of Standardized Common Assessments

Assessor:• Enhances assessment skills and leads to

consistency• Reduces repetition and assessment misinterpretation• Provides information that informs service planning

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Benefits of Standardized Common Assessments

Organization:

• Facilitates inter-agency communication through common assessment language

• Enhances the quality of information by having a consistent approach to collection

• Identifies client populations and gaps in service

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Core interRAI CHA

FunctionalSupplement

Mental Health Supplement

Deafblind Supplement

Assisted Living

OutcomesCAPs

MAPLe

Reassessment

The interRAI CHA Process

Informs service plan based on service needs

Informs service plan based on service needs

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interRAI CHA

Core CHA

Functional Supplement

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Assessment Guidelines

• Process -- who is involved in the assessment?

• Timeframe of assessment

• Type of responses

• Client Status

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The interRAI Core CHA Domains

– Identification Information– Intake and Initial History– Cognition– Communication and Vision– Mood– Psychosocial Well-Being– Functional Status– Continence

– Disease Diagnosis– Health Conditions– Nutritional Status– Medications– Treatments and

Procedures– Social Relationships– Environmental Assessment– Discharge

16 domains are evaluated

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G1: Performance and Capacity

Performance: Measures what a client did within each IADL category over the last three days

Capacity: Code based on the client’s presumed ability to carry out the activity. This requires speculation by the assessor.

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Core CHA – SECTION C. COGNITION Blank Core vs. completed Core for Mr. Patterson

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Core CHA SECTION G: FUNCTIONAL STATUS Blank Core vs. completed Core on Mr. Patterson

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Core interRAI CHA

FunctionalSupplement

Mental Health Supplement

Deafblind Supplement

Assisted Living

OutcomesCAPs

MAPLe

Reassessment

The interRAI CHA Process

Informs service plan based on service needs

Informs service plan based on service needs

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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

Assessment Information

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

Functional Supplement Domains16 Domains are Evaluated

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COGNITION: Completed Core and Functional

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FUNCTIONAL STATUS: Completed Core and Functional

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Review of Completed Assessment

Guidelines

• Process– interRAI Process Steps– Assessment

• Assessment timeframe• Type of responses

Specific Domains

• Reason for assessment• Assessment Reference

date• Change 90 days or since

last assessment• Self-reported • Performance and

capacity

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Mr. Patterson Activity: Who is Mr. Patterson?

Describe Mr. Patterson in your own words from information in the Core and Functional assessments:

1. Identification information, intake & initial history.

2. Cognition and Psychosocial health.

3. Physical health/clinical issues.

4. Functional status.

5. Social supports.

• Identify domains in CHA and functional to support your description.

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Activity: Service Relevant Domains

• What Domains provide relevant “need to know” information, in order to plan service for clients?

• What additional information do you need to provide service for clients?

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interRAI CHA Outcomes

• Outcome Measures and Scales• Clinical Assessment Protocols (CAPS)

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Thank you!

CSS CAP Support CentreContact Information

Email: csscap@ccim.on.ca

Toll Free: 1-866-909-5600, Option 9

Website: www.ccim.on.ca

interRAI: www.interrai.org