Community Health Assessment (CHA)

The interRAI Community Health Assessment (interRAI CHA) instrument and its accompanying supplements comprise a robust assessment system. Everyone receives the core assessment called CHA; only those with specific problem sets receive one or more of the four supplements. This modularized approach to assessment lets a person’s needs and preferences be tracked using the fewest number of assessment items possible. Further, it allows for the assessment of persons living in a range of settings, from independent residences through assisted living. This flexibility provides the ability to track persons as they move along the continuum of care, while requiring staff to learn only one assessment system.

All persons are to be assessed with the interRAI CHA, which includes the items required to trigger four types of supplements described briefly below.  The CHA triggers seventeen of the twenty-seven interRAI Generation 2 CAPs; the CHA and the Functional Supplement together trigger the entire set of CAPs as well as a variety of other interRAI scales and quality indicators.

CHA Supplements

  • The interRAI Functional Supplement (interRAI CHA-FS) includes an expanded set of functional and clinical items that informs and guides comprehensive care and service planning for more challenged persons in community-based settings.
  • The interRAI Mental Health Supplement (interRAI CHA-MH) includes an expanded item set on mental health- related diagnoses, symptoms, treatments, and life experiences. The items in this supplement describe the performance and capacity of the person in a variety of domains, with the majority of items serving as specific triggers for care planning. As with the interRAI CHA-FS, the goal is to use this information to identify individual needs and appropriate interventions.
  • The interRAI Assisted Living Supplement (interRAI CHA-AL) evaluates the needs, strengths, and preferences of persons served by various types of residential care facilities. The items identify functional, medical, and social issues that are either presently limiting the quality of life or functional status of the person or that are likely to become limiting for the person, if unaddressed.
  • The interRAI Deafblind Supplement (interRAI CHA-Db) is a standardized set of items that evaluate the strengths, preferences, and needs of persons with dual sensory loss. The items in this supplement extend the CHA’s assessment of the dimensions of vision and hearing to address patterns of impairment and change in these senses for persons with both congenital and acquired deafblindness. The CHA-Db also includes items on communication systems, orientation and mobility, and use of interpreters and intervenors.

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See our list of Community Health publications (plus localizations and translations) in our Catalog.

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