InterRAI

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Icelandic Edition of CAPS

This Icelandic edition is translated from the English "interRAI Clinical Assessment Protocols (CAPs) for Use with Community and Long-Term Care Assessment Instruments." CAPs are designed to help the assessor interpret systematically all the information recorded with the instruments' assessment forms. CAPs are not intended to automate care planning; rather, they help the clinician focus on key issues identified during the assessment process, so that decisions as to whether and how to intervene can be explored with the individual. 
Click here for further information.

New Integrated Hospital Systems Launched – an interRAI World First

On February 20, in Brisbane Australia, the interRAI Hospital Systems, including the “new” interRAI Acute Care, was officially launched by the Deputy Vice-Chancellor Research of the University of Queensland, Professor Robyn Ward.

The University hosts the Centre for Research in Geriatric Medicine, which is led by Professor Len Gray, who, in turn, leads the interRAI Network for Acute Care.

The setting for the launch was the Global Forum for Acute Care Excellence, which gathered a wide range of international experts in the care of frail and vulnerable people in the hospital setting.  Speakers reviewed the current performance of our hospitals in caring for these individuals and considered systems and practices that might lead to improvements. Click here for speakers' presentations. 

The interRAI Hospital Systems comprises an integrated suite of assessments for each hospital setting (emergency department, acute and post-acute care).  Specialised systems focus on patients who require comprehensive geriatric assessment, mental health appraisal or rehabilitation.  The focus of these systems is functional and psychosocial issues, an understanding of which is critically important to plan excellent and efficient care.

The embedded interRAI Acute Care for all adults provides a concise but comprehensive system that identifies problems associated with function and psycho-social status.  It includes diagnostic and risk screeners, scales to measure and monitor problem severity, and quality indicators.  It can be completed in less than 15 minutes in the majority of patients. 

For the first time, a group of assessments can identify frail and vulnerable people and support their journeys of across the entire hospital continuum.

Click here for more information. 

The interRAI Palliative Care instrument: Better informed palliative care in nursing homes?

At KU Leuven in Belgium, Kirsten Hermans defended her doctoral thesis “T he interRAI Palliative Care instrument: Better informed palliative care in nursing homes?” on March 27th.

Her research shows that the interRAI PC instrument is a useful, feasible and valid instrument for nursing homes, and provides input for optimalization and improvement. More information and a pdf of the study can be obtained from Kirsten.hermans@kuleuven.be anja.declercq@kuleuven.be.

PhD Candidate 

Kirsten Hermans

(Co)promotors

Prof. dr. Anja Declercq

Prof. dr. Chantal Van Audenhove
dr. Nele Spruytte

Nursing homes have become important locations for the provision of palliative care. Research shows the benefits of using a comprehensive assessment tool as to evaluate and identify nursing home residents’ palliative care needs. The interRAI Palliative Care instrument (the interRAI PC instrument) provides a comprehensive assessment of needs, symptoms and preferences of adults in hospice and palliative care. In Belgium, the instrument has been made accessible through the web application BelRAI.

This PhD covers phases 0, I and II of the Medical Research Council (MRC) Framework for the design and evaluation of complex interventions in order to answer the following research questions:

  • 1. What are the most comprehensive geriatric assessments (CGAs) that have been validated for nursing home residents with palliative care needs and to what extent are these CGAs valid and reliable?
  • 2. What are the needs and symptoms of Flemish (Belgian) nursing home residents anticipated to be in the last year of their lives and do these needs differ between residents with and without dementia?
  • 3. Does using the interRAI PC instrument in nursing homes reduce needs and symptoms of nursing home residents receiving palliative care?
  • 4. To what extent is the interRAI PC instrument useful, feasible and face valid according to care professionals in nursing homes?

Results show the interRAI PC instrument to be the most comprehensive assessment that has been validated for nursing home residents with palliative care needs. The instrument has many additional advantages which plead for its use in nursing homes. However, policy makers, software providers, researchers and clinicians should collaborate in order to tackle the critical remarks of care professionals in nursing homes as to increase the effectiveness, usefulness, feasibility and face validity of the instrument.

PhD Defence

Contact

In order to obtain a PDF version of the PhD, please contact Kirsten Hermans (kirsten.hermans@kuleuven.be) or prof. dr. Anja Declercq (anja.declercq@kuleuven.be).

KU Leuven LUCAS, Center for Care Research and Consultancy, Minderbroedersstraat 8/5310, 3000 Leuven, BELGIUM.

Acknowledgments

This study was part of FLIECE (FLanders study to Improve End-of-life Care and Evaluation tools), a collaboration between KU Leuven LUCAS, Vrije Universiteit Brussel, Ghent University and VUmc Amsterdam.  FLIECE was supported by a grant from the Flemish Government Agency for Innovation by Science and Technology (SBO IWT nr. 100036).

New interRAI Acute Care Assessment System aims to revolutionise hospital care for frail and vulnerable patients

interRAI AC cover, version 9.3

This week, interRAI released forms, manuals and applications for a dramatic new assessment system for the provision of hospital care.  Whereas, in the past, interRAI hospital systems have primarily focussed on supporting older patients with complex care requirements and/or those with mental health issues, the new interRAI Acute Care System is designed for use in ALL ADULT PATIENTS being cared for in acute care settings.

The AC System, designed in partnership with an international group of acute care nursing experts, enables the common place nursing admission assessment to be leveraged to more effectively and efficiently record functional and psychosocial issues (such as cognition, mobility, pain and smoking), screen for difficult-to-diagnose syndromes (such as dementia, delirium and under-nutrition), provide risk-assessments for common adverse events (such as delirium, falls and pressure ulcers) and identify patients that might need further intensive inpatient assessments, such as Comprehensive Geriatric Assessment. The new AC System further has the capacity to monitor a patient’s progress across their acute care episode and into a post-acute care or rehabilitation program using individual items (continence) and scales (ADL, pain, cognition).  It makes daily updates possible, and if scored at the beginning and end of the acute care episode, allows for the determination and reporting  of 9 critical Acute Care Quality Indicators (QI) that are being increasingly monitored in acute care settings around the world.

Comprising only 56 clinical items, many of which are currently being collected in existing nursing admission assessments, it has the potential to dramatically REDUCE overall nursing documentation burden, when initial work showed that the same domains being covered in current admission assessments may encompass over 300 items.  Extensive field testing found that this new AC System can be completed in the majority of acute patients within 20 minutes, including data entry.  Furthermore, our initial studies have revealed that many issues traditionally regarded as “geriatric” syndromes (such as memory problems, recent falls, and mood disorders), are quite common among younger adults who now tend to be admitted to our hospitals.

Currently, trials of the AC System across entire hospitals are underway in hospitals in Australia and New Zealand.  For readers who are familiar with the interRAI Acute Care version 9.1, this has been slightly revised and renamed the interRAI Acute Care for Comprehensive Geriatric Assessment (AC-CGA, version 9.3).  This upgraded version will be released in the next 2 weeks. 

A fully integrated group of hospital assessment systems for hospital care, including this Acute Care system, will be launched at the Global Acute Care Forum in Brisbane, Australia on February 20th.

Click here for further information about the interRAI AC, and/or click here for information regarding the launch.

New interRAI Emergency Department (ED) manual available now!

[ED] interRAI Emergency Department (ED) Assessment System Manual, For Use with the interRAI ED Screener (EDS) and ED Contact Assessment (ED-CA), 9.3

As part of an interRAI initiative, a multinational group of clinicians and researchers refined the initial Emergency Department module. These refinements were based on two studies. The first study was a pilot study conducted across 13 emergency departments in Australia, Belgium, Canada, Germany, Iceland, India, and Sweden, while the second study was a simultaneous study conducted across 10 emergency departments in Canada. 

The interRAI Emergency Department (ED) Assessment System Manual is a key component of the interRAI Hospital Assessment Systems. It is designed for use among older patients who visit the emergency department. The interRAI ED is a two-step screening and assessment system with two consecutively administered instruments within the interRAI ED Assessment System: (1) the interRAI ED Screener (EDS), and (2) the interRAI ED Contact Assessment (ED-CA).

Read more about the interRAI Emergency Department (ED) Assessment System Manual or visit the interRAI catalog for other manuals.

International Launch of New Hospital Assessment Systems

The continuous drive to improve standards of assessment and care is being met by escalating documentation burden, particularly for nurses. Compliance is often poor; and other professional groups who could benefit from access to vital information cannot rely on its availability. Nursing staff do not have sufficient time. Nurses often complete documentation because they have to, not because the assessments inform their care planning or tasks. A new approach is required.

Over the past five years, the interRAI research collaboration has developed and extensively tested a new assessment system which supports assessments, care planning, and quality improvement across the hospital continuum. The new interRAI Acute Care has been specifically designed to support the acute nursing admission process, has less than 60 observations, and is vastly shorter than most existing hospital systems, which can exceed 300 items. In spite of its brevity, it captures problems (delirium, dementia) and identifies risks (pressure ulcer, falls) with the same level of precision as traditional screeners. This system promises to transform the nurse assessment process. It will feed valuable information to the entire multi-disciplinary team.
 
The new interRAI Acute Care will be released in tandem with three other related publications: interRAI Emergency Department Contact Assessment (ED-CA), interRAI Acute Care for Comprehensive Geriatric Assessment (AC-CGA), and interRAI Post-Acute Care and Rehabilitation (PAC-Rehab). These four new publications will be presented and sold together as a bundle through the interRAI catalog.
 
The international launch of this new effective and efficient system, designed to improve care for frail and vulnerable patients in hospital, will be held in Brisbane, Australia on 20 and 21 February 2017 at the ACE Forum

Dr. Brant Fries will be awarded a Doctor of Laws

Dr. Brant Fries will be awarded a Doctor of Laws, honoris causa, at the University of Waterloo.

 

Dr. Brant Fries

Brant Fries, Ph.D., founder and president of interRAI, will be awarded a Doctor of Laws, honoris causa, at the University of Waterloo’s convocation ceremony for the Faculty of Applied Health Sciences and the Faculty of Science on October 21, 2016, recognizing his work in Canada, the US, and elsewhere in the world. 

Dr. Fries is currently Professor in the Department of Health Management and Policy in the University of Michigan School of Public Health, Research Professor in the Geriatrics Center of the School of Medicine at the University of Michigan and Chief, Health Systems Research at the Geriatric Research, Education and Clinical Center, VA Ann Arbor Healthcare Systems, Ann Arbor, Michigan. He is internationally renowned for his research on assessment and funding systems for long-term care.

Six new U.S. states now using interRAI

Six new U.S. states now using interRAI

interRAI logo

Six new U.S. states have recently adopted interRAI instruments, bringing the total number of U.S. user states to 24, just one less than half! Many of these adoptions stem from the Affordable Care Act (or "Obamacare") provisions that fund statewide rebalancing initiatives to expand the use of home and community-based services and support. The states that recently adopted interRAI instruments are:

  • Connecticut (population 3.6 million) Department of Social Services: interRAI Home Care
  • Mississippi (population 3.0 million) Division of Medicaid: interRAI Home Care
  • Kansas (population 2.9 million) Department for Aging and Disabilities Services: interRAI Home Care
  • Hawaii (population 1.4 million) Department of Health: interRAI Home Care
  • Illinois (population 12.9 million): Bureau of Long Term Care: interRAI Community Health Assessment and interRAI Mental Health
  • Iowa (population 3.1 million) Department of Human Services: interRAI Home Care, interRAI Pediatric Home Care, interRAI Community Mental Health, and interRAI Child and Youth Mental Health.

The State of Texas Department of Aging and Disabled Services has also signed up for a two-year demonstration project using the interRAI Intellectual Disability instrument.

 

Dr. Vincent Mor honored for outstanding contributions to patient care.

Dr. Vincent Mor honored for outstanding contributions to patient care. 

Dr. Vincent Mor has been awarded the Mary K. Ousley Champion of Quality Award for his contributions to quality in the long term and post-acute care community. The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) announced the interRAI researcher as the 2016 recipient of the award, for his research on how the delivery of health care affects the well-being of frail and chronically older adults, particularly in skilled nursing centers.

Dr. Mor, who is the Director of AHCA's independent research center at Brown University’s Center for Long-Term Care Quality & Innovation Center, helped to create the nursing center Minimum Data Set (MDS) resident assessment tool. He conducted some of the first research on national rehospitalization rates in skilled nursing facilities that helped shape AHCA's quality initiative.

"Vince's passion for research has produced innovative care strategies that are delivering positive outcomes for many of our patients and residents," said Mary Ousley, AHCA Quality Cabinet Co-Chair and namesake of the award. "His collaborative efforts have transformed technical, scientific data into important real-life quality improvement resources that have proven essential for our profession by giving us the tools to examine state and federal policies in the clinical assessments of long term care residents."

AHCA presents the Mary K. Ousley Champion of Quality Award to an individual or organization that has made a significant national contribution to advancing quality performance in the long term care field. Recipients must consistently advocate for quality approaches, while demonstrating the ability to educate and advocate for a systems approach to quality improvement. Recipients also display leadership in the development, promotion, and implementation of quality improvement initiatives that improve the quality of care and quality of life for individuals in need of long-term care.

In 2011, the Friend of Quality Award was renamed the Mary K. Ousley Champion of Quality Award to honor the ongoing legacy and commitment to quality care demonstrated by its namesake, Mary Ousley, a licensed nursing home administrator and nurse who has dedicated her life to quality improvement programs in long-term care.

interRAI researcher wins Canadian service excellence award

interRAI researcher wins Canadian service excellence award

 

On June 22, Dr. Shannon Stewart, Associate Professor at Western University in London, Ontario, Canada received Provincial recognition for her work leading a team at the Child and Parent Resource Institute (CPRI) in her previous role within the civil service.  Dr. Stewart and her team were recipients of the Ontario Public Services highest recognition for service excellence, the Amethyst Award.  The award was in recognition of the hard work and dedication required to develop the interRAI Child and Youth Suite of Assessment Instruments.

The Amethyst Awards program was created in 1992 to recognize Outstanding Achievement by Ontario Public Servants. Recipients are selected based on exceptional work in the areas of client service, innovation, leadership, professional achievement, building a diverse organization, championing learning and working horizontally across government.  Awards are given to Ontario Public Servants who have extended themselves, whether in creating a whole new way of delivering a service, developing time and money-saving technology, or showing extraordinary professionalism and care in performing their daily tasks.

Under Dr. Stewart’s leadership, the partnership between interRAI and CPRI was an opportunity to drive change on a global scale for children, youth with mental health challenges and their families. This outstanding contribution and ground-breaking work has facilitated an understanding of issues and challenges in children’s mental health across Ontario in a way never before possible. High quality data is being used to develop and evaluate new pathways to service, foster optimal outcomes for our most vulnerable children, and facilitate service system integration to enhance capacity in our mental health system. Dr. Stewart and her research team at Western University, along with the Applied Research and Education (ARE) team at CPRI continue to work in partnership to support the roll-out of the tools to support streamlined access, service and improved outcomes for children and families; setting a new standard for data collection, knowledge mobilization, and evaluation.

Global Acute Care Excellence Forum

Advance notice: February 20-21, Brisbane, Australia

Global Acute Care Excellence forum: Ensuring safe passage for frail and vulnerable adults across the hospital continuum.

 

iNAC and The University of Queensland will host a special 2-day forum in Brisbane on February 20-21, 2017 to explore issues around hospital care for patients with major functional and psychosocial problems. A range of local and international speakers will bring a variety of perspectives to the discussion. 

Plenary sessions and interactive symposia include the following topics:

  • Building accurate efficient assessment and care planning systems
  • Making use of "frailty" measurement in the hospital setting
  • Age-friendly emergency departments
  • Optimising medication management in hospital
  • Creating assessment systems across the hospital - community interface
  • Appraising quality: Quality Indicators across the hospital continuum
  • Re-engineering inpatient care for frail and vulnerable patients
  • Hospital avoidance strategies
  • Reaching out with telehealth
  • Performing nurse assessments at admission with the new interRAI Acute Care system
  • Software demonstrations

To register interest, visit: http://aceforum.com.au

interRAI goes National in France

interRAI goes National in France

On May 10, 2016 InterRAI was awarded The Solidarity for Autonomy National Scheme tender to assist in taking care of people with a disability.

As part of a National program in France, approximately 1,000 case managers will use the interRAI Home care and interRAI Contact Assessment instruments to assess people with Neurodegenerative diseases. These case managers are distributed across French territories, including destinations such as Antilles and areas within the Indian Ocean. By using interRAI instruments, case managers can assess and report on each territory with the different professions and services taking care of disabled people and with their family caregivers. 

It is the first time since 1995 that interRAI instruments will be used at a national level, after being introduced to France by Professor Jean-Claude Henrard and Madam Henriette Gardent. Until now, interRAI instruments have been used locally by other researchers, as well as being used since 2008 in the Marseille area under Doctor Valérie Cérase’s supervision.

interRAI Mental Health Instruments Showcased in Special Journal Issue

interRAI Mental Health Instruments Showcased in Special Journal Issue

A special issue of Healthcare Management Forum (HMF) features eight articles focussed on interRAI mental health assessments. HMF is the official peer-reviewed journal of the Canadian College of Health Leaders. The special issue features articles on diverse mental health issues using data from the interRAI Mental Health (MH), Emergency Screener for Psychiatry (ESP), Brief Mental Health Screener (BMHS), Child and Youth Mental Health (ChYMH), and RAI-Home Care. The special issue is fully Open Access and includes a guest editorial by Edgardo Perez, a world-renowned authority in recovery, mental health, and addictions and long-time supporter of interRAI.

In addition to the special feature issue, the publishers (SAGE) developed a 20 minute podcast featuring a conversation on the interRAI Mental Health instruments with insights from Edgardo Perez, Barbara Pizzingrilli and John Hirdes. In addition, interRAI Canada developed a video highlighting the exciting contents of this special issue that includes interviews with authors and interRAI Fellows John Hirdes, Ron Hoffman, Krista Mathias and more.

Video: “Improving Mental Health Services with the interRAI Assessment System”

The articles and podcast can be accessed using the links below.

HMF Special Issue 2015:  http://hmf.sagepub.com/content/28/4.toc

HMF July 2015 Podcast: Mental Health: http://sagepublic.sage-publications.libsynpro.com/webpage/category/Healthcare%20Management%20Forum

BlackBerry Collaborates with interRAI Canada to Deliver Efficient Data Collection Solutions in Healthcare

BlackBerry Collaborates with interRAI Canada to Deliver Efficient Data Collection Solutions in Healthcare

BlackBerry Limited (NASDAQ: BBRY; TSX: BB), a global leader in mobile communications, announced today it will provide software and support to interRAI Canada to assist them in developing mobile versions of intake screening and questionnaires for healthcare running on BlackBerry’s secure end-to-end mobile solution. These custom screening applications will mobilize assessment tools and assist interRAI Canada in their studies. The applications will be developed for the BlackBerry 10 platform and leverage the end-to-end security provided by BES12, a cross-platform EMM solution by BlackBerry®, to improve outcomes in acute care and mental health for patients.

interRAI Canada is a research, education and knowledge exchange cluster based at the School of Public Health and Health Systems at the University of Waterloo. Its focus is on promoting innovations in data, evidence, and application systems for the health and social service sectors.

“It is critical for us to have the ability to mobilize the interRAI assessment and screening systems to conduct our research and to allow healthcare workers to provide better quality care,” said John Hirdes, PhD and Professor, from interRAI Canada. “Our collaboration with BlackBerry gives us a secure mobile platform to mobilize our applications and access to an experienced and innovative technology partner in the healthcare field. BlackBerry provides end-to-end healthcare solutions and we’re very pleased that we have their support with our initiatives.”

The initiative announced today will focus on two very important research projects. The first will be the development of a time trial application that will track nurses’ time per-patient with the goal of improving outcomes in caring for patients with mental health issues. The second is to implement and test an application that will mobilize an assessment and screening questionnaire that nurses can use to allow them to evaluate the overall health of a patient. Mobilizing the interRAI systems will improve the efficacy in acute care, increase adoption of the questionnaire and improve the quality of care to frail older persons in hospitals. Once developed, these applications will available for use in clinical trials across interRAI’s global network of doctors, nurses and health practitioners.

“We’re excited to be partnering closely with interRAI Canada on these two projects to provide innovative solutions for healthcare workers, and ultimately to provide better care for patients,” said Marty Beard, COO at BlackBerry. “BlackBerry delivers a secure cross-platform, deeply integrated communications engine for the exchange of health information and our collaboration with interRAI underscores our ongoing commitment to being at the forefront of innovation in healthcare.”

BlackBerry is the leading platform for secure mobile communications and cross-platform application management. The BlackBerry platform enables solutions that provides organizations in healthcare with the best in security and privacy of sensitive data while supporting HIPAA compliant environments.

About BlackBerry

A global leader in mobile communications, BlackBerry® revolutionized the mobile industry when it was introduced in 1999. Today, BlackBerry aims to inspire the success of our millions of customers around the world by continuously pushing the boundaries of mobile experiences. Founded in 1984 and based in Waterloo, Ontario, BlackBerry operates offices in North America, Europe, Middle East and Africa, Asia Pacific and Latin America. The Company trades under the ticker symbols "BB" on the Toronto Stock Exchange and "BBRY" on the NASDAQ. For more information, visit www.BlackBerry.com.

interRAI Research Paper on PC CAPs is Turning Heads

interRAI Research Paper on PC CAPs is Turning Heads

It has now been 30 days since publication of the research paper, Care Planning Needs of Palliative Home Care Clients: Development of the interRAI Palliative Care Clinical Assessment Protocols (CAPs), and interRAI is very happy to report that it is the number one accessed article on BioMedCentral’s Palliative Care site. This paper is also ranked in the ninetieth percentile for web traffic of all articles tracked in the BMC database! Click here to learn more.

Article Abstract:

The interRAI Palliative Care (interRAI PC) assessment instrument provides a standardized, comprehensive means to identify person-specific need and supports clinicians to address important factors such as aspects of function, health, and social support. The interRAI Clinical Assessment Protocols (CAPs) inform clinicians of priority issues requiring further investigation where specific intervention may be warranted and equip clinicians with evidence to better inform development of a person-specific plan of care. This is the first study to describe the interRAI PC CAP development process and provide an overview of distributional properties of the eight interRAI PC CAPs among community dwelling adults receiving palliative home care services.

Citation:

Care Planning Needs of Palliative Home Care Clients: Development of the interRAI Palliative Care Clinical Assessment Protocols (CAPs), Shannon Freeman, John P Hirdes, Paul Stolee, John Garcia, Trevor Frise Smith, Knight Steel and John N Morris BMC Palliative Care 2014, 13:58 (15 December 2014)

Link:

http://www.biomedcentral.com/1472-684X/13/58

BMHS Success: Simple Form Streamlines Officers’ Mental Illness Calls

BMHS Success: Simple Form Streamlines Officers’ Mental Illness Calls

The interRAI Brief Mental Health Screener (BMHS), a unique mental health assessment form developed by Ron Hoffman, PhD with the help of interRAI Board member and academic advisor Dr. John Hirdes, is becoming more widely used in Canada, following a series of successful pilot studies.

The one-page assessment form is designed to establish a “common, descriptive, but efficient language” between police officers on the street and medical staff in the hospitals. The BMHS grew out of Hoffman’s observation that there is a frequent disconnect between law enforcement and medical personnel when the police bring seemingly mentally disturbed individuals into the hospital.

“Doctors and nurses use a different language and approach the situation from a different perspective than cops,” Hoffman says. “They are looking for specific cues that can give them quick insights into a subject’s mental state, but officers may not articulate what they’ve observed in the way that is most meaningful to them for making reasonable decisions. This tends to slow down the evaluation process, and officers end up spending a lot of time – expensive time – just waiting around for decisions to be made.”

So far, BMHS has been praised by medical personnel and police officers alike for its simplicity and efficiency.

Insp. R. Scott Smith, a detachment commander with the OPP, says that “While officers can be averse to additional paperwork, the fact that this screener is brief made buy-in easier. By using this standardized instrument, officers are able to clearly and concisely articulate their grounds for apprehending an individual and bringing them to a hospital for assessment.”

While the BMHS is copyrighted, Hoffman wants it used as widely as possible. If you would like a copy for your agency, along with permission to reproduce it and an explanation of the related training necessary, contact him at: Ron.Hoffman@ontario.ca.

Sources:

Ontario Provincial Police Announce Implementation of interRAI Brief Mental Health Screener

Ontario Provincial Police Commissioner J.V.N. (Vince) Hawkes makes the announcement at a press conference.

On May 8, 2014, the Ontario Provincial Police (OPP) announced their plans to implement the new interRAI Brief Mental Health Screener (BMHS) to assess mental health issues, allowing for improved transitions from police custody to hospital care.

The BMHS is a scientifically sound, standardized assessment that will help officers better respond to people experiencing a mental health crisis and communicate more effectively with mental health professionals in hospitals. The tool was jointly developed by interRAI researchers at the University of Waterloo and Nipissing University, in collaboration with the OPP and Guelph Police Service.

The BMHS is based on the interRAI Mental Health Assessment System, ­ a system already used for every patient admitted to an Ontario hospital for psychiatric care. With the new screener, officers can accurately measure and articulate symptoms in a way that health care practitioners will understand.

“The BMHS standardizes police observations and allows them to communicate in the language of the health care system. This will streamline the transition for persons with mental illness from police custody to mental health care provided by hospitals and community-based agencies,” said Ron Hoffman, a Mental Health Training Coordinator for the Ontario Police College who co-led development and testing of the tool as part of his doctoral dissertation at Waterloo.

Over the coming months the tool will be adopted by approximately 6,000 OPP officers as detachment commanders develop partnerships with Ontario hospitals to implement it in day-to-day practice. As part of the roll-out, frontline officers will receive training on the terminology used by health care professionals and how to correctly complete the assessment.

“At the end of the day, the BMHS will help to improve the collaboration between police officers and mental health professionals in a way that will directly benefit persons with mental health needs,” said John Hirdes, PhD, Professor, Faculty of Applied Health Sciences and Chair of the interRAI Network of Excellence in Mental Health.

Ontario Provincial Police Announce Implementation of interRAI Brief Mental Health Screener

2014 Canadian interRAI Conference Announced

2014 Canadian interRAI Conference Announced

Winnipeg Manitoba, October 6-9, 2014

interRAI is proud to announce the dates for the 8th Canadian interRAI Conference, to be held in Winnipeg, Manitoba this fall. This forum will bring together researchers, policy makers, and practitioners who are using the interRAI suite of instruments in home care, residential/long-term care, acute care, assisted living, mental health, and palliative care.

From now until May 5, the conference planning committee will be accepting proposals for podium and poster presentations under the conference theme: At the Centre of it All: Quality Care Focused on the Person. Clinicians, researchers, educators, staff, and policy makers who are interested in sharing their working knowledge, best practices, and strategies for working with the interRAI suite of instruments in Canada and around the world are encouraged to submit. For more information about presentation format, submission requirements, and more, click here.

To learn more about the conference, including registration information, accommodations, sponsorships, and more, click here.

interRAI at International Society of Geriatric Oncology Conference

interRAI fellow Liv Wergeland Soerbye will present this week at the International Society of Geriatric Oncology Annual Meeting in Copenhagen.  Her poster session is entitled: "Cancer as the Cause of Death in a Nursing Home Setting." Click here to learn more about the conference.

interRAI Suite of Assessment Tools Selected for Care of Ireland’s Elderly

interRAI Suite of Assessment Tools Selected for Care of Ireland’s Elderly

Abstract: Following a consultation and review process, the interRAI suite of assessment tools was chosen as the most suitable instrument for assessment of the care needs of older people in Ireland. The Irish Health Service Executive (HSE) used previously validated questionnaires to examine the usability, practicality and acceptability of these tools to professionals, carers and clients in rural and urban acute, long-term care and community settings. Of the 45 professionals, 42-44 (93-98%) agreed or strongly agreed with 14 of 15 positive statements regarding the acceptability, clinical value and ease of use of the interRAI tools; 39 (87%) felt the terminology was consistent and familiar, although 35 (78%) felt some areas would require further explanation. Responses from carers (n=15) and clients (n=68) were similarly overwhelmingly positive regarding the experience of being assessed using these tools. These results support the clinical utility and practicality of using this approach to assess older people in Irish clinical practice.

Click here to learn more.

Belgian eHealth System Features Research Paper on interRAI Acute Care Instrument

September 5, 2013

Belgian eHealth System Features Research Paper on interRAI Acute Care Instrument

Abstract:

The interRAI Acute Care instrument is a multidimensional geriatric assessment system intended to determine a hospitalized older persons’ medical, psychosocial and functional capacity and needs. Its objective is to develop an overall plan for treatment and long-term follow-up based on a common set of standardized items that can be used in various care settings. A Belgian web-based software system (BelRAI-software) was developed to enable clinicians to interpret the output and to communicate the patients’ data across wards and care organizations. The purpose of the study is to evaluate the (dis)advantages of the implementation of the interRAI Acute Care instrument as a comprehensive geriatric assessment instrument in an acute hospital context.

Click here to read more.

New from interRAI Publications: Printable Forms!

September 4, 2013

New from interRAI Publications - Printable Forms!

Ordering forms just got easier! interRAI is making forms more accessible and economical, printable right from your desktop. Until now, we had forms professionally printed, collated, and shipped to you. Our new solution allows users to purchase a license to print a given number of forms for significantly less than the cost of ordering pre-printed forms. These printable PDFs each contain a customized watermark which shows purchasing information such as customer name and date, and the number of copies allowed to be printed. In the publishing world, this is known as "Social DRM (Digital Rights Management)." In implementing this solution, interRAI hopes to cultivate an environment of trust and respect where users are offered a reasonable and efficient option for obtaining forms and do not resort to making unauthorized photocopies. This option is now available at the interRAI online catalog - click on "Forms" on the left-hand side.

For questions, comments, or pricing information, please contact us at orders@interRAI.org.

interRAI Instruments Licensed for Single Assessment Tool in the Republic of Ireland

August 28, 2013

interRAI Instruments Licensed for Single Assessment Tool in the Republic of Ireland

Back in 2010, the Republic of Ireland’s Health Service Executive (HSE) Older Persons Care Group Team established the Single Assessment Tool (SAT) Working Group.  The SAT Working Group was tasked – “To select, pilot and recommend a single assessment tool or suite of tools to be utilised for the assessment of older people nationally.”

The SAT Working Group determined that the interRAI™ suite of assessment tools was the most “fit for purpose.” Starting in 2013 and running through 2017, they will begin implementation of a ‘Single Assessment Tool’ (SAT) in relation to community-dwelling older persons in Ireland, using parts of the interRAI™ suite together with a carer assessment and associated process changes, underpinned by a suitable information system platform, to enable improved outcomes for older persons, and a wider transformation of services.

A range of quality indicators and other ‘service intelligence’ outputs are generated by the interRAI™ data recorded for the care needs assessment process, and these will provide considerable benefits for service management, planning, and quality assurance.  Further, upon completion of this implementation, a foundation will have been established for wider use of the interRAI™ suite for other services to older persons – a wider primary care agenda including disability and mental health.

Click here to learn more.

 

Don't Miss the Canadian interRAI Conference!

August 27, 2013

Don't Miss the 2013 Canadian interRAI Conference!

The 7th Canadian interRAI Conference provides an important forum that brings together researchers, policy makers and practitioners using the interRAI system of instruments used in various health care settings across Canada. These evidence-based electronic instruments capture client/patient assessment information that is used to support care planning and delivery, quality improvement, health system management and policy.

This year's conference is on October 7-10, 2013. Please visit the conference website to view the conference program, the list of speakers, to register, or to exhibit.

interRAI Canada’s First Nations and Inuit Health Branch Home Care Reporting System (HCRS) Project Announces New Sites, Communities

August 26, 2013

interRAI Canada’s First Nations and Inuit Health Branch Home Care Reporting System (HCRS) Project Announces New Sites, Communities

The First Nations and Inuit HCRS Project in Alberta, Canada is proud to announce the addition of five new sites, representing seven new communities:

  • Enoch Cree Nation
  • Siksika Nation
  • Bigstone Cree Nation
  • Sucker Creek First Nation
  • North Peace Tribal Council (serving Beaver First Nation, Dene Thà First Nation, and Tallcree First Nation).

These five new sites bring Alberta’s total of pilot sites up to thirteen.

This system includes the use of two interRAI instruments: RAI-HC (Home Care) and RAI-CA (Contact Assessment). Both of these instruments promote a standardized process for collecting information, highlighting areas of physical and psychosocial concerns, and fostering an interdisciplinary approach to planning care.

The First Nations and Inuit Health Branch in Alberta is committed to providing excellence in home care service delivery, leading to optimal client health outcomes. Our team continues to evolve and build capacity within home care to facilitate comprehensive, culturally sensitive, accessible and effective home care services for First Nations communities. Click here to learn more.

interRAI Study Shows Emergency Rooms Not Meeting Needs of Senior Citizens

August 21, 2013

interRAI Study Shows Emergency Rooms Not Meeting Needs of Senior Citizens

Emergency departments are not meeting the needs of senior citizens, according to a new international study published in the Annals of Emergency Medicine.

The study, which looked at patients over the age of 75 in emergency departments in Australia, Belgium, Canada, Germany, Iceland, India and Sweden, found that seniors have very different needs than the general population- needs that are not being addressed well by current clinical practices or emergency department designs.

"The majority of older patients attending emergency departments are frail and dependent on others for help. They have distinct and often complex needs," said Professor John Hirdes from the University of Waterloo's School of Public Health and Health Systems and senior fellow of interRAI, the organization behind the study. "Traditional emergency departments are not equipped for geriatric assessment and intervention because they were designed and staffed to respond to severe acute illnesses and injuries."

Click here to read more.

A Lifesaving Partnership between Canadian Red Cross and interRAI Will Ensure Help Reaches Vulnerable People in Times of Disaster

June 13, 2013

A Lifesaving Partnership between Canadian Red Cross and interRAI Will Ensure Help Reaches Vulnerable People in Times of Disaster

(TORONTO) – A new partnership between Canadian Red Cross and interRAI will bring together interRAI’s expertise in health assessments and the experience of Canadian Red Cross in disaster response and community health services to ensure the most vulnerable Canadians receive the right help quickly in times of emergency.

Click here to read the full article at redcross.ca.

Palliative Care in Nursing Homes Becomes Increasingly Important in Belgium

May 7, 2013

Palliative care in nursing homes is becoming increasingly important in Belgium, which is investing further in the implementation of interRAI instruments. In 2010, 15.2% of the men who died in Belgium, died in a nursing home, and 32.9% of the women.

"We do not have measurements on the quality of care. But from experience, we can infer that in some cases, nurses lack the necessary knowledge about palliative care," said [interRAI’s Anja] Declercq, advocating for better communication between all parties involved in the nursing home, especially between the resident, his family, and all caregivers.

"For example, Dutch research shows that family members often have a very different idea about how long the patient has to live than the doctor." Palliative care should also move with the times. "Now comes a generation of older people who will be more demanding and assertive than before."

The above is translated from an article in the De Morgen on 19 April 2013, covering the interRAI conference organized by LUCAS, the Centre for Care Research and Consultancy at KU Leuven.

interRAI Child and Youth Suite Momentum Is Building: An Update from Canada

March 20, 2013 

We are excited to report that the development of interRAI assessments for children and youth is progressing extremely well. These assessments form a suite that will be the first to provide an integrated response to identifying and responding to child/youth mental health needs. 

 

Pilot testing has started for five interRAI child and youth suite assessments. These share a focus on assessing mental health needs but are designed for specific populations or settings, including typically developing children and youth from 4 to 18 years, those with developmental disabilities, those with complex needs who receive services in the home and are between 0 and 18 years, adolescents, and a short screener that can be used to identify whether further, more comprehensive assessment of needs is required. These tools are being used by 206 service providers across twenty-five agencies within the province of Ontario, including inpatient/residential services and outpatient services delivered in the community as well as in schools.

 

As of February 2013, the assessments that focus on mental health needs for typically developing children and youth and their respective manuals will also be available in French. Continuing efforts also involve extensive collaboration to develop interRAI child/youth assessments for youth justice and education settings. The state of Arkansas is now implementing use of interRAI assessments as a foundation of an equitable, needs-based service system for children and youth with developmental disabilities.

 

The project recently received $100,000 from the London Community Foundation in Ontario, Canada, to further support the development and testing of the assessments designed for typically developing children and youth, as well as adolescents and those with developmental disabilities.

 

Watch for our upcoming child and youth research publications on the interRAI Web site. Several articles related to child/youth data collected using interRAI assessments will be posted shortly.

 

Click here if you want to learn more about the interRAI Child and Youth Mental Health/Developmental Disability suite of tools.

 

Click here if you want to learn more about the London Community Foundation.

Use of the interRAI LTCF Assessment System Becomes Mandatory in New Zealand

March 20, 2013 

The New Zealand government recently announced that use of the interRAI LTCF Assessment System will become mandatory in aged residential care as of July 2015. By June 2014 all aged residential facilities in New Zealand will be participating in the roll-out of the assessment tool.

 

The assessment will assist nurses in aged-care facilities in providing quality care for residents by supplying a comprehensive clinical assessment of needs that supports the development of tailor-made care plans.

 

New Zealand Associate Health Minister Jo Goodhew noted that comprehensive clinical assessment will provide opportunities to support continuous quality improvement in aged care. "The Auditor General's September 2012 report, Effectiveness of Arrangements to Check The Standard of Services Provided By Rest Homes, emphasises the importance of comprehensive clinical assessment in monitoring the quality of care for older people."

 

The roll-out in aged residential care follows the successful implementation of interRAI home care assessments for clients of home-based support services completed in 2012.

Building Systems to Address Functional Decline and Dependence in Ageing Populations: interRAI Attends World Health Organization Conference at The Hague

April 2013

Building Systems to Address Functional Decline and Dependence in Ageing Populations: interRAI Attends World Health Organization Conference at The Hague 

In April 2013, the World Health Organization (WHO) held the first ever, high-level meeting on long term care  in The Hague. Entitled “Building Systems to Address Functional Decline and Dependence in Ageing Populations,” the conference featured several NGO’s as participants, along with Ministries of Health, academics, and geriatricians from around the world.

interRAI Board member Dr. Brant Fries, PhD, who attended, said that one of the unique aspects of the conference was an artist who listened to the presentations and drew (literally) the major points into a several-meter-long mural – scroll down to see a few pictures of the mural.

 

interRAI Member Awarded National Honor

October 25, 2012

Dr. John Hirdes, professor in the Department of Health Studies and Gerontology, University of Waterloo, and the Ontario Home Care Research and Knowledge Exchange Chair, was recognized on October 23 at the Canadian Home Care Association Conference with the Queen Elizabeth II Diamond Jubilee medal.  The medal, part of the Canadian System of Honours, is bestowed to individuals who have made a significant contribution to a particular province, territory, region or community within Canada, or an achievement abroad that brings credit to Canada.  Dr. Hirdes was honored for his leadership in the development and adoption of the interRAI Home Care Assessment System and the Method for Assigning Priority Levels algorithm.  These tools enable the delivery of high quality home care and community care services across Canada.

Alzheimer’s “Preventative Treatment” Gene Discovered with Help of interRAI Assessment Tools

July 23, 2012

The journal Nature recently published findings of a rare genetic mutation that protects people against Alzheimer’s disease.  The new evidence is the strongest yet that excessive levels of a normal brain substance, beta amyloid, are to blame for the disease and may lead to new discoveries on how it can be prevented.

With the help of interRAI assessment tools, using data being collected for over ten years in Iceland,  the study was able to build a “super-control” group (people who demonstrated remarkably stable cognitive function) against others suffering from the disease.  This “super-control” group was found to have a mutation in the APP gene, acting as nature’s “preventative treatment” against Alzheimer’s.  The discovery has led to renewed hope that anti-amyloid drugs that are already under development might alter the disease’s course, or prevent it altogether. The study also demonstrates the many uses of interRAI assessment data. 

Further reading:

"A mutation in APP protects against Alzheimer's disease and age-related cognitive decline" – Nature

"In Preventing Alzheimer's, Mutation May Aid Drug Quest" – The New York Times

New Web Site!

June 21, 2012 

There’s a fresh new look and feel at www.interRAI.org these days, and lots of new content as well, thanks to the efforts of Magnus Bjorkgren and his international Web team. New content has been added in the areas of Instruments and Applications, and the Fellows' bios have all been standardized and updated. You can now sign up for our quarterly newsletter. We also populated a world map with interRAI instruments (mandated and in use/testing) to show how interRAI reaches around the globe, in many languages, as the organization moves toward becoming a global health care standard.  We welcome your feedback!

In addition, interRAI recently launched a new SharePoint repository for its Fellows and vendors, giving them a centralized, online workspace which will help eliminate typical bottlenecks such as documents buried in email and on local machines. If you require access or have questions about the new Repository, please contact us. We welcome this first step toward a secure management system for our intellectual property. 

Subscription-Based Access Now Available!

May 31, 2012 

interRAI is supplementing its paper and electronic book offerings (available at http://catalog.interRAI.org) with an online subscription site, where individuals as well as institutions may subscribe to and access interRAI content - one book at a time, or a whole bookshelf - for less than the cost of a per-copy purchase, from anywhere on the Internet.

Content can be either accessed online or downloaded to a proprietary iOffline reader. Your interRAI publications can also be customized with bookmarks, notes, and highlights.

Annual subscription pricing is based on the concurrent user model. For example, with the "Long-Term Care Facilities (LTCF) Assessment Form and User's Manual," which lists for $49.45 per ebook, the annual subscription fee for up to five concurrent users is $82, up to ten concurrent users, $161, and so on, incrementally, up to seventy-five concurrent users for an annual fee of $1,051. An institution might license access to the entire interRAI standard suite for five concurrent users for $944 per year, for example.

interRAI hopes that the addition of this new functionality will help increase the reach of interRAI instruments worldwide. We look forward to hearing from interested organizations. Please contact us by email, or call customer service at +1-866-595-5055 to discuss your institutional needs so we can arrive at a subscription solution that works for you.

Dutch study demonstrates potential of interRAI LTCF

July 25, 2011

In a paper published in the Canadian Medical Association Journal on June 27, Dutch researchers demonstrated that a multi-disciplinary intervention centered on the interRAI Long-Term Care Facilities (LTCF) Assessment System improved the quality of care of residents of Dutch residential aged care facilities. The study employed a cluster randomized controlled design involving ten facilities and 340 residents, ensuring that the results are robust and convincing.  

See http://www.cmaj.ca/content/early/2011/06/27/cmaj.101498 for the full report.

This study provides further evidence that a systematic approach to assessment and care planning provides important benefits for older people in institutional settings, echoing the results of an earlier study using the interRAI home care system conducted by Bernabei and colleagues (http://www.ncbi.nlm.nih.gov/pmc/articles/PMC28532/).

The interRAI LTCF — a key component of the new interRAI Suite — is now being deployed in many countries around the world, including Australia, Belgium, Italy, New Zealand, Singapore, and Spain, adding to the widespread use of the earlier version RAI MDS 2.0.  In the next few years, many of these earlier adopters are expected to upgrade to the interRAI LTCF. 

 

interRAI ebooks launch

May 10, 2011

interRAI is now publishing its first ebooks. The four pilot titles are:

  • interRAI Home Care (HC) Assessment Form and User’s Manual
  • interRAI Mental Health (MH) Assessment Form and User’s Manual for In-patient Psychiatry
  • interRAI Acute Care (AC) Assessment Form and User’s Manual
  • interRAI Palliative Care (PC) Assessment Form and User’s Manual

We expect to have all interRAI’s current titles launched this spring. The ebookstore’s ViewInside feature allows you to browse through selected contents of an ebook before deciding whether to buy it. After purchasing and downloading an ebook to your digital bookshelf (using free Adobe Digital Editions software), you can customize and annotate it using the bookmarking and notes features. However, you cannot share, copy and paste, or print the ebook. Priced at 10% below retail, the ebooks are PDF-based and are optimized for desktop machines and laptops.

Here’s your chance to liberate yourself and your organization from paper by taking advantage of interRAI’s new digital resource! Through our ebookstore, you will receive the latest version of interRAI content rapidly, without incurring the delays and expenses of paper distribution.

As always, we welcome your input as interRAI’s ebookstore grows and develops. Our goal is for interRAI instruments to be used as extensively as possible; if you are interested in a multiple-copy purchase or a volume discount for your institution, please email us at interRAI-ebooks@obs.com and we will work out the details.

You can visit the new ebookstore at: ebooks.interRAI.org