Acute Care for Comprehensive Geriatric Assessment (AC-CGA)

The interRAI Acute Care for Comprehensive Geriatric (AC-CGA) Assessment v 9.3 is a minor revision of the former interRAI Acute Care v 9.1.  This comprehensive assessment system is designed to support assessment of adult patients with extensive clinical, functional and psychosocial problems.  It is best used in specialised acute care geriatric units and by geriatric consultation services.  However, experience has shown it to be a suitable system for younger patients with significant functional and psycho-social problems who have more complex assessment and care requirements.

In the acute geriatric care setting, it supports a whole episode of care assessment with pre-morbid, admission, ongoing review and discharge components.  For those specifically conducting geriatric consultations, the focus on a patient’s status in the pre-morbid period and at the time of actual assessment is most beneficial.  The interRAI AC-CGA Assessment System includes a wide range of diagnostic and risk screeners, scalar measures, clinical action protocols (triggered by the assessment) and Quality Indicators. 

Comprising 110 clinical items, the interRAI AC-CGA Assessment System allows for extensive profiling of a patient’s pre-morbid function which is critical for assessing the extent of change associated with an acute illness, and for making accurate prognoses that will support their recovery and ongoing care needs. 

It shares many clinical observations and applications with both the interRAI Acute Care (AC) and the interRAI Post-Acute Care and Rehabilitation (PAC-Rehab) Assessment Systems.  When systems are used sequentially, information can be readily transferred from earlier assessments, enabling efficient assessment and accurate appraisal of progress across the hospital continuum. 

Applications associated with the interRAI AC-CGA Assessment System are presented in the interRAI Clinical and Management Applications Manual for Acute Care.

For information, please see the Hospital Systems page >>

For further information please contact the chair of the interRAI Network in Acute Care (iNAC)Len Gray.