InterRAI and CIHI:
A partnership that informs decisions
Point of care
Circle of care
System management
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Key messages
• Point-of-care collection
Collect once, use many
• Data in / Data back
Three presentations
illustrate using data for
clinical, organizational and
system decision-making
• EHR-ready
The future is now
Here’s our story…
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Standardized point-of-care data collection:
Strategy to collect once, use many
System
Organization
Individual
• Monitor performance
• Demonstrate
accountability
• Align resources/funding
• Evaluate services and
programs
• Compare with peers
• Allocate resources
• Assess individuals’ health
status
• Make clinical decisions
• Evaluate care
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Strategy is built on several point-of-care
assessments
Assessment
Health Setting
CIHI System
Point of
Care
Decision
Support
Health
System Use
Indicators
Case Mix
eReports


RUG-III



RAI-HC
Long-stay publicly
funded home care
services
Home Care Reporting
System (HCRS)
interRAI-CA
Intake from
community/hospital &
Emergency
Department
Home Care Reporting
System (HCRS)
RAI-MDS 2.0
Hospital-based and
residential continuing
care
Continuing Care Reporting
System (CCRS)


RUG-III
RAI-MH
Adult mental health
hospitalizations in
Ontario
Ontario Mental Health
Reporting System (OMHRS)
Pilot program in
Newfoundland


SCIPP
interRAI-CMH
Publicly funded
community mental
health services
Pilot program in
Newfoundland


interRAI-CHA
Community health and
social services
n/a
Ontario has implemented




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That provide a broad view of an individual
at a point in time
Physical function
ADL, balance, vision,
communication
Cognition and
mental health
Cognitive function,
mood, behaviour
Services and
Access
Quality of life
Medications, procedures,
therapies, resources,
wait times
Activities, relationships,
participation
Clinical Management
Health conditions, infections, nutrition, skin, falls, pain
interRAI provides the science behind
several CIHI data standards
• Researchers and clinicians
in 30+ countries
– interdisciplinary
– cross-continuum
– built-in decision support
– EHR-ready for front line
and system use
Data is used at the point of care for clinical
decision-making…
Vendor software/Web application
Clinical Summary
Outcome Scale scores
Clinical Assessment Protocols
Individual Care Plan
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…and for health system use with longitudinal
aggregate comparative reporting from CIHI
Facility/Agency/
Organization
Aggregate information
available to
Ministries of Health and
Facility/Agency/Organization
for planning services, quality
monitoring and improvement
CIHI Database
Facility/Agency/Organization
access secure CIHI site
eReporting
Demographics
Client Outcomes
Quality and Safety
Resource Utilization
CIHI Privacy and Security
Policy Framework
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Panelists:
Nancy Tunnicliffe
RAI Co-ordinator, Bruyère Continuing Care
Pamela Prince
Director, Strategic Planning and Evaluation, The
Royal Ottawa Health Care Group
Judy Bowyer
Director, Health System Performance,
Mississauga Halton LHIN
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