Community Support Services
Common Assessment Project
(CSS CAP)
Interpreting the interRAI
Community Health Assessment
(CHA)
February 2012
Document 2
Agenda
Welcome, 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
2
Participant Introductions
Please introduce yourself
– Your name
– Your HSP
– Your role
Comment or question
about the CHA.
3
Ice Breaker
4
Education Material
Review list of handouts.
5
Objectives
Participants will have increased knowledge of:
• 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
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What is the interRAI CHA?
interRAI Community Health Assessment (CHA) helps
identify adults needing supports to prevent or stabilize early
functional or health decline
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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
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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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The interRAI CHA Process
Core interRAI CHA
Reassessment
Functional
Supplement
Mental Health
Supplement
Deafblind
Supplement
Assisted Living
CAPs
Outcomes
Informs service plan
based on service needs
MAPLe
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
16 domains are evaluated
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Identification Information
Intake and Initial History
Cognition
Communication and Vision
Mood
Psychosocial Well-Being
Functional Status
Continence
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Disease Diagnosis
Health Conditions
Nutritional Status
Medications
Treatments and
Procedures
– Social Relationships
– Environmental Assessment
– Discharge
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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The interRAI CHA Process
Core interRAI CHA
Reassessment
Functional
Supplement
Mental Health
Supplement
Deafblind
Supplement
Assisted Living
CAPs
Outcomes
Informs service plan
based on service needs
MAPLe
Informs service plan based on service needs
18
Functional Supplement Domains
16 Domains are Evaluated
Identification Information
Cognition
Mood and Behaviour
Functional Status
Continence
Disease Diagnosis
Health Conditions
Oral and Nutritional Status
Adapted with permission from ideas for health,
University of Waterloo, June 2010
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Skin Condition
Medications
Treatments and Procedures
Responsibility
Social Relationships
Environmental Assessment
Discharge Potential
Assessment Information
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
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Specific Domains
• Reason for assessment
• Assessment Reference
date
• Change 90 days or since
last assessment
• Self-reported
• Performance and
capacity
Mr. Patterson Activity: Who is Mr.
Patterson?
Describe Mr. Patterson in your own words from information
in the Core and Functional assessments:
1.
2.
3.
4.
5.
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Identification information, intake & initial history.
Cognition and Psychosocial health.
Physical health/clinical issues.
Functional status.
Social supports.
Identify domains in CHA and functional to support your
description.
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
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Outcome Measures and Scales
Clinical Assessment Protocols (CAPS)
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Thank you!
CSS CAP Support Centre
Contact Information
Email:
[email protected]
Toll Free: 1-866-909-5600, Option 9
Website: www.ccim.on.ca
interRAI: www.interrai.org
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InterpretingtheCHA_20120228_v2.0_CSSCAP