Indicator of Relative Need ioRN - IFIC · Indicator of Relative Need ioRN Standard measure of...
Transcript of Indicator of Relative Need ioRN - IFIC · Indicator of Relative Need ioRN Standard measure of...
PETER KNIGHTHead of Service for Integration Support
ISD Scotland
Indicator of Relative Need
ioRNStandard measure of functional needs &
independence
Principles of integration of health and social care, include:
o Best anticipate needs and prevent them arising
o Take account of the particular needs of different service-users
o Take account of the particular characteristics and
circumstances of different service-users
➢ SHRUGS (circa 1990)
➢ SCRUGS (circa 1999)
➢ RUM/ioRN (circa 2002)
➢ ioRN for care homes (circa 2008)
➢ ioRN2 for the community
ISD Scotland’s ‘Family tree’
for routine
measurement of functional
need/status
Components of the ioRN2
• Standard questions & answer options
• ioRN2 Algorithm
Supported by:
• Training pack (being finalised now)
• Practitioner user resource pack
• Guidance
• Other resources on request
Community ioRN questions 5Minutes
Community ioRN:completion follows an outcome-focussed assessment
Personal themes
• Mobility, transferring and eating
• Personal Care & Food Prep’n
• Mental well-being, behaviour and risk
www.isdscotland.org/IoRN2
Features of ioRN2 data
Person-centred
Standardised & consistent
Collectable by health and
social care
Shareable information
Generates aggregate info
10
0
0.5
1
1.5
2
2.5
3
3.5
4
ADL
Q4 Washing handsand face
Q7 Dressing
Q5 Complete wash
Q6 Wash hairQ8 Main meal
Q9 Light snack
Q10 Hot drink
Mental well being /Behaviour
Example 1 - initial and review for ADL, personal care and food and drink questions (Q4 to Q10) and mental well being.
initial
Note : ADL consists of:1) eating a meal2) mobilising an transferring3) using the toilet
11
0
0.5
1
1.5
2
2.5
3
3.5
4
ADL
Q4 Washing handsand face
Q7 Dressing
Q5 Complete wash
Q6 Wash hairQ8 Main meal
Q9 Light snack
Q10 Hot drink
Mental well being /Behaviour
Example 1 - initial and review for ADL, personal care and food and drink questions (Q4 to Q10) and mental well being.
initial
review
Note : ADL consists of:1) eating a meal2) mobilising an transferring3) using the toilet
Percentage distribution of ioRN groups by named team
0
5
10
15
20
25
30
35
40
A1 A2 A3 B1 B2 B3 C+E D F H I
% o
f to
tal (
N=6
93
)
ioRN2 group
Change in ioRN group: all teamssample are people who have two ioRN groups
Initial
0
5
10
15
20
25
30
35
40
A1 A2 A3 B1 B2 B3 C+E D F H I
% o
f to
tal (
N=6
93
)
ioRN2 group
Change in ioRN group: all teamssample are people who have two ioRN groups
Initial
Second
Based on insight gained from an assessment
Person-centred information
Collectable across health,
social care and housing
Complements information on personal outcomes
Provides information for a wide range of purposes
Useful to practitioners...and to
management
About me
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
A1+A2 A3 B1 B2 B3 C + E D F + G + H I
ioRN Group
Estimated hours per week of informal care given by carers: cumulative percentages by ioRN Group; Clackmannanshire
data
35+ hrs
20 - 34 hrs
5 - 19 hrs
1 - 4 hrs
Common Tool, Common Language: Supporting Integration
ioRN2 development report (July 2017)‘Outcomes Count’With a Foreword by Scotland’s Chief Nursing Officer, Chief Social Work Adviser (to the SG), and Chief Health Professions Officer
https://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Publications/2017-07-25/2017-07-25-IORN2-Report.pdf?40417116881
Or check webpage: http://www.isdscotland.org/Health-Topics/Health-and-Social-Community-Care/Dependency-Relative-Needs/In-the-Community/