What is RAI?A quick tour of the Resident

Assessment Instrument

Brussels, Symposium February 19th, 2008.

Prof. Dr. Anja Declercq

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A quick tour of RAI

1. What is it?

2. Where does it originate?

3. How widespread is it?

4. What can we do with it?

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1. What is RAI?

• Resident Assessment Instrument

• Integrated health information system

• Primarily: an assessment instrument

• Use for other purposes is possible

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Assessment

• Goal:– an overview of the functioning and the

disabilities of a person– giving indications on how to deal with the

problems

• Data/information for creating a good care plan, communicating, detecting problems, …

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How does RAI do that?

• See Brant Fries later on• InterRAI Suite: one language, common basis, but

different versions for different settings:• InterRAI Acute Care, InterRAI Home Care,

InterRAI Long Term Care Facilities, InterRAI Palliative Care, InterRAI Community Health Assessment, InterRAI Assisted Living, ....

• see: www.interrai.org

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RAI consists of

1. MDS = Minimum Data Set

2. CAP = Clinical Assessment Protocol

3. Scales

But also

4. QI

5. RUG III

….

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MDS

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Who fills that out?

• Multi-disciplinary

• Thus: ground for communication and concertation

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CAP’s

• Clinical Assessment Protocols

• Are calculated with algorithms based on the data from the MDS

• Goal is to define (possible) problem areas

• Can be prevention, amelioration or keeping the situation as it is

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CAP’s

• 4 broad areas– Functional performance CAPs– Cognitive/mental health CAPs– Social life CAPs– Clinical issues CAPs

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Also possible

• to calculate RUGs (RUG III): Resource Utilization Groups for case-mix funding

• to calculate QI: Quality Indicators to monitor quality of care and to benchmark

• ....

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2. Where does it originate?

• Started in 1980s in US to improve quality of care in nursing homes

• Developping evidence-based care by collecting data of high quality

• First was Nursing Home Care

• Scientifically supported with network of scientists InterRAI

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3. How widespread is it?

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4. What can we do with it?