BelRAI - InterRAI. April 2018

Transcription

1 BelRAI - InterRAI April 2018

2 Introduction BelRAI: caring for care 2

3 InterRAI RAI = Resident Assessment Instrument Developed in the USA in the eighties for use in nursing homes: Objectives: Qualitative care planning, measuring care needs Monitoring of quality of care Then extended to other settings or patient groups (home care, hospital mental health, ) This has evolved into the InterRAI-suite of tools and instruments These have been scientifically validated by professionals worldwide 3

4 BelRAI = one continuum for client and care providers 4

5 BelRAI 2.0 Één authentiek bron (dossier) per persoon Transmuraal Alle instrumenten Longitudinaal per persoon Instrument van, en voor de professionele zorgverlener Setting onafhankelijk Ondersteund de kwaliteit van het zorgmanagement van een persoon 5

6 From the field Reproducible assessments Scientifically validate Exhaustive Systematic Lingua franca Sensitive and specific Sharing over the walls Alerts Complete 6 6

7 Settings: overal waar complexe kwetsbare cliënten vertoeven Thuiszorg, thuisverpleging (HC) Woonzorgcentrum (LTCF) Revalidatiecentrum Acuut ziekenhuis (AC) G, SP, polytrauma, Oncologie, Palliatieve eenheid, PAAZ,. Dagcentrum, kortverblijf Palliatieve zorg (PC) GGZ, institutioneel of ambulant (MH, CMH), vormen van begeleid wonen ICT4CARE

8 Gebruikers : Patiënt, familie en mantelzorgers: In de toekomst Nog niet in deze versie Afhankelijk van project personal health record Privacy en juridische aspecten zijn nog niet allemaal uitgeklaard ICT4CARE

9 BelRAI Screener HC v9.1.2 LTCF v9.1.2 AC v9.1.2 PC v9.1.2 MH v9.1.2 CMH v9.2 n A. Identification Information Identification Information Identification Information Identification Information Identification Information Identification Information n B. Module 4: Psycho Score (MH) Intake and Initial History Intake and Initial History Intake and Initial History Intake and Initial History Intake and Initial History Intake and Initial History n Module : Cognition C. Score (HC) Cognition Cognition Assessment Dates Health Conditions Mental State Indicators Mental Status n Module 3.3: Cognition Score Communication and Substance Use or Excessive Substance Use or Excessive D. (HC) Communication and Vision Vision Cognition Nutritional Status Behaviour Behaviour n Communication and E. module 5: Behavior Score (HC) Mood and Behavior Mood and Behavior Vision Skin Condition Harm to Self and Others Harm to Self and Others n F. Psychosocial Well-Being Psychosocial Well-Being Mood and Behaviour Cognition Behaviour Behaviour n Module 1 & 2 (+ 3.4): IADL & G. ADL Score (HC) Functional Status Functional Status Functional Status Communication Cognition Cognition n H. Continence Continence Continence Mood Functional Status Functional Status n I. Disease Diagnoses Disease Diagnoses Disease Diagnoses Psychosocial Well-Being Communication and Vision Communication and Vision n J. Health Conditions Health Conditions Health Conditions Functional Status Health Conditions Health Conditions n Oral and Nutritional Oral and Nutritional K. Oral and Nutritional Status Status Status Continence Stress and Trauma Stress and Trauma n L. Skin Condition Skin Condition Skin Condition Medications Medications Medications n Treatments and Service Utilization and Service Utilization and M. Medications Activity pursuit Medications Procedures Treatments Treatments n Treatments and Responsibility and Control Procedures and N. Treatments and Procedures Medications Procedures Directives Observation Nutritional Status n Treatments and Responsibility and O. Responsibility Procedures Directives Social Supports Nutritional Status Social Relations n Responsibility and Employment, Education, and P. Social Supports Directives Discharge Potential Discharge Social Relations Finances n Employment, Education, and Q. Environmental Assessment Discharge Potential Discharge Assessment Information Finances Environmental Assessment n Discharge Potential and R. Overall Status Discharge Assessment Information Resources for Discharge Diagnostic Information n S. Discharge Assessment Information Diagnostic Information Discharge n T. Assessment Information Discharge Assessment Information n U. Assessment Information 9 ICT4CARE 2017 A. B. C. D. E. F. G. H. I. J. K. L. M. N. O. P. Q. R. S. T. U.

10 Treatments and Procedures Treatments and Procedures Treatments and Procedures Treatments and Procedures Activity pursuit Assessment Information Assessment Information Assessment Information Assessment Information Assessment Information Assessment Information Behaviour Behaviour Cognition Cognition Cognition Cognition Cognition Cognition Communication and Vision Communication and Vision Communication and Vision Communication Communication and Vision Control Procedures and Communication and Vision Continence Continence Continence Continence Observation Diagnostic Information Diagnostic Information Discharge Discharge Potential and Overall Discharge Discharge Discharge Discharge Employment, Education, and Discharge Employment, Education, and Status Discharge Potential Discharge Potential Finances Finances Disease Diagnoses Disease Diagnoses Disease Diagnoses Environmental Assessment Environmental Assessment Functional Status Functional Status Functional Status Functional Status Functional Status Functional Status Harm to Self and Others Harm to Self and Others Health Conditions Health Conditions Health Conditions Health Conditions Health Conditions Health Conditions Identification Information Identification Information identification Information Identification Information Identification Information Identification Information Intake and Initial History Intake and Initial History Intake and Initial History Intake and Initial History Intake and Initial History Intake and Initial History Medications Medications Medications Medications Medications Medications Mood and Behavior Mood and Behavior Mood and Behaviour Mood Mental State Indicators Mental Status Oral and Nutritional Status Oral and Nutritional Status Oral and Nutritional Status Nutritional Status Nutritional Status Nutritional Status Psychosocial Well-Being Psychosocial Well-Being Psychosocial Well-Being Responsibility Responsibility and Directives Responsibility and Directives Responsibility and Directives Resources for Discharge Service Utilization and Treatments Service Utilization and Treatments Social Supports Social Supports Social Relations Social Relations Skin Condition Skin Condition Skin Condition Skin Condition Stress and Trauma Stress and Trauma Substance Use or Excessive Substance Use or Excessive Behaviour Behaviour 10

11 CONTINENCE 1. Continence urinaire 0. Continent(e). Contrôle complet. N UTILISE AUCUN type de sonde ou autre moyen auxiliaire pour collecter les urines. 1. Contrôle avec sonde ou stomie 2. Rarement incontinent(e) Continent(e) durant les 3 derniers jours mais a des épisodes d incontinence. 3. Occasionnellement incontinent(e) - Moins que quotidiennement. 4. Fréquemment incontinent(e) - Quotidiennement avec cependant persistance d un contrôle (par exemple, durant la journée). 5. Incontinent(e) Incontinence quotidienne, absence de tout contrôle vésical. 8. N est pas survenue - Aucune émission d urine durant les 3 derniers jours. 2. Moyen auxiliaire pour recueillir les urines 0. Aucun 1. Etui pénien 2. Sonde urinaire à demeure 3. Cystostomie, néphrostomie, urétérostomie, 3. Continence fécale 0. Continent(e). Contrôle complet (sans stomie). 1. Contrôle avec stomie 2. Rarement incontinent(e) Continent(e) durant les 3 derniers jours mais a des épisodes d incontinence. 3. Occasionnellement incontinent(e) - Moins que quotidiennement. 4. Fréquemment incontinent(e) - Quotidiennement avec cependant persistance d un contrôle. 5. Incontinent(e) - Quotidiennement sans contrôle. 8. N est pas survenue - Aucune émission de selles durant les 3 derniers jours. 4. Matériel d'incontinence 0. Non 1. Oui 11

12 BelRAI

13 BelRAI : InterRAI-suite Palliative screener Screener InterRAI LTCF InterRAI Home Care InterRAI Acute Care for Comprehensive Geriatric Assesment (AC-CGA) InterRAI Mental Health (InterRAI MH) InterRAI Community Mental Health (InterRAI CMH) InterRAI Palliative Care (InterRAI PC) 13

14 BelRAI 3.0 BelRAI 2.1 BelRAI 2.0 BelRAI screener Palliative screener BelRAI screener for children Home care Palliative care Acute care (new) Long term care facility Community mental health Mental health care MH Addiction supplement Forensic supplement (Dundrum) 8 feb 2017 Post acute care (rehab) Social IKW supplement BelRAI 15

15 BelRAI CMS BelRAI templates BelRAI Logic (algorithms) BelRAI business & process rules BelRAI DB Authentic source of BelRAI scores and outcomes Datawarehouse. (coded) BelRAI webapp BelRAI mobile browser (screener) Webservice careprovider BelRAI DEMO Third party software Third party software Third party software Third party software versie 1 mei 2017 ICT4CARE 2017

16 Other points Snomed-CT or others Data model sui generis Medication? Diagnoses? Languages : F Nl D Algorithms: n= 129 Royalties paid by Ministry of health for use within the scope of BelRAI for care provided to persons in Belgium 17

17 Min of Health provides : BelRAI concepts for HC/LTCF/PC/SCREEN/MH/CM/HAC Through an electronic release management tool delivering Json s (java) Release management planning Webservice for synchronization Centrally calculated caps and scales HC providers have to qualify as circle of trust 18

18 Datawarehouse CPP authorisation Dashboard and analysis tool Dashboard and analysis tool Inami/riziv MOH Data warehouse Dashboard and analysis tool Regional governments Dashboard and analysis tool Agencies Healthdata.be Coded No individual case managing, no possibility to identify persons Permanent data Healthstats.be Preformatted reports User defined search ~CPP mandate Healthstats.be CPP Scientific third parties

19 Scales 20 versie 1 mei 2017 ICT4CARE 2017

20 Examples of scales automatically calculated ADL Scale IADL Scale Body Mass Index (BMI) Changes in Health, End-stage disease and Symptoms and Signs Scale (CHESS) Communication Scale Cognitive Performance Scales (CPS) Depression Rating Scale (DRS) Method for Assigning Priority Levels (MAPLe) Pain Scale Pressure Ulcer Risk Scale (PURS) versie 1 mei 2017 ICT4CARE

21 Clinical Assessment Protocols: CAP s 22 versie 1 mei 2017 ICT4CARE 2017

22 versie 1 mei 2017 ICT4CARE

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24 Free app for android and ios 25

25 Caring for care thank you 26