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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?