InterRAI and CIHI: A partnership that informs decisions Point of care Circle of care System management 1

Key messages

• Point-of-care collection

Collect once, use many

• Data in / Data back

Three presentations illustrate using data for clinical, organizational and system decision-making

• EHR-ready

The future is now

Here’s our story…

2

Standardized point-of-care data collection: Strategy to collect once, use many System Organization Individua l • Monitor performance • Demonstrate accountability • Align resources/funding • Evaluate services and programs • Compare with peers • Allocate resources • Assess individuals’ health status • Make clinical decisions • Evaluate care 3

Strategy is built on several point-of-care assessments

Assessment Health Setting CIHI System Point of Care Decision Support Health System Use Indicators Case Mix RAI-HC

Long-stay publicly funded home care services Home Care Reporting System (HCRS)   RUG-III

interRAI-CA RAI-MDS 2.0

Intake from community/hospital & Emergency Department Hospital-based and residential continuing care Home Care Reporting System (HCRS) Continuing Care Reporting System (CCRS)     RUG-III

RAI-MH interRAI-CMH

Adult mental health hospitalizations in Ontario Publicly funded community mental health services Ontario Mental Health Reporting System (OMHRS)

Pilot program in Newfoundland Pilot program in Newfoundland

    SCIPP

interRAI-CHA

Community health and social services n/a Ontario has implemented  

eReports

   4

That provide a broad view of an individual at a point in time

Physical function

ADL, balance, vision, communication

Cognition and mental health

Cognitive function, mood, behaviour

Services and Access Quality of life

Medications, procedures, therapies, resources, wait times

Clinical Management

Activities, relationships, participation Health conditions, infections, nutrition, skin, falls, pain

interRAI provides the science behind several CIHI data standards • Researchers and clinicians in 30+ countries – interdisciplinary – cross-continuum – built-in decision support – EHR-ready for front line

and

system use

Data is used at the point of care for clinical decision-making …

Vendor software/Web application

Clinical Summary  Outcome Scale scores  Clinical Assessment Protocols Individual Care Plan 7

…and for health system use with longitudinal aggregate comparative reporting from CIHI

Facility/Agency/ Organization CIHI Database Facility/Agency/Organization access secure CIHI site Aggregate information available to Ministries of Health and Facility/Agency/Organization for planning services, quality monitoring and improvement

eReporting  Demographics  Client Outcomes  Quality and Safety  Resource Utilization CIHI Privacy and Security Policy Framework 8

Panelists:

Nancy Tunnicliffe

RAI Co-ordinator, Bruyère Continuing Care

Pamela Prince

Director, Strategic Planning and Evaluation, The Royal Ottawa Health Care Group

Judy Bowyer

Director, Health System Performance, Mississauga Halton LHIN 9