Skip to main content
Top
Published in: BMC Health Services Research 1/2009

Open Access 01-12-2009 | Correspondence

Sharing clinical information across care settings: the birth of an integrated assessment system

Authors: Leonard C Gray, Katherine Berg, Brant E Fries, Jean-Claude Henrard, John P Hirdes, Knight Steel, John N Morris

Published in: BMC Health Services Research | Issue 1/2009

Login to get access

Abstract

Background

Population ageing, the emergence of chronic illness, and the shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem and setting specific.

Methods

From 2002, the interRAI research collaborative undertook development of a suite of assessment tools to support assessment and care planning of persons with chronic illness, frailty, disability, or mental health problems across care settings. The suite constitutes an early example of a "third generation" assessment system.

Results

The rationale and development strategy for the suite is described, together with a description of potential applications. To date, ten instruments comprise the suite, each comprising "core" items shared among the majority of instruments and "optional" items that are specific to particular care settings or situations.

Conclusion

This comprehensive suite offers the opportunity for integrated multi-domain assessment, enabling electronic clinical records, data transfer, ease of interpretation and streamlined training.
Appendix
Available only for authorised users
Literature
1.
go back to reference Steel K, Sherwood S, Ribbe MW: The future: a person-specific standardized assessment instrument. Age Ageing. 1997, 26 (Suppl 2): 83-85.CrossRefPubMed Steel K, Sherwood S, Ribbe MW: The future: a person-specific standardized assessment instrument. Age Ageing. 1997, 26 (Suppl 2): 83-85.CrossRefPubMed
2.
go back to reference Johri M, Beland F, Bergman H: International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry. 2003, 18 (3): 222-235. 10.1002/gps.819.CrossRefPubMed Johri M, Beland F, Bergman H: International experiments in integrated care for the elderly: a synthesis of the evidence. Int J Geriatr Psychiatry. 2003, 18 (3): 222-235. 10.1002/gps.819.CrossRefPubMed
3.
go back to reference Leichsenring K, Alaszewski AM: Providing integrated health and social care for older persons: a European overview of issues at stake. Providing integrated health and social care for older persons: a European overview of issues at stake. 2004, Farnham: Ashgate Leichsenring K, Alaszewski AM: Providing integrated health and social care for older persons: a European overview of issues at stake. Providing integrated health and social care for older persons: a European overview of issues at stake. 2004, Farnham: Ashgate
4.
go back to reference Wagner EH, Austin BT, Von Korff M: Organizing care for patients with chronic illness. Milbank Q. 1996, 74 (4): 511-544. 10.2307/3350391.CrossRefPubMed Wagner EH, Austin BT, Von Korff M: Organizing care for patients with chronic illness. Milbank Q. 1996, 74 (4): 511-544. 10.2307/3350391.CrossRefPubMed
5.
go back to reference Hirdes JP, Fries BE, Morris JN, Steel K, Mor V, Frijters D, LaBine S, Schalm C, Stones MJ, Teare G, et al: Integrated health information systems based on the RAI/MDS series of instruments. Healthc Manage Forum. 1999, 12 (4): 30-40.CrossRefPubMed Hirdes JP, Fries BE, Morris JN, Steel K, Mor V, Frijters D, LaBine S, Schalm C, Stones MJ, Teare G, et al: Integrated health information systems based on the RAI/MDS series of instruments. Healthc Manage Forum. 1999, 12 (4): 30-40.CrossRefPubMed
6.
go back to reference Fries BE, Fahey CJ, Hawes C, Vladeck BC, Morris J, Phillips C, Fredeking H, Hirdes J, Sinclair DG, King JT, et al: Implementing the Resident Assessment Instrument: Case studies of policymaking for long-term care in eight countries. Milbank Memorial Fund. 2003, 129. Fries BE, Fahey CJ, Hawes C, Vladeck BC, Morris J, Phillips C, Fredeking H, Hirdes J, Sinclair DG, King JT, et al: Implementing the Resident Assessment Instrument: Case studies of policymaking for long-term care in eight countries. Milbank Memorial Fund. 2003, 129.
7.
go back to reference Fries BE, Schneider DP, Foley WJ, Gavazzi M, Burke R, Cornelius E: Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Med Care. 1994, 32 (7): 668-685. 10.1097/00005650-199407000-00002.CrossRefPubMed Fries BE, Schneider DP, Foley WJ, Gavazzi M, Burke R, Cornelius E: Refining a case-mix measure for nursing homes: Resource Utilization Groups (RUG-III). Med Care. 1994, 32 (7): 668-685. 10.1097/00005650-199407000-00002.CrossRefPubMed
8.
go back to reference Mor V, Intrator O, Fries BE, Phillips C, Teno J, Hiris J, Hawes C, Morris J: Changes in hospitalization associated with introducing the Resident Assessment Instrument. J Am Geriatr Soc. 1997, 45 (8): 1002-1010.CrossRefPubMed Mor V, Intrator O, Fries BE, Phillips C, Teno J, Hiris J, Hawes C, Morris J: Changes in hospitalization associated with introducing the Resident Assessment Instrument. J Am Geriatr Soc. 1997, 45 (8): 1002-1010.CrossRefPubMed
11.
go back to reference Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor V, Rubenstein LZ, Carbonin P: Randomised trial of impact of model of integrated care and case management for older people living in the community. Bmj. 1998, 316 (7141): 1348-1351.CrossRefPubMedPubMedCentral Bernabei R, Landi F, Gambassi G, Sgadari A, Zuccala G, Mor V, Rubenstein LZ, Carbonin P: Randomised trial of impact of model of integrated care and case management for older people living in the community. Bmj. 1998, 316 (7141): 1348-1351.CrossRefPubMedPubMedCentral
12.
go back to reference Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, Gilgen R, Hirdes JP, Topinkova E: Comprehensive clinical assessment in community setting: applicability of the MDS-HC. Journal of the American Geriatrics Society. 1997, 45 (8): 1017-1024.CrossRefPubMed Morris JN, Fries BE, Steel K, Ikegami N, Bernabei R, Carpenter GI, Gilgen R, Hirdes JP, Topinkova E: Comprehensive clinical assessment in community setting: applicability of the MDS-HC. Journal of the American Geriatrics Society. 1997, 45 (8): 1017-1024.CrossRefPubMed
13.
go back to reference Carpenter I, Gambassi G, Topinkova E, Schroll M, Finne-Soveri H, Henrard JC, Garms-Homolova V, Jonsson P, Frijters D, Ljunggren G, et al: Community care in Europe. The Aged in Home Care project (AdHOC). Aging Clin Exp Res. 2004, 16 (4): 259-269.CrossRefPubMed Carpenter I, Gambassi G, Topinkova E, Schroll M, Finne-Soveri H, Henrard JC, Garms-Homolova V, Jonsson P, Frijters D, Ljunggren G, et al: Community care in Europe. The Aged in Home Care project (AdHOC). Aging Clin Exp Res. 2004, 16 (4): 259-269.CrossRefPubMed
14.
go back to reference Fries BE, Schroll M, Hawes C, Gilgen R, Jonsson PV, Park P: Approaching cross-national comparisons of nursing home residents. Age Ageing. 1997, 26 (Suppl 2): 13-18.CrossRefPubMed Fries BE, Schroll M, Hawes C, Gilgen R, Jonsson PV, Park P: Approaching cross-national comparisons of nursing home residents. Age Ageing. 1997, 26 (Suppl 2): 13-18.CrossRefPubMed
15.
go back to reference Zimmerman DR, Karon SL, Arling G, Clark BR, Collins T, Ross R, Sainfort F: Development and testing of nursing home quality indicators. Health Care Financ Rev. 1995, 16 (4): 107-127.PubMedPubMedCentral Zimmerman DR, Karon SL, Arling G, Clark BR, Collins T, Ross R, Sainfort F: Development and testing of nursing home quality indicators. Health Care Financ Rev. 1995, 16 (4): 107-127.PubMedPubMedCentral
16.
go back to reference Hirdes JP, Fries BE, Morris JN, Ikegami N, Zimmerman D, Dalby DM, Aliaga P, Hammer S, Jones R: Home care quality indicators (HCQIs) based on the MDS-HC. Gerontologist. 2004, 44 (5): 665-679.CrossRefPubMed Hirdes JP, Fries BE, Morris JN, Ikegami N, Zimmerman D, Dalby DM, Aliaga P, Hammer S, Jones R: Home care quality indicators (HCQIs) based on the MDS-HC. Gerontologist. 2004, 44 (5): 665-679.CrossRefPubMed
17.
go back to reference Morris JN, Jones RN, Fries BE, Hirdes JP: Convergent validity of minimum data set-based performance quality indicators in postacute care settings. Am J Med Qual. 2004, 19 (6): 242-247. 10.1177/106286060401900603.CrossRefPubMed Morris JN, Jones RN, Fries BE, Hirdes JP: Convergent validity of minimum data set-based performance quality indicators in postacute care settings. Am J Med Qual. 2004, 19 (6): 242-247. 10.1177/106286060401900603.CrossRefPubMed
18.
go back to reference Hirdes JP, Marhaba M, Smith TF, Clyburn L, Mitchell L, Lemick RA, Telegdi NC, Perez E, Prendergast P, Rabinowitz T, et al: Development of the Resident Assessment Instrument – Mental Health (RAI- MH). Hosp Q. 2000, 4 (2): 44-51.PubMed Hirdes JP, Marhaba M, Smith TF, Clyburn L, Mitchell L, Lemick RA, Telegdi NC, Perez E, Prendergast P, Rabinowitz T, et al: Development of the Resident Assessment Instrument – Mental Health (RAI- MH). Hosp Q. 2000, 4 (2): 44-51.PubMed
19.
go back to reference Morris JN, Fries BE, Mehr DR, Hawes C, Phillips C, Mor V, Lipsitz LA: MDS Cognitive Performance Scale. J Gerontol. 1994, 49 (4): M174-182.CrossRefPubMed Morris JN, Fries BE, Mehr DR, Hawes C, Phillips C, Mor V, Lipsitz LA: MDS Cognitive Performance Scale. J Gerontol. 1994, 49 (4): M174-182.CrossRefPubMed
20.
go back to reference Morris JN, Fries BE, Morris SA: Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci. 1999, 54 (11): M546-553.CrossRefPubMed Morris JN, Fries BE, Morris SA: Scaling ADLs within the MDS. J Gerontol A Biol Sci Med Sci. 1999, 54 (11): M546-553.CrossRefPubMed
21.
go back to reference Hirdes JP, Ljunggren G, Morris JN, Frijters D, Finne-Soveri H, Gray LC, Bjorkgren M, Gilgen R: Reliability of the interRAI Suite of Assessment Instruments: A 12-Country Study of an Integrated Health Information System. BMC Health Services. 2008, 8: 277-10.1186/1472-6963-8-277.CrossRef Hirdes JP, Ljunggren G, Morris JN, Frijters D, Finne-Soveri H, Gray LC, Bjorkgren M, Gilgen R: Reliability of the interRAI Suite of Assessment Instruments: A 12-Country Study of an Integrated Health Information System. BMC Health Services. 2008, 8: 277-10.1186/1472-6963-8-277.CrossRef
22.
go back to reference Sgadari A, Morris JN, Fries BE, Ljunggren G, Jonsson PV, DuPaquier JN, Schroll M: Efforts to establish the reliability of the Resident Assessment Instrument. Age Ageing. 1997, 26 (Suppl 2): 27-30.CrossRefPubMed Sgadari A, Morris JN, Fries BE, Ljunggren G, Jonsson PV, DuPaquier JN, Schroll M: Efforts to establish the reliability of the Resident Assessment Instrument. Age Ageing. 1997, 26 (Suppl 2): 27-30.CrossRefPubMed
23.
go back to reference Hawes C, Morris JN, Phillips CD, Mor V, Fries BE, Nonemaker S: Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). Gerontologist. 1995, 35 (2): 172-178.CrossRefPubMed Hawes C, Morris JN, Phillips CD, Mor V, Fries BE, Nonemaker S: Reliability estimates for the Minimum Data Set for nursing home resident assessment and care screening (MDS). Gerontologist. 1995, 35 (2): 172-178.CrossRefPubMed
24.
go back to reference Hirdes JP, Smith TF, Rabinowitz T, Yamauchi K, Perez E, Telegdi NC, Prendergast P, Morris JN, Ikegami N, Phillips CD, et al: The resident assessment instrument-mental health (RAI-MH): Inter-rater reliability and convergent validity. J Behav Health Ser R. 2003, 29 (4): 419-432. 10.1007/BF02287348.CrossRef Hirdes JP, Smith TF, Rabinowitz T, Yamauchi K, Perez E, Telegdi NC, Prendergast P, Morris JN, Ikegami N, Phillips CD, et al: The resident assessment instrument-mental health (RAI-MH): Inter-rater reliability and convergent validity. J Behav Health Ser R. 2003, 29 (4): 419-432. 10.1007/BF02287348.CrossRef
25.
go back to reference Gray L, Bernabei R, Berg K, Finne-Soveri H, Fries B, Hirdes J, Jonsson P, Morris J, Steel K, Arino-Blasco S: Standardizing assessment of the elderly in acute care: the interRAI Acute Care instrument. Journal of the American Geriatric Society. 2008, 56 (3): 536-41. 10.1111/j.1532-5415.2007.01590.x.CrossRef Gray L, Bernabei R, Berg K, Finne-Soveri H, Fries B, Hirdes J, Jonsson P, Morris J, Steel K, Arino-Blasco S: Standardizing assessment of the elderly in acute care: the interRAI Acute Care instrument. Journal of the American Geriatric Society. 2008, 56 (3): 536-41. 10.1111/j.1532-5415.2007.01590.x.CrossRef
26.
go back to reference Carpenter GI, Gill S, et al: A Comparison of MDS/RAI Activity of Daily Living, Cognitive Performance and Depression Scales with widely used scales. Age and Ageing. 1999, 28 (S2): 29. Carpenter GI, Gill S, et al: A Comparison of MDS/RAI Activity of Daily Living, Cognitive Performance and Depression Scales with widely used scales. Age and Ageing. 1999, 28 (S2): 29.
27.
go back to reference Burrows AB, Morris JN, Simon SE, Hirdes JP, Phillips C: Development of a minimum data set-based depression rating scale for use in nursing homes. Age and ageing. 2000, 29 (2): 165-172. 10.1093/ageing/29.2.165.CrossRefPubMed Burrows AB, Morris JN, Simon SE, Hirdes JP, Phillips C: Development of a minimum data set-based depression rating scale for use in nursing homes. Age and ageing. 2000, 29 (2): 165-172. 10.1093/ageing/29.2.165.CrossRefPubMed
28.
go back to reference Fries BE, Simon SE, Morris JN, Flodstrom C, Bookstein FL: Pain in U.S. nursing homes: validating a pain scale for the minimum data set. Gerontologist. 2001, 41 (2): 173-179.CrossRefPubMed Fries BE, Simon SE, Morris JN, Flodstrom C, Bookstein FL: Pain in U.S. nursing homes: validating a pain scale for the minimum data set. Gerontologist. 2001, 41 (2): 173-179.CrossRefPubMed
29.
go back to reference Hirdes JP, Frijters DH, Teare GF: The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. J Am Geriatr Soc. 2003, 51 (1): 96-100. 10.1034/j.1601-5215.2002.51017.x.CrossRefPubMed Hirdes JP, Frijters DH, Teare GF: The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people. J Am Geriatr Soc. 2003, 51 (1): 96-100. 10.1034/j.1601-5215.2002.51017.x.CrossRefPubMed
30.
go back to reference Bjorkgren MA, Fries BE, Arbor A, Shugarman LR: A RUG-III case-mix system for home care. Canadian Journal on Aging. 2000, 19 (Supplement 2): 106-125.CrossRef Bjorkgren MA, Fries BE, Arbor A, Shugarman LR: A RUG-III case-mix system for home care. Canadian Journal on Aging. 2000, 19 (Supplement 2): 106-125.CrossRef
31.
go back to reference Hirdes JP: Addressing the health needs of frail elderly people: Ontario's experience with an integrated health information system. Age Ageing. 2006, 35 (4): 329-331. 10.1093/ageing/afl036.CrossRefPubMed Hirdes JP: Addressing the health needs of frail elderly people: Ontario's experience with an integrated health information system. Age Ageing. 2006, 35 (4): 329-331. 10.1093/ageing/afl036.CrossRefPubMed
Metadata
Title
Sharing clinical information across care settings: the birth of an integrated assessment system
Authors
Leonard C Gray
Katherine Berg
Brant E Fries
Jean-Claude Henrard
John P Hirdes
Knight Steel
John N Morris
Publication date
01-12-2009
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2009
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-9-71

Other articles of this Issue 1/2009

BMC Health Services Research 1/2009 Go to the issue