| 
  • If you are citizen of an European Union member nation, you may not use this service unless you are at least 16 years old.

  • You already know Dokkio is an AI-powered assistant to organize & manage your digital files & messages. Very soon, Dokkio will support Outlook as well as One Drive. Check it out today!

View
 

interRAI Community Health Assessment

Page history last edited by PBworks 16 years, 11 months ago

Functional Assessment Instrument Attributes

 


 

Description:

 

The interRAI CHA (Community Health Assessment) is a CORE assessment in a modular system that includes a functional supplement, a mental health supplement and an assisted living supplement.

 

Author/Sponsor:

 

interRAI

 

Prevalence:

 

interRAI CHA is used in multiple countries and various Retirement communities in the US. The interRAI CHA is considered the core. CHA supplements include Assisted living, mental health and functional status.

 

Population:

 

Community dwelling individuals (retirement community, home, seniors apartments).

 

Subject:

 

The interRAI CHA can be used to monitor wellness, early indicators of decline and to assess persons with chronic conditions who have relatively light care needs.

 

Provider Setting:

 

Community centres, retirement communities, family practice.

 

Derived:

 

The interRAI CHA consists of a Core assessment as well as supplements that may be required if certain responses are provided on the core assessment. The supplements address mental health, functional status or assisted living modules. Clinical Assessment Protocols (CAPs) may be triggered from either the Core CHA or from the supplements.

 

Validity and Reliability Testing:

 

The reliability of the items have been assessed in multiple studies and multiple countries. The kappa values are predominantly above 0.6. Certain key variables such as ADL and cognition are above 0.8. Validity has been assessed for sub-scales relative to similar measures.

 

Specific vs Multiple Domain:

 

Multiple key domains of function, health, social support, and service use. Particular interRAI CHA items also identify persons who can benefit from further evaluation of specific problems or risks for functional decline.

 

Verbal or Observation based:

 

The assessment process requires communication with the person and primary caregiver/family member (if available), observation of the person in the home environment, and review of secondary documents when available. Where possible, the person is the primary source of information.

 

Are calculated scores included:

 

Particular interRAI CHA items also identify persons who can benefit from further evaluation of specific problems or risks for functional decline. These items, known as “triggers”, link the interRAI CHA to a series of problem-oriented CAPs. The Clinical Assessment Protocols (CAPs) contain general guidelines for further assessment and individualized care and services. There are 30 CAPs in multiple domains (e.g., clinical, mental health, psychosocial, physical function). On average, a person receiving home care services triggers about 10 of the 30 CAPs.

 

Extended use:

 

Is the instrument being used outside the original target population?

 

Versions:

 

A multinational group of clinicians and researchers, consisting of interRAI Fellows, began work on Version 1 of the RAI HC in 1993. Several different drafts of Version 1 were released between 1994 and 1997 – including Version 1.7, Version 1.10a, and Version 1.11. These instruments were used extensively in North America, Europe, and Asia.

A major revision and update of the entire system was released as “Version 2.0" in 1999. A few items were deleted, several items were modified, and a few added. The basic timeframe for an assessment was reduced from 7 days to 3 days (where possible). Triggers were streamlined and text updated in most of the 30 Clinical Assessment Protocols (CAPs).

In 2001, interRAI began a restructuring initiative to ensure that all instruments contained common items and definitions. This major revision of the home care instrument is known as the interRAI CHA Assessment.

 

Public Domain:

 

Is the instrument in the public domain (Y/N)?

 

References:

 

Morris JN, Fries B, Bernabei R, Steel K, Ikegami N, Carpenter I, Gilgen R, DuPasquier JN, Frijters D, Henrard JC, Hirdes J, Belleville-Taylor P, Berg K, Björkgren M, Gray L, Hawes C, Ljunggren G, Nonemaker S, Phillips C, Zimmerman D. User’s Guide for the interRAI CHA, Washington, DC: interRAI, 2006.

 

Comments:

 

Discussion

Comments (0)

You don't have permission to comment on this page.