Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic
Background: Long-stay home care patients are a large population of older adults with multi-morbidity and frailty. The COVID-19 pandemic posed challenges to executing care coordination and completing in-home assessments due to provincial mandates restricting in-person care. We evaluated the implement...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Ubiquity Press
2023-04-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | https://account.ijic.org/index.php/up-j-ijic/article/view/7007 |
| _version_ | 1797824179091800064 |
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| author | Connie Louise Schumacher Rebecca Correia Sophie Hogeveen Megan Salter Bailey Donaldson |
| author_facet | Connie Louise Schumacher Rebecca Correia Sophie Hogeveen Megan Salter Bailey Donaldson |
| author_sort | Connie Louise Schumacher |
| collection | DOAJ |
| description | Background: Long-stay home care patients are a large population of older adults with multi-morbidity and frailty. The COVID-19 pandemic posed challenges to executing care coordination and completing in-home assessments due to provincial mandates restricting in-person care. We evaluated the implementation of the interRAI Check-Up Self-Report instrument administered by phone and video. Methods: We report on a mixed-methods study, which involved the collection and analysis of survey and focus group data. Care coordinators from two regions in Ontario who had implemented the Check-Up at least once between March 2020 to September 2021 were recruited via convenience sampling. Results: A total of 48 survey respondents and 7 focus group participants consented to the study. Advantages of completing the Check-Up over the telephone or video call included: reduced travel time, reduced risk of disease transmission, familiarity with the assessment questions, and reduced time spent administering the assessment. Limitations most frequently reported were: the inability to see the living environment, hearing impairments, inability to observe non-verbal responses or cues, language barriers, difficulty building rapport, and difficulty understanding the patient. Conclusions: The Check-Up was advantageous in providing sufficient information to create a care plan when administered over the phone and by video. Implementation of the Check-Up assessment was facilitated by familiarity and alignment with other interRAI assessments. Our results indicate that population characteristics need to be taken into consideration for administration of self-report style of assessments. |
| first_indexed | 2024-03-13T10:35:06Z |
| format | Article |
| id | doaj.art-794666d31d074f1da74a6a5c38a8ae49 |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-03-13T10:35:06Z |
| publishDate | 2023-04-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-794666d31d074f1da74a6a5c38a8ae492023-05-18T06:49:03ZengUbiquity PressInternational Journal of Integrated Care1568-41562023-04-01235510.5334/ijic.70074949Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the PandemicConnie Louise Schumacher0https://orcid.org/0000-0001-9065-6975Rebecca Correia1https://orcid.org/0000-0003-2949-2400Sophie Hogeveen2https://orcid.org/0000-0002-6641-5773Megan Salter3Bailey Donaldson4Brock UniversityMcMaster UniversityMcMaster UniversityBrock UniversityBrock UniversityBackground: Long-stay home care patients are a large population of older adults with multi-morbidity and frailty. The COVID-19 pandemic posed challenges to executing care coordination and completing in-home assessments due to provincial mandates restricting in-person care. We evaluated the implementation of the interRAI Check-Up Self-Report instrument administered by phone and video. Methods: We report on a mixed-methods study, which involved the collection and analysis of survey and focus group data. Care coordinators from two regions in Ontario who had implemented the Check-Up at least once between March 2020 to September 2021 were recruited via convenience sampling. Results: A total of 48 survey respondents and 7 focus group participants consented to the study. Advantages of completing the Check-Up over the telephone or video call included: reduced travel time, reduced risk of disease transmission, familiarity with the assessment questions, and reduced time spent administering the assessment. Limitations most frequently reported were: the inability to see the living environment, hearing impairments, inability to observe non-verbal responses or cues, language barriers, difficulty building rapport, and difficulty understanding the patient. Conclusions: The Check-Up was advantageous in providing sufficient information to create a care plan when administered over the phone and by video. Implementation of the Check-Up assessment was facilitated by familiarity and alignment with other interRAI assessments. Our results indicate that population characteristics need to be taken into consideration for administration of self-report style of assessments.https://account.ijic.org/index.php/up-j-ijic/article/view/7007integrated caretelephone assessmentcare coordinationolder adultscovid 19community care |
| spellingShingle | Connie Louise Schumacher Rebecca Correia Sophie Hogeveen Megan Salter Bailey Donaldson Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic International Journal of Integrated Care integrated care telephone assessment care coordination older adults covid 19 community care |
| title | Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic |
| title_full | Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic |
| title_fullStr | Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic |
| title_full_unstemmed | Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic |
| title_short | Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic |
| title_sort | implementing the interrai check up comprehensive assessment facilitating care planning and care coordination during the pandemic |
| topic | integrated care telephone assessment care coordination older adults covid 19 community care |
| url | https://account.ijic.org/index.php/up-j-ijic/article/view/7007 |
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