The authors declare that they have no competing interests.
DG conceived of the project, was the study’s Principal Investigator, oversaw all aspects of the study including data collection and analysis and took the lead in drafting the manuscript. RP was the study’s research coordinator, was involved in all aspects of the study and reviewed the manuscript. PF took the lead in the analysis of the qualitative data and reviewed the manuscript. HJE was the key representative from the Waterloo-Wellington CCAC, was highly involved in coordinating data collection and reviewed the manuscript. The other co-authors (JPH, PS, JP, AP, KB) were part of the research team, provided feedback throughout the project regarding data collection and analysis and reviewed the manuscript. All authors read and approved the final manuscript.
Across Ontario, home care professionals collect standardized information on each client using the Resident Assessment for Home Care (RAI-HC). However, this information is not consistently shared with those professionals who provide services in the client’s home. In this pilot study, we examined the feasibility of sharing data, from the RAI-HC, between care coordinators and service providers.
All participants were involved in a one-day training session on the RAI-HC. The care coordinators shared specific outputs from the RAI-HC, including the embedded health index scales, with their contracted physiotherapy and occupational therapy service providers. Two focus groups were held, one with care coordinators (n = 4) and one with contracted service providers (n = 6). They were asked for their opinions on the positive aspects of the project and areas for improvement.
The focus groups revealed a number of positive outcomes related to the project including the use of a falls prevention brochure and an increased level of communication between professionals. The participants also cited multiple areas for improvement related to data sharing (e.g., time constraints, data being sent in a timely fashion) and to their standard practices in the community (e.g., busy workloads, difficulties in data sharing, duplication of assessments between professionals).
Home care professionals were able to share select pieces of information generated from the RAI-HC system and this project enhanced the level of communication between the two groups of professionals. However, a single information session was not adequate training for the rehabilitation professionals, who do not use the RAI-HC as part of normal practice. Better education, ongoing support and timely access to the RAI-HC data are some ways to improve the usefulness of this information for busy home care providers.
Canadian Institute for Health Information: Public-sector Expenditures and Utilization of Home Care Services in Canada: Exploring the Data. 2007, Ottawa, ON: Canadian Institute for Health Information
Community Care Access Centres: 2009–2010 CCAC quality report. 2010, 1-40.
Bernabei R, Gray L, Hirdes JP, Pei X, Henrard JC, Jonsson PV, Onder G, Gambassi G, Ikegami N, Ranhoff AH, Carpenter IG, Harwood RH, Fries BE, Morris JN, Steel K: International Gerontology. Hazzard's Geriatric Medicine and Gerontology. Edited by: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S. 2009, New York, NY: McGraw Medical, 69-96. 6
OECD/European Commission: A Good Life in Old Age? Monitoring and Improving Quality in Long-term Care. 2013, OECD Health Policy Studies, OECD Publishing, http://dx.doi.org/10.1787/9789264194564-en,
Black C, Mitchell L, Finlayson M, Peterson S: Enhancing Capacity to Study and Evaluate Home Care: An Evaluation of the Potential to Use Routinely Collected Data in Manitoba. 2000, Winnipeg, MB: Manitoba Centre for Health Policy and Evaluation
Lincoln Centre for Ageing and Community Care Research: The Review and Identification of an Existing, Validated, Comprehensive Assessment Tool: Final Report. 2004, Victoria, Australia: Australian Institute for Primary Care
Egan M, Wells J, Byrne K, Jaglal S, Stolee P, Chesworth BM, Hillier LM: The process of decision-making in home-care case management: implications for the introduction of universal assessment and information technology. Health Soc Care Comm. 2009, 17: 1-8. 10.1111/j.1365-2524.2007.00790.x. CrossRef
Hirdes JP, Ljunggren G, Morris JN, Frijters DH, Finne-Soveri H, Gray L, Bjorkgren M, Gilgen R: Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information system. BMC Health Serv Res. 2008, 8: 277-10.1186/1472-6963-8-277. CrossRefPubMedPubMedCentral
The Change Foundation: Loud and clear: seniors and caregivers speak out about navigating Ontario's healthcare system. 2012, 1-60.
Baxter P, Markle-Reid M: An interprofessional team approach to fall prevention for older home care clients 'at risk' of falling: health care providers share their experiences. Int J Integr Care. 2009, 9: 1-12. CrossRef
Fletcher PC, Hirdes JP: Risk factors for falling among community-based seniors using home care services. J Gerontol Med Sci. 2002, 57A: M504-M510. CrossRef
Health Canada, Health: Government of Canada Announces Funding for Falls Prevention Programs for British Columbia Veterans and Seniors. http://www.hc-sc.gc.ca/ahc-asc/media/nr-cp/2001/2001_78_e.html. 7-25-2001. 2-28-2008
Division of Aging and Seniors PHAoC: Report on Seniors’ Fall in Canada. 2005, Ottawa, ON: Minister of Public Works and Government Services Canada
Gillespie LD, Roberston MC, Gillespie WJ, Sherrington C, Gates S, Clemson LM, Lamb SE: Interventions for preventing falls in elderly people. Cochrane Db Syst Rev. 2012, 9: CD007146-doi:10.1002/14651858.CD007146.: 1-113
Morris JN, Bernabei R, Ikegami N, Gilgen R, Frijters D, Hirdes JP, Fries BE, Steel K, Carpenter I, DuPasquier J, Henrard J: RAI-Home Care (RAI-HC) Assessment Manual for Version 2.0. 1999, Washington, DC: interRAI Corporation
Berg K, Wood-Dauphinee S, Williams JI, Gayton D: Measuring balance in the elderly: preliminary development of an instrument. Physiother Can. 1989, 41: 304-311. 10.3138/ptc.41.6.304. CrossRef
Berg KO, Wood-Dauphinee SL, Williams JI, Maki B: Measuring balance in the elderly: validation of an instrument. Can J Public Health. 1992, 83: S7-S11. PubMed
Podsiadlo D, Richardson S: The timed "Up & go": a test of basic functional mobility for frail elderly persons. JAGS. 1991, 39: 142-148. CrossRef
Feder G, Cryer C, Donovan S, Carter Y: Guidelines for the prevention of falls in people over 65. Br Med J. 2000, 321: 1007-1011. 10.1136/bmj.321.7267.1007. CrossRef
Morris JN, Fries BE, Mehr DR, Hawes C, Mor V, Lipsitz L: MDS Cognitive performance scale. J Gerontol A Biol Sci Med Sci. 1994, 49: M174-M182. 10.1093/geronj/49.4.M174. CrossRef
Dalby DM, Hirdes JP, Bowman L: Development of interventions to improve home care quality: enhancing the use of standardized assessment data. 2008, Waterloo, ON: Final reported submitted to the Canadian Institutes of Health Research (CIHR)
Patton MQ: Qualitative Research and Evaluation Methods. 2002, Thousand Oaks, California: Sage Publications, 3
Bleijlevens MHC, Hendriks MRC, van Haastregt JCM, van Rossum E, Kempen GIJM, Diederiks JPM, Crebolder HFJM, van Eijk JTM: Process factors explaining the ineffectiveness of a multidisciplinary fall prevention programme: a process evaluation. BMC Public Health. 2008, 8: 1-11. 10.1186/1471-2458-8-1. CrossRef
Canadian Home Care Association: Portraits of home care in Canada. 2008, 1-20.
Community Care Information Management: Integrated Assessment Record (IAR). 2013, 9-16-2013
- Data sharing between home care professionals: a feasibility study using the RAI Home Care instrument
Dawn M Guthrie
Paula C Fletcher
John P Hirdes
Jeffrey W Poss
Helen Janzen Ezekiel
- BioMed Central
Neu im Fachgebiet Innere Medizin
Meistgelesene Bücher aus der Inneren Medizin
Mail Icon II