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Centre for Policy on Ageing | |
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| Development of the nursing home Resident Assessment Instrument in the USA | | Author(s) | Catherine Hawes, John N Morris, Charles D Phillips |
| Journal title | Age and Ageing, vol 26, Supplement 2, September 1997 |
| Pages | pp 19-25 |
| Keywords | Residents [care homes] ; Nursing homes ; Evaluation ; Performance ; United States of America. |
| Annotation | The US nursing home Resident Assessment Instrument (RAI) includes a set of core assessment items, known as the Minimum Data Set (MDS), for assessment and care screening and more detailed Resident Assessment Protocols in 18 areas that represent common problems or risk factors for nursing home residents. Its primary use is clinical, to assess residents on admission to the nursing home, at least annually thereafter, and on any significant change in status, and to develop institutionalised, restorative plans of care. This article describes the content and development of the RAI, including US testing for MDS item reliability and validity of the RAI, and the results of a 4-year evaluation of the effects of its clinical use. The evaluation found that the implementation of the RAI was associated with significant improvements in a variety of measures of process quality, resident functional outcomes and reduced hospitalisation. Other uses of RAI data in the US - including payment using resident classification systems and, with RAI based outcome-oriented quality indicators, quality assurance activities - and the status of RAI use in other countries are also summarised. (RH). |
| Accession Number | CPA-980122418 A |
| Classmark | KX: LHB: 4C: 5H: 7T |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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