Service design report published
In late 2019, the Ministry of Health and TAS jointly commissioned Tenzing Ltd to undertake a service design review to identify and evaluate future opportunities for interRAI Services.
This review sought to:
- Understand and document the current interRAI service – from establishment through delivery to use of data
- Identify, quantify and prioritise key opportunities to improve the overall service for consumers and stakeholders.
In undertaking the review, Tenzing talked to a broad range of stakeholders – clinicians, care providers, DHBs, academics and professional associations. It found opportunities for service improvements across a range of areas including technology, education and equity.
The report makes ten recommendations across three ‘horizons’, or areas of focus. The Ministry and TAS have accepted all recommendations and work is already under way on implementing recommendations in the areas of technology and education.
Read the executive summary and the full report below.
Please note, commercially sensitive cost information has been removed from the report.
InterRAI Knowledge Exchange Forum
This event arose from a discussion about the interRAI database and how researchers may be looking for topics on health of older people to explore, while others in the sector may have topics but not the resources or expertise to explore them. We decided to bring everyone together on March 4.
The forum was chaired by Dr Brigette Meehan from TAS and Dr Gary Cheung from the University of Auckland and facilitated by Warwick Long from TAS.
Attendees included researchers, DHB leaders and providers, plus representatives from Ministry of Health, Health Quality Safety Commission, Age Concern, Statistics New Zealand and TAS.
Presentations from the Knowledge Forum are available below.
Guidance for completing Contact Assessments remotely
30 March 2020
A guidance document is available to help interRAI competent Contact Assessors complete Contact Assessments by telephone. This option is especially useful for healthcare professionals during COVID-19.
The guidance document explains when a telephone assessment is appropriate and tips on how to conduct one successfully.
If a home care assessment is required urgently during COVID-19, you may be able to complete this using video call (Zoom, Skype, Google Duo etc.).
Are you using your home computer to access the Momentum software system?
26 March 2020
With everyone working from home, demand for laptops and PCs supplied by DHBs, providers and aged residential care facilities is high. To help manage this, we are temporarily allowing people to use their personal laptops and PCs to access the interRAI software system, Momentum, during the COVID-19 crisis.
To use your personal device, you will need a client-side certificate. Get one by calling your host site at either Canterbury (03 378 6555) or Taranaki (06 753 7766). Please make sure you have your manager’s approval to use your personal device.
Wait times at service desks are longer than usual so we ask you to be patient. We will endeavour to process all requests as quickly as possible.
Please also be aware that your host site only has responsibility for Momentum. Any issues with laptops or PCs, whether managed or personal, are the responsibility of the DHB, provider or facility, and users are advised to seek support from their own IT services.
All computers, laptops and other devices must have a minimum standard set up to access Momentum.
Key findings from the latest interRAI Annual Report 2018/19
interRAI New Zealand analysis of data highlights some key findings about older people living in aged residential care. During the past year 127,000 interRAI assessments were completed for older people living in New Zealand Of those:
Most older people (92%) in care have strong supportive relationships with their family
Most (76%) people in residential care facilities find meaning in their daily life
Most (71%) have a consistent positive outlook
Most (71%) spend some or most of their time involved in activities
People living in the 667 aged residential care facilities across the country are on average 85 years old – about half of them (49%) have some form of dementia, including Alzheimer’s disease.
Nearly three quarters (73%) aged care residents use a walking stick, walking frame, wheelchair or scooter to get around. And, 44% of people found it difficult to make decisions, such as what to wear.
Complete your draft assessments or discontinue them
All draft or incomplete assessments will be discontinued next February if they are older than three months, or 90 days past the Assessment Reference Date (ARD). This will make it easier next year when we move to from two software host sites to one host site.
Temporary change for LTCF users
To prevent the creation of duplicate records we have made a temporary software change for Long Term Care Facilities (LTCF) assessments. Assessors will not be able to use the 'Add a New Resident' option under Common Tasks bar.
Aged Residential Care funding review report published
The review recommendations strengthen interRAI as a key component of the New Zealand health sector. interRAI has been the primary assessment system in aged residential care across the country since 2015.
Assess once – use often
interRAI is an integrated health information system where assessment data has many uses. In New Zealand, we use assessment data for individual care planning, resource planning and quality initiatives at facility and DHB level, policy development and research, all drawn from single assessments completed by a health professionals. Adding Resource Utilisation Groups (RUGs) increases interRAI’s value even more.
Ongoing development of the high standard of support for interRAI assessors will be crucial for maintaining the integrity of assessments and the resulting quality data.
Opportunity for a stronger continuum of care
The introduction of Resource Utilisation Groups (RUGs) is an opportunity to better align aged care with other parts of the health sector strengthening the continuum of care for older people.
interRAI is ideally placed to support this alignment. More than 25 assessments are available for many different settings and populations, including acute care and mental health. All interRAI assessments share a common language and concepts, making assessment data transferable across settings and locations.
Many countries use a standardised assessment to determine an individual’s level of need for long-term care. In many of these classification systems, the levels of care determined by the assessment instrument are directly connected to the level of funding available to care for the individual.
Resource Utilisation Groups (RUGs) directly match funding to a resident’s needs and care plan.
The RUGs system has proven to be extremely robust and it is used in several nations as a basis of a payment system for funding long-term care, including the United States, Canada, Iceland and Finland.
 Carpenter et al. 1997
Online interRAI training available
interRAI Services has launched online training for health professionals who would like to read their clients’ interRAI assessments.
The course is the first e-learning offering for interRAI users in New Zealand. It was developed to meet the growing demand from health professionals who use interRAI information to gain a better understanding of their clients’ functional abilities.
Users learn about:
- how to access the interRAI software system
- how to read and interpret assessment information
- interRAI clinical decision making support.
The course takes one hour to complete and is also a great general introduction to the interRAI software system.
New look and feel for the interRAI software
From 24 August 2019 we gave the interRAI software system a new look and feel and a more modern and logical user interface.
The functionality stayed the same though some tabs and buttons may have moved locations.