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PRELIMINARY PROGRAM - Canadian interRAI Conference

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HOSTED BY<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong><br />

MAY 7–10, 2012<br />

VANCOUVER, BRITISH COLUMBIA<br />

www.canadian<strong>interRAI</strong>.org<br />

<strong>PRELIMINARY</strong><br />

<strong>PROGRAM</strong>


2012 CANADIAN <strong>interRAI</strong> CONFERENCE<br />

The 6th <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> provides an important forum that brings together<br />

researchers, policy makers and practitioners using the <strong>interRAI</strong> system of instruments<br />

in community and home care, residential/long-term care, acute care, assisted living,<br />

mental health and palliative care. These evidence-based electronic instruments capture<br />

client/patient assessment information that is used to support care planning and delivery,<br />

quality improvement, health system management and policy development.<br />

HOST ORGANIZATIONS<br />

<strong>interRAI</strong> is a collaborative network of researchers in over 30<br />

countries committed to improving health care for persons who<br />

are elderly, frail, or disabled. Our goal is to promote evidencebased<br />

clinical practice and policy decisions through the collection<br />

and interpretation of high quality data about the characteristics<br />

and outcomes of persons served across a variety of health and<br />

social services settings.<br />

The Ministry of Health (MoH) has overall responsibility for<br />

ensuring that quality, appropriate, cost effective and timely health<br />

services are available to all British Columbians. The Ministry<br />

works with health authorities, care providers, agencies and other<br />

groups to guide and enhance the Province’s health services<br />

and ensure British Columbians are supported in their efforts to<br />

maintain and improve their health and to provide access to care.<br />

The Ministry provides leadership, direction and support to these<br />

service delivery partners and sets province-wide goals, standards<br />

and expectations for health service delivery by health authorities.<br />

The Ministry enacts this leadership role through the development<br />

of social policy, legislation and professional regulation, through<br />

funding decisions, negotiations and bargaining, and through<br />

its accountability framework for health authorities and oversight<br />

of health professional regulatory bodies.<br />

Established in 1994, the <strong>Canadian</strong> Institute for Health Information<br />

(CIHI) is an independent, not-for-profit corporation that provides<br />

essential information on Canada’s health system and the health<br />

of <strong>Canadian</strong>s. Funded by federal, provincial and territorial<br />

governments, we are guided by a Board of Directors made up of<br />

health leaders across the country. CIHI collaborates with <strong>interRAI</strong><br />

in supporting standardized pan-<strong>Canadian</strong> information across<br />

hospital, home care, continuing care and mental health sectors.<br />

Founded in 1924, the Ontario Hospital Association (OHA)<br />

uses advocacy, education and partnerships to build a strong,<br />

innovative and sustainable health care system for all Ontarians.<br />

Today, representing approximately 151 public hospitals, the<br />

OHA assumes a leadership role, focused on patients, and<br />

promoting an efficient and effective health system.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 2


GENERAL INFORMATION<br />

CONFERENCE VENUE<br />

Four Seasons Hotel Vancouver<br />

791 West Georgia Street<br />

Vancouver, British Columbia<br />

V6C 2T4<br />

Situated in the heart of downtown<br />

Vancouver, the Four Seasons Hotel<br />

Vancouver is connected at lobby level<br />

to the 140 shops and services of Pacific<br />

Centre, and located just minutes from<br />

world famous Stanley Park, art galleries,<br />

theatres, sport venues and night clubs.<br />

West Coast mountains, beaches and<br />

golf courses are all nearby.<br />

HOTEL ACCOMMODATIONS<br />

If you require hotel accommodations,<br />

please contact the Four Seasons Hotel<br />

Vancouver at 604-689-9333 or toll-free<br />

at 1-866-223-9333. When making<br />

your reservation, please indicate that<br />

you are attending the 2012 <strong>Canadian</strong><br />

<strong>interRAI</strong> <strong>Conference</strong> to secure the special<br />

conference room rate.<br />

Bedroom Rate (single/double<br />

occupancy): $205.00 plus applicable taxes<br />

per night<br />

Cut-off Date: April 7, 2012<br />

Reservations received after the cut-off<br />

date of April 7, 2012 (or earlier if the<br />

group rate sells out) will be on a space<br />

and room availability basis.<br />

* Please note that hotel guest rooms are sold<br />

out at the conference venue on the evenings of<br />

Friday May 4th and Saturday May 5th as a<br />

result of the Vancouver Marathon taking place<br />

that weekend. Should attendees be considering<br />

extending their stay in Vancouver, it is<br />

recommended they do so on the days following<br />

the conference.<br />

For additional information related to<br />

the hotel, visit:<br />

www.fourseasons.com/vancouver<br />

DIRECTIONS TO THE CONFERENCE<br />

VENUE AND PARKING<br />

Vancouver International Airport is<br />

located approximately 30 minutes<br />

south of downtown Vancouver and the<br />

conference venue.<br />

Limousines, taxis, buses, car rentals<br />

and the SkyTrain – Canada Line (public<br />

transit) all provide service to the<br />

conference venue.<br />

Driving to the <strong>Conference</strong> Venue<br />

For driving directions to the conference<br />

venue, please visit:<br />

www.fourseasons.com/vancouver/<br />

destination/directions_and_maps/<br />

Parking<br />

Parking is available underneath the<br />

conference venue and is operated by<br />

the Pacific Centre. Two underground<br />

parkades are available on Howe Street<br />

through points on Robson Street,<br />

Dunsmuir Street, and Pender Street.<br />

The parkades offer 24-hour service<br />

and monthly, daily, and hourly parking<br />

is available.<br />

Taxis<br />

Taxis are readily available outside both<br />

airport terminals and the conference<br />

venue. Taxis charge a metered rate based<br />

on time and distance travelled.<br />

SkyTrain<br />

The Canada Line provides rapid transit<br />

from the airport to downtown Vancouver<br />

in approximately 25 minutes. The Canada<br />

Line departs from the Link Building,<br />

which is located between the domestic<br />

and international terminals. You may<br />

purchase your ticket from a machine<br />

on the Canada Line platform before<br />

boarding the train. Fares are charged<br />

by zone; a two-zone fare is required to<br />

get to the conference venue. Please note<br />

that there is a limited amount of room for<br />

luggage on the train.<br />

The nearest stop to the conference venue<br />

is Vancouver Centre Station. From the<br />

station, there are two walking routes:<br />

• Follow the escalators towards West<br />

Georgia Street. Leave the station, turn<br />

left and proceed to the intersection. The<br />

conference venue is located directly<br />

across the street.<br />

• During mall operating hours you may<br />

remain underground and proceed to<br />

the Pacific Centre Mall. The entrance<br />

to Pacific Centre will be on your<br />

immediate left after heading up the<br />

escalators from the platform level.<br />

Follow the mall corridor until you reach<br />

the second set of escalators. Go up to<br />

the next level. The entrance to the Four<br />

Seasons Vancouver Hotel lobby will be<br />

on your left.<br />

TRAVEL RATES<br />

Special travel rates are available for<br />

individuals attending the 2012 <strong>Canadian</strong><br />

<strong>interRAI</strong> <strong>Conference</strong>. When making<br />

travel reservations, please be sure to<br />

inform reservations staff that you will be<br />

attending the 2012 <strong>Canadian</strong> <strong>interRAI</strong><br />

conference, and mention the travel<br />

codes below in order to qualify for these<br />

special rates.<br />

Car Rental – Hertz<br />

Reservations may be placed through<br />

the Hertz Meeting Sales Desk at<br />

1-800-654-2240 (toll-free in the<br />

U.S. and Canada). When booking<br />

reservations, please reference<br />

the promotion code CV# 04T0001.<br />

Attendees may also place their<br />

reservations online at www.hertz.com.<br />

At the time of reservation, the meeting<br />

rates will be automatically compared<br />

to other Hertz rates and delegates will be<br />

quoted the best comparable rate available.<br />

Train – VIA Canada<br />

VIA Rail Canada will offer a 5% discount<br />

towards the best available adult fare.<br />

When making reservations, please make<br />

sure to mention the fare reduction code<br />

CR 709916 by calling toll-free at<br />

1-888-842-7245 to receive the discount,<br />

or book online at www.viarail.ca<br />

Air Canada<br />

Air Canada will offer a 10% discount<br />

on all fares, except Tango fares by<br />

mentioning the promotion code:<br />

FNM9KNA1. To make reservations<br />

please call (in Canada or in the U.S.)<br />

1-888-247-2262 (toll-free) or book<br />

online at www.aircanada.com<br />

WestJet<br />

WestJet will offer a 10% discount off best<br />

available fares at the time of booking<br />

using the promotion code CC7273. To<br />

book reservations using this discount<br />

code, contact the WestJet Groups<br />

department at 1-888-493-7853. This<br />

convention code cannot be used to book<br />

flights online at www.westjet.com<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 3


SPONSORS<br />

For the changing face of care<br />

EXHIBITORS<br />

The <strong>Conference</strong> Planning Committee gratefully acknowledges the contributions of the<br />

following organizations<br />

Gold<br />

Capture and analyze client/patient assessment information how you want, where you<br />

want, when you want. AcuteNet offers Health Service Providers the most user-friendly,<br />

secure,adaptable and mobile <strong>interRAI</strong> Integrated Suite of 12 Instruments available.<br />

Unlike others, Acutenet <strong>interRAI</strong> certified solutions follow your workflow, rather than<br />

impose one on you.<br />

www.acutenet.com<br />

Gold<br />

Established in 1994, CIHI is an independent, not-for-profit corporation that provides<br />

essential information on Canada’s health system and the health of <strong>Canadian</strong>s. Funded<br />

by federal, provincial and territorial governments, we are guided by a Board of Directors<br />

made up of health leaders across the country. CIHI collaborates with <strong>interRAI</strong> in<br />

supporting standardized pan-<strong>Canadian</strong> information across hospital, home care,<br />

continuing care and mental health sectors.<br />

www.cihi.ca<br />

Gold<br />

Momentum Healthware specializes in the development, delivery, integration and<br />

support of seamless information technology software for the continuum of care. We<br />

are proud to offer the fully integrated suite of assessment tools from InterRAI and have<br />

successfully deployed these standardized assessments across Regional, Provincial and<br />

National health systems.<br />

www.momentumhealthware.com<br />

Innovation Awards<br />

AIS is the worldwide leader in providing eLearning solutions for MDS / RAI assessment<br />

instruments. AIS’ solutions extend the reach and effectiveness of instructor-led<br />

education, and through standardized evaluations, provides educators with reliable data<br />

to improve assessment accuracy.<br />

www.aissystems.com<br />

Lanyards<br />

GoldCare is the leading provider of <strong>interRAI</strong>-certified/IAR-accredited software for<br />

electronically completing and submitting the <strong>interRAI</strong> CHA and other assessments. Our<br />

mobile solutions support point-of-care assessment. GoldCare’s integrated care-plan<br />

builder, health records and reporting engine centralize management of CAPs, outcome<br />

scores, diagnoses and other information to achieve clinical and program outcomes.<br />

www.mygoldcare.com<br />

Bronze<br />

Revera is a leading provider of seniors’ accommodation, care and services; built on<br />

a 50 year history of helping seniors live life to the fullest. Our 30,000 dedicated<br />

employees are committed to meeting clients’ individual needs, with a focus on<br />

quality outcomes, patient safety and compassionate care.<br />

www.reveraliving.com/Long-Term-Care.aspx<br />

For the changing face of care<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 4


CONFERENCE AT A GLANCE<br />

MONDAY MAY 7<br />

9:00 am – 12:00 pm Site Visits<br />

11:00 am – 5:00 pm Onsite Registration, Badge, and Delegate Material Pick-Up<br />

12:00 pm – 4:00 pm Pre-<strong>Conference</strong> Workshop<br />

TUESDAY MAY 8<br />

8:00 am – 5:00 pm Onsite Registration, Badge and Delegate Material Pick-Up<br />

8:00 am – 9:00 am Networking Breakfast<br />

9:00 am – 9:30 am Welcome and Opening Remarks<br />

9:30 am – 10:30 am Plenary Session #1<br />

10:30 am – 11:00 am Networking Refreshment Break, Exhibits and Poster Viewing<br />

11:00 am – 12:15 pm Concurrent Session A<br />

12:15 pm – 1:45 pm Networking Luncheon, Exhibits and Poster Viewing<br />

1:45 pm – 2:45 pm Plenary Session #2<br />

2:45 pm – 3:15 pm Networking Refreshment Break, Exhibits and Poster Viewing<br />

3:15 pm – 4:45 pm Concurrent Session B<br />

4:45 pm – 6:00 pm Welcome Reception<br />

WEDNESDAY MAY 9<br />

7:00 am – 8:00 am Early Morning Walk/ Run through Downtown Vancouver<br />

8:00 am – 5:00 pm Onsite Registration, Badge and Delegate Material Pick-Up<br />

8:00 am – 9:00 am Networking Breakfast<br />

9:00 am – 10:45 am Concurrent Session C<br />

10:45 am – 11:15 am Networking Refreshment Break, Exhibits and Poster Viewing<br />

11:15 am – 12:15 pm Plenary Session #3<br />

12:15 pm – 1:45 pm Networking Luncheon, Exhibits and Poster Viewing<br />

1:45 pm – 3:30 pm Concurrent Session D<br />

3:30 pm – 4:00 pm Networking Refreshment Break, Exhibits and Poster Viewing<br />

4:00 pm – 5:00 pm Plenary Session #4<br />

6:00 pm – 11:00 pm RAI Fest Dinner and Entertainment<br />

THURSDAY MAY 10<br />

8:00 am – 11:00 am Onsite Registration, Badge and Delegate Material Pick-Up<br />

8:00 am – 9:00 am Networking Breakfast and Table-Top Issues Discussion<br />

9:00 am – 10:00 am Concurrent Session E<br />

10:00 am – 10:30 am Networking Refreshment Break, Exhibits and Poster Viewing<br />

10:30 am – 11:30 am Plenary Session #5<br />

11:30 am – 12:00 pm Innovation Awards<br />

12:00 pm – 12:15 pm Closing Remarks and Adjournment<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 5


MONDAY, MAY 7<br />

SITE VISITS<br />

(Ticketed event – separate<br />

registration is required)<br />

9:00 am – 12:00 pm<br />

Take advantage of this unique<br />

opportunity to participate in a guided<br />

tour of two residential care settings<br />

in downtown Vancouver. Participants<br />

should meet at the Four Seasons Hotel<br />

registration desk at 8:45 am. There is<br />

limited space – so register early to avoid<br />

disappointment.<br />

Windermere Care Centre<br />

This care facility is a private high-rise<br />

facility located in the South Granville<br />

neighborhood and just across from the<br />

Vancouver General Hospital. This facility<br />

is surrounded by beautiful landscapes<br />

and secured gardens with paved<br />

walkways for residents to enjoy. The<br />

Windermere Care Centre can comfortably<br />

hold up to 196 residents.<br />

Success Simon Ky Lee Seniors Home<br />

This care facility is a non-profit<br />

culturally-specific facility in the heart<br />

of Chinatown in Vancouver. This care<br />

facility is home to 103 residents and<br />

twenty-one beds that are dedicated<br />

for special care for cognitively<br />

impaired residents that require special<br />

environmental adaptation. Success<br />

Simon KY Lee adopts the philosophy<br />

of “Eden Alternative”, meaning they are<br />

committed to building a human habitat<br />

that fights three plagues in an elder care<br />

home – loneliness, helplessness, and<br />

boredom.<br />

REGISTRATION<br />

11:00 am – 5:00 pm<br />

PRE-CONFERENCE WORKSHOP:<br />

SUPPORTING TRANSITIONS<br />

ACROSS THE HEALTH CARE<br />

CONTINUUM (Ticketed event –<br />

separate registration is required)<br />

12:00 pm – 4:00 pm<br />

The wealth of standardized information<br />

being collected in the Continuing<br />

Care Reporting System (CCRS) and<br />

Home Care Reporting System (HCRS)<br />

serve as foundation data for planning,<br />

management and policy decisions, and<br />

accountability. This interactive 1/2 day<br />

workshop is designed to help managers,<br />

decision support analysts, researchers<br />

and others explore ways to tap into<br />

these rich data sources and translate the<br />

information into action across the care<br />

continuum. The workshop will use a case<br />

study approach to:<br />

• Understand characteristics of pathways<br />

across the care continuum<br />

• Review various reports and other<br />

outputs available from HCRS and CCRS<br />

• Use RAI data to support and plan<br />

placement decisions<br />

• Network with health care colleagues<br />

WORKSHOP NETWORKING<br />

LUNCHEON<br />

12:00 pm<br />

WORKSHOP<br />

1:00 pm – 4:00 pm<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 6


TUESDAY, MAY 8<br />

ONSITE REGISTRATION, BADGE<br />

AND DELEGATE MATERIAL<br />

PICK-UP<br />

8:00 am – 5:00 pm<br />

NETWORKING BREAKFAST<br />

8:00 am – 9:00 am<br />

WELCOME and<br />

OPENING REMARKS<br />

9:00 am – 9:30 am<br />

MASTER OF CEREMONIES:<br />

Keir Johnson<br />

PLENARY SESSION #1<br />

USING INTERRAI SYSTEMS TO<br />

FACILITATE CONSULTATION<br />

AT A DISTANCE<br />

9:30 am – 10:30 am<br />

For people living in rural communities,<br />

and for older people and people with<br />

disabilities, access to specialist health<br />

care is often precluded because of travel<br />

requirements. Telemedicine offers an<br />

opportunity to bring the service to the<br />

person – in their local community, at<br />

home, in the local hospital or in the<br />

nursing home. A key to successful<br />

telemedicine is careful case preparation<br />

and hosting at the distant site. <strong>interRAI</strong><br />

systems and their administrating<br />

assessors provide an ideal foundation<br />

for consultation at a distance, whether<br />

online or by video-conference. In<br />

this presentation, Professor Gray will<br />

demonstrate how this approach has been<br />

developed and implemented in acute care<br />

in Australia, and how it is being currently<br />

developed for long term care.<br />

Dr. Len Gray<br />

The Masonic Chair in Geriatric Medicine<br />

Director, Centre for Research in Geriatric Medicine<br />

Director, Centre for Online Health<br />

The University of Queensland, Australia<br />

NETWORKING REFRESHMENT<br />

BREAK, EXHIBITS AND POSTER<br />

VIEWING<br />

10:30 am – 11:00 am<br />

CONCURRENT SESSION A<br />

11:00 am –12:15 pm<br />

A1 – SUPPORTING INTEGRATED<br />

TEAMS<br />

A1.1 – The ART of Integrating<br />

RAI Information into Long-Term<br />

Care Clinical Solutions: Assess,<br />

Respond, Track<br />

PRESENTERS:<br />

Deanne O’Rourke (Revera Long Term<br />

Care); Leslie Orlikow (Revera Long<br />

Term Care); Jennifer Harwood<br />

(Revera Long Term Care)<br />

This presentation details the use of RAI<br />

information to identify and address<br />

clinical issues by Revera Manitoba.<br />

Examples of clinical challenges will be<br />

highlighted along with details of how the<br />

use of evidence-informed practice has<br />

led to improvement in communication<br />

and collaboration between members of<br />

the resident care team.<br />

A1.2 – Leaning the MDS Process<br />

to Improve the Quality of Care<br />

for Residents<br />

PRESENTERS:<br />

Daile Moffat (Specialty Care Inc.);<br />

Cathy Cotton (Woods Park Care Centre)<br />

Winner of the 2011 Ontario Long Term<br />

Care Association (OLTCA) Quality<br />

Team Award, the Specialty Care Woods<br />

Park team leaned the RAI MDS process,<br />

through the reduction of duplication, and<br />

implementation of an interdisciplinary<br />

team approach to reviewing resident<br />

RAI MDS outcomes. This resulted in a<br />

savings of 2,417 hours of staff time and<br />

an improved team approach to care and<br />

care planning.<br />

A2 – USING RAI TO<br />

SUPPORT CAREGIVERS<br />

A2.1 – A Snapshot of Home Care in<br />

Canada for Seniors and the Impact<br />

on Their Caregivers.<br />

PRESENTER:<br />

Shilpi Majumder (Health Council<br />

of Canada)<br />

The Health Council of Canada’s<br />

findings on home care for seniors will<br />

be presented. The needs of vulnerable<br />

seniors and their caregivers are<br />

highlighted. Challenges and gaps are<br />

addressed in the context of integrated<br />

practices. Options for providing<br />

appropriate care to the elderly and their<br />

caregivers will be discussed.<br />

A2.2 – Using RAI HC Data to Estimate<br />

the Value of Informal Care Providers<br />

to the Health System<br />

PRESENTER:<br />

Mary Henderson Betkus<br />

(Northern Health)<br />

This presentation examines the clinical<br />

profiles of clients with and without a<br />

formal care provider and stress/non<br />

stressed care provider and attaches an<br />

average value of informal care for each of<br />

these groups, specific to the organization<br />

of rural and northern health care.<br />

A2.3 – From Cold to Hot: The<br />

Caregiver Framework for Seniors<br />

in Toronto<br />

PRESENTER:<br />

Nancy Ackerman (Toronto Central<br />

Community Care Access Centre)<br />

This presentation will highlight how<br />

the RAI HC supported project planning<br />

and implementation of the Toronto<br />

Caregiver Framework for Seniors by<br />

focusing system partners on population<br />

identification using heat maps to ensure<br />

access to health services in diverse, high<br />

priority neighbourhoods.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 7


A3 – FACILITATING TRANSITIONS<br />

IN ACUTE CARE<br />

A3.1 – Development of a Hospital<br />

Admission Risk Prediction System<br />

for Home Care<br />

PRESENTERS:<br />

Lori Mitchell (Winnipeg Regional<br />

Health Authority); Jeff Poss (University<br />

of Waterloo)<br />

This presentation outlines development<br />

of a risk prediction system for Home Care<br />

to identify clients at risk for emergency<br />

department and hospital utilization. RAI<br />

Home Care, emergency department and<br />

hospital data were used for the prediction<br />

algorithm. With this algorithm, Home<br />

Care can better target interventions to<br />

reduce the risk of acute care use.<br />

A3.2 – The MOPED Study:<br />

Pan-<strong>Canadian</strong> Emergency<br />

Department Research Informing<br />

Policy and Practice in<br />

British Columbia<br />

PRESENTERS:<br />

Andrew P. Costa (University of<br />

Waterloo); Cheryl Beach (Vancouver<br />

Island Health Authority)<br />

Studies have shown that emergency<br />

departments are relatively ineffective<br />

in meeting the needs of elderly persons.<br />

This presentation will illustrate findings<br />

from the M.O.P.E.D. Study— a large<br />

study that included two hospitals from<br />

the Vancouver Island Health Authority.<br />

Policy and practice implications relevant<br />

to British Columbia will be presented.<br />

A3.3 – The <strong>interRAI</strong> Mini-Suite for<br />

Care of Older People in Hospital<br />

PRESENTER:<br />

Len Gray (The University<br />

of Queensland)<br />

Hospital care of older people is<br />

characterised by marked changes<br />

in health and functional status, which<br />

often threaten previous social and<br />

living arrangements. Traditionally, new<br />

assessments with different observations<br />

and scales are used to measure progress<br />

through multiple phases of care.<br />

Members of the <strong>interRAI</strong> Network of<br />

Excellence in Acute Care are currently<br />

building a suite of instruments to support<br />

care across the hospital continuum.<br />

This suite will comprise a core set of<br />

observations and scalar measures which<br />

will be consistent for each setting, thus<br />

improving transfer of information and<br />

continuity of care.<br />

A4 – INNOVATIVE SYSTEMS<br />

IMPLEMENTATION<br />

A4.1 – The Missing Link: The<br />

<strong>interRAI</strong> Community Health<br />

Assessment (<strong>interRAI</strong> CHA)<br />

PRESENTERS:<br />

Janeil Neilson (VON Canada);<br />

Leslie Eckel (University of Waterloo)<br />

The <strong>interRAI</strong> CHA is a modular<br />

instrument that can be used to assess<br />

the well elderly individual and identify<br />

those persons who merit further<br />

assessment. This presentation will<br />

demonstrate its power in supporting<br />

clinical decision-making, resource<br />

allocation, best practices and quality<br />

initiatives for vulnerable adults living<br />

in the community.<br />

A4.2 – The Mental Health<br />

and Addictions Quality Initiative:<br />

Incorporating RAI MH Data<br />

in Publically Comparing<br />

Hospital Indicators<br />

PRESENTERS:<br />

Pamela Namorada Prince (The Royal<br />

Ottawa Health Care Group); Peggie<br />

Willett (Centre for Addiction and Mental<br />

Health); Anne Milliken (Ontario Shores<br />

Centre for Mental Health Sciences);<br />

Debra Wicks (Waypoint Centre for<br />

Mental Health Care)<br />

Ontario’s four specialty mental health<br />

hospitals have come together and<br />

developed a new innovative and<br />

standardized approach to measure critical<br />

performance indicators of mental health<br />

care – a first for the province. Among<br />

others, key indicators based on RAI<br />

MH include client complexity, client<br />

outcomes and client safety.<br />

A4.3 – Sustaining the MDS 2.0 in<br />

Residential Care: Practical Solutions<br />

PRESENTERS:<br />

Robert Gill (Fraser Health); Gita Rafiee<br />

(Fraser Health); Jennifer Brett (Fraser<br />

Health)<br />

Fraser Health implemented the MDS 2.0<br />

assessment tool across all 87 residential<br />

care sites in 2007. Practical strategies<br />

used in one of the residential care<br />

sites in Fraser Health will be shared to<br />

demonstrate a successful approach that<br />

ensures compliance with the standards,<br />

staff engagement and improved quality.<br />

A5 – PROMOTING DATA QUALITY<br />

A5.1 – Building a Culture of<br />

Continuous Quality Improvement,<br />

By Investing Time in Data<br />

Quality and Education<br />

PRESENTER:<br />

Jennifer Wright (Central Community<br />

Care Access Centre)<br />

Community Care Access Centres<br />

are increasingly using the <strong>interRAI</strong><br />

assessment tools to support client and<br />

program decisions. The presentation<br />

will demonstrate the value of investing<br />

time in RAI education, data quality and<br />

development of tools and critical thinking<br />

to support continuous improvement,<br />

leading to the advancement of quality<br />

client care.<br />

A5.2 – RAIsing the Bar for<br />

Coding Competency<br />

PRESENTER:<br />

Eleanor Risling (Alberta<br />

Health Services)<br />

In this presentation, Alberta Health<br />

Services will share their learnings in<br />

the journey to RAIse the bar on coding<br />

competency. Using technology and<br />

a provincial standard, Alberta has<br />

established common criteria that all<br />

RAI assessors/educators must meet.<br />

Implementation hurdles, results to date<br />

and visions for the future will<br />

be discussed.<br />

A5.3 – RAI HC Coding Reviews—<br />

Our Success Story<br />

PRESENTER:<br />

To be confirmed<br />

It was recognized that new assessors<br />

required additional support when they<br />

began to complete RAI HC assessments.<br />

We were faced with the challenge of<br />

addressing this need within a large<br />

geographic area where it would be<br />

impossible to physically attend in-home<br />

RAI HC assessments with each Assessor.<br />

In this presentation, hear our innovative<br />

approach to achieving accurate coding<br />

by new RAI HC Assessors in a large<br />

geographic area.<br />

NETWORKING LUNCHEON,<br />

EXHIBITS AND POSTER VIEWING<br />

12:15 pm – 1:45 pm<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 8


PLENARY SESSION #2<br />

USING THE INTERRAI SUITE<br />

OF INSTRUMENTS IN A<br />

MULTILINGUAL CONTEXT: THE<br />

BELGIAN EXPERIENCE<br />

1:45 pm – 2:45 pm<br />

The <strong>interRAI</strong> suite of instruments is used<br />

in Belgium in home care, in nursing<br />

homes and in geriatric hospital wards.<br />

The instruments are interlinked and the<br />

data follow the client. For instance, when<br />

a home care client goes into hospital,<br />

the <strong>interRAI</strong> home care assessment<br />

can be seen by the hospital staff. Since<br />

Belgium has three official languages, the<br />

assessments can be seen and are filled out<br />

in either Dutch, French or German. Hear<br />

how Belgium uses these interrelated data<br />

to facilitate continuity of care across the<br />

health care continuum.<br />

Dr. Anja Declercq<br />

Assistant Professor, Faculty of Social<br />

Sciences, Sociological Research Unit<br />

Head, Elderly Care Research Unit, LUCAS<br />

Research Institute Katholieke Universiteit<br />

Leuven, Belgium<br />

NETWORKING REFRESHMENT<br />

BREAK, EXHIBITS AND POSTER<br />

VIEWING<br />

2:45 pm – 3:15 pm<br />

CONCURRENT SESSION B<br />

3:15 pm – 4:45 pm<br />

B1 – USING RAI TO FACILITATE<br />

RESOURCE ALLOCATION<br />

DECISIONS<br />

B1.1 – Case-Mix and Quality-Based<br />

Funding for Long-Term Care:<br />

Can <strong>interRAI</strong> Data Help?<br />

PRESENTER:<br />

Kimberlyn McGrail (Centre for Health<br />

Services and Policy Research)<br />

Case-mix adjustments and payments<br />

for quality are two potential funding<br />

reforms in residential care. We analyzed<br />

13,540 <strong>interRAI</strong> assessments from British<br />

Columbia’s Interior Health Authority<br />

and found significant variability in case<br />

mix and quality. Case-mix based funding<br />

may be desirable. Payment for quality<br />

appears more problematic with both<br />

methodological and ethical challenges.<br />

B1.2 – Transitioning to a New Case<br />

Mix Grouper to Fund Long-Term<br />

Care Homes in Ontario, Canada<br />

PRESENTER:<br />

Ross Smith (Ontario Ministry of<br />

Health and Long-Term Care)<br />

This presentation will discuss the details<br />

of the development of the case mix<br />

transition plan, as well as the year 2 and<br />

3 estimates of funding changes as a result<br />

of application of the funding corridor<br />

as mitigation strategy. Ongoing and<br />

emerging challenges will be described.<br />

B1.3 – What Does Ontario Patient<br />

Level Cost Data Say About Ontario<br />

Continuing Care Resource Use?<br />

PRESENTER:<br />

Ian Joiner (<strong>Canadian</strong> Institute for<br />

Health Information)<br />

Encounter level case costs are created by<br />

linking Ontario Case Costing Initiative<br />

(OCCI) data to Continuing Care<br />

Reporting System (CCRS) clinical data.<br />

The distribution of several cost measures<br />

are profiled by RUG-III 44 group.<br />

Population descriptive measures and data<br />

quality will be described. Future tools<br />

to assess cost efficiency at the facility/<br />

system level may develop from this work.<br />

B1.4 – Using <strong>interRAI</strong> CHA<br />

Outcomes to Support the Equitable<br />

Allocation of Subsidized Community<br />

Support Services<br />

PRESENTERS:<br />

Alison Kilbourn (Circle of Care);<br />

Debbie Taylor (Circle of Care)<br />

This presentation illustrates Circle of<br />

Care’s innovative use of <strong>interRAI</strong> CHA<br />

outcomes to determine the allotment<br />

of subsidized services to low income<br />

clients through the use of a new tool,<br />

the ‘Subsidy Calculator’. This approach<br />

supports future planning and budgeting,<br />

and allows us to make a case for<br />

increased funding.<br />

B2 – INNOVATIVE SYSTEMS<br />

IMPLEMENTATION<br />

B2.1 – Wading Into the Weeds: Things<br />

to Consider When Implementing an<br />

<strong>interRAI</strong> Tool<br />

PRESENTER:<br />

Leslie Eckel (University of Waterloo)<br />

How an <strong>interRAI</strong> tool is implemented is<br />

as important as the tool itself in ensuring<br />

that the rich information produced<br />

translates into improved efficiencies<br />

and client care. Speakers will address<br />

strategies for an effective implementation<br />

and sustainability plan and share lessons<br />

learned from both the <strong>Canadian</strong> and<br />

American perspective.<br />

B2.2 – A Novel Use of <strong>interRAI</strong> to<br />

Assist Emergency Teams After the<br />

New Zealand Earthquake<br />

PRESENTER:<br />

Andrew Downes (HIQ Ltd)<br />

Analysis of clinical risk profiles using<br />

<strong>interRAI</strong> data in the aftermath of<br />

the Christchurch earthquake helped<br />

emergency response teams identify<br />

vulnerable and frail elderly.<br />

Using pre-defined risk profiles can<br />

be considered part of disaster<br />

preparedness in order to help<br />

prioritise emergency responses.<br />

B2.3 – The Value of the RAI CA<br />

in First Nations Communities:<br />

Reaching Far Beyond Home Care<br />

PRESENTERS:<br />

Renee Rebryna (Redaka Consulting<br />

Services Inc); Melanie Pooyak-Henry<br />

(Health Canada, FNIH Alberta Region)<br />

The pilot implementation of the<br />

<strong>interRAI</strong> CA in six Alberta First Nations<br />

communities provides an obvious<br />

opportunity to make service provision<br />

decisions. In addition, the assessment<br />

contributes to continuity in care as it can<br />

be used as an interdisciplinary client<br />

overview tool. The possibilities with the<br />

use of data are endless.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 9


B3 – SUPPORTING TRANSITIONS<br />

IN MENTAL HEALTH CARE<br />

B3.1 – Building Bridges: <strong>interRAI</strong><br />

Instruments and Outcome<br />

Measures Connecting Inpatient and<br />

Community Mental Health Care<br />

PRESENTERS:<br />

Connie Paris (<strong>Canadian</strong> Institute for<br />

Health Information); Karen Luyendyk<br />

(<strong>Canadian</strong> Institute for Health<br />

Information)<br />

Improving outcomes and continuity of<br />

care as a person travels between mental<br />

health sectors is a goal at multiple<br />

levels – from care teams up to ministries<br />

of health. This presentation explores<br />

models for “hybrid” reporting across the<br />

inpatient and community mental<br />

health sectors that support efforts to<br />

streamline care.<br />

B3.2 – Connecting the Dots:<br />

Integrating MDS 2.0 from Tertiary<br />

Mental Health Transitions into<br />

Residential Care<br />

PRESENTER:<br />

Jo-Ann Tait (Providence Health Care)<br />

Parkview, a new tertiary mental health<br />

unit, opened in October 2011 to provide<br />

a unique service to older adults with<br />

Behavioural and Psychological Symptoms<br />

of Dementia (BPSD). Integrating<br />

the MDS 2.0 in a new C.A.R.E.<br />

(Comprehensive Approach to Responding<br />

to our Elders) Needs model will be<br />

reviewed and how the MDS 2.0and CAPs<br />

are utilized as an innovative approach to<br />

resident transitions.<br />

B3.3 – Using the RAI MH to<br />

Support Clinical Decision-Making<br />

about Housing Needs of Mental<br />

Health Inpatients<br />

PRESENTER:<br />

Carrie Gibbons (St. Joseph’s<br />

Care Group)<br />

We used the RAI MH to assist with<br />

clinical decision-making regarding the<br />

accommodation needs of mental health<br />

inpatients. However, use of this tool<br />

proved limited due to lack of congruence<br />

between staff and RAI-based ratings,<br />

as well as poor inter-rater reliability.<br />

Further work to improve on these<br />

issues is required.<br />

B4 – INTEGRATING<br />

COMMUNITY HEALTH<br />

B4.1 – Electronically Managing<br />

Referrals and Client Records within<br />

a Privacy Compliant Web Interface<br />

PRESENTERS:<br />

Janeil Neilsen (VON Canada);<br />

Paula Hucko (GoldCare)<br />

Learn how VON Canada implemented a<br />

centralized web-based client information<br />

system that manages thousands of<br />

<strong>interRAI</strong> CHA records for community<br />

support services agencies in the South<br />

East and Mississauga Halton Local<br />

Health Integration Networks, achieving<br />

integrated clinical assessment, care<br />

planning and outcome measurement that<br />

complies with privacy regulations and<br />

establishes sector best practices.<br />

B4.2 – Continuing the CHA Journey—<br />

Supportive Housing Innovation<br />

and Measurement: Award Winning<br />

Program Impacts Return on<br />

Investment<br />

PRESENTERS:<br />

Judith Bowyer (Mississauga Halton<br />

Local Health Integration Network);<br />

Lisa Gammage (Nucleus Independent<br />

Living)<br />

Changing the “face” of supportive<br />

housing by utilizing <strong>interRAI</strong> CHA data<br />

to bring awareness to, and subsequent<br />

raising of, acuity levels has played a major<br />

role in long-term care and emergency<br />

department diversion in the Mississauga<br />

Halton Local Health Integration Network<br />

as well as a substantial return on<br />

investment in both dollars and quality.<br />

B4.3 – Full Implementation of RAI<br />

CHA and Business Process in the<br />

Community Sector<br />

PRESENTERS:<br />

Naomi Ziegler (SPRINT–Senior<br />

Peoples Resource in North Toronto);<br />

Anne Marie Powell (SPRINT)<br />

For the first time, <strong>interRAI</strong> has been<br />

introduced to the community support<br />

service sector, facilitating greater<br />

collaboration with larger institutions<br />

(i.e. acute care settings, hospitals).<br />

This presentation will highlight one<br />

community support service organization’s<br />

change management process with<br />

implementing the <strong>interRAI</strong> CHA<br />

along with the new business processes<br />

reflecting current practices.<br />

B5 – ADVANCING CLINICAL CARE<br />

B5.1 – Falling for the Continuum–<br />

Examining Falling and<br />

Non-Falling Across Community<br />

and Long-Term Care<br />

PRESENTER:<br />

Leslie Orlikow (Revera Long Term<br />

Care); Jennifer Harwood (Revera Long<br />

Term Care)<br />

This presentation explores the challenge<br />

of falls prevention with a focus on the<br />

prevalence of falling across changes in<br />

care settings. An in-depth, retrospective<br />

chart audit was undertaken in response<br />

to data from the fallers CCRS quality<br />

indicator. Implications for practice and<br />

policy will be highlighted.<br />

B5.2 – Falls by Persons with<br />

Neurological Conditions Receiving<br />

Home Care: Physical and<br />

Occupational Therapy and Outcomes<br />

PRESENTER:<br />

Katherine Berg (University of Toronto)<br />

Persons with neurological conditions<br />

enrolled in Ontario’s home care system<br />

were at a greater risk of falls than<br />

unaffected counterparts. Even though<br />

more clients received physical and<br />

occupational therapy when fall risk was<br />

triggered, there were wide variations<br />

in the amount and pattern of<br />

rehabilitation utilization.<br />

B5.3 – Using RAI MDS to Support<br />

Introduction of Falls and Pain<br />

Clinical Practice Guidelines<br />

PRESENTERS:<br />

Rachel Keung (Vancouver Coastal<br />

Health); Sandra Pettman (Vancouver<br />

Coastal Health); Andrea Felzmann<br />

(Vancouver Coastal Health)<br />

An innovative clinical initiative in<br />

Vancouver Coastal Health’s residential<br />

facilities to support the integration of<br />

Clinical Practice Guidelines (CPGs) on<br />

falls and pain uses RAI items and outputs<br />

to measure the efficacy of staff care<br />

planning and clinical interventions in<br />

enhancing quality of care. The initiative<br />

engaged leaders, care staff, residents<br />

and caregivers.<br />

WELCOME RECEPTION<br />

4:45 pm – 6:00 pm<br />

Four Seasons Hotel Vancouver<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 10


WEDNESDAY, MAY 9<br />

EARLY MORNING GROUP RUN/<br />

WALK THROUGH DOWNTOWN<br />

VANCOUVER<br />

7:00 am – 8:00 am<br />

ONSITE REGISTRATION,<br />

BADGE AND DELEGATE<br />

MATERIAL PICK-UP<br />

8:00 am – 5:00 pm<br />

NETWORKING BREAKFAST<br />

8:00 am – 9:00 am<br />

CONCURRENT SESSION C<br />

9:00 am – 10:45 am<br />

C1 – ADVANCING CLINCAL CARE<br />

IN ACUTE AND COMPLEX CARE<br />

C1.1 – Streaming Complex<br />

Care Patients for Specialized<br />

Programming Utilizing the<br />

RAI HC Assessment Tool<br />

PRESENTER:<br />

Wendy Robb (Niagara Health System)<br />

The delivery of Complex Care Services<br />

through an integrated approach is being<br />

implemented in Southern Ontario.<br />

Working collaboratively with many<br />

partners, a significant change in practice<br />

and access to specialized programming in<br />

Complex Care is being redefined through<br />

the use of the RAI HC assessment tool.<br />

C1.2 – Using RAI MDS to Facilitate<br />

Patient Movement Through the<br />

Continuum in a Complex Continuing<br />

Care Hospital<br />

PRESENTER:<br />

Nancy Tunnicliffe (Bruyère<br />

Continuing Care)<br />

Specific elements and outcome measures<br />

from MDS are used to facilitate patient<br />

movement through the care levels<br />

in a large Complex Continuing Care<br />

(sub-acute) hospital. Objective data from<br />

section “P” and the CHESS scale have<br />

been found to be useful indicators of<br />

when patients are ready to be moved.<br />

C1.3 – Using the RAI to Reduce<br />

Transfers to Acute Care Due<br />

to Infections<br />

PRESENTER:<br />

Jean A. Chouinard (Bruyère<br />

Continuing Care)<br />

We have developed a simple algorithm<br />

which flags patients at high risk of<br />

transfer to acute care because of an<br />

infectious complication (typically<br />

pneumonia or urinary infection). We<br />

hope to reduce the rate of transfers to<br />

acute care through earlier recognition<br />

and management of the infection.<br />

C2 – ADVANCING SERVICE<br />

DELIVERY DECISION-MAKING<br />

C2.1 – RAI HC: Exploring Client<br />

Groups, Post-Assessment Service<br />

Patterns and Use in Planning<br />

PRESENTERS:<br />

Karen Archibald (British Columbia<br />

Ministry of Health); Robyn Kuropatwa<br />

(RKL Consulting)<br />

BC Ministry of Health and health<br />

authorities explored how RAI HomeCare<br />

assessment information and related<br />

summary measures can inform the<br />

definition of client sub-groups or profiles,<br />

as well as relationships between client<br />

service use patterns post assessment and<br />

the RAI HC defined client sub-groups.<br />

C2.2 – RAI HC Based Assisted Living<br />

and Residential Care Eligibility<br />

Decision Support Tool - Post<br />

Implementation Evaluation<br />

PRESENTERS:<br />

Ronald Kelly (Fraser Health);<br />

Robert Gill (Fraser Health)<br />

A decision support tool based on the RAI<br />

HC was implemented in 2010 and this<br />

presentation outlines the evaluation and<br />

success of the tool. Ensuring the tool<br />

meets the needs of clients will lead to<br />

quality care across the continuum.<br />

C2.3 – Using the RAI HC to Build<br />

Policy and Guide Practice in Self-<br />

Managed Home Support<br />

PRESENTERS:<br />

Cheryl Beach (Vancouver Island<br />

Health Authority); Karen Archibald<br />

(British Columbia Ministry of Health);<br />

Teresa Coles (Vancouver Coastal Health<br />

Authority)<br />

BC Ministry of Health and Health<br />

Authorities reviewed RAI HC outcomes<br />

to develop new eligibility criteria for BC’s<br />

self-managed home support program. The<br />

ADL Long Form and MAPLe aligned best<br />

with policy direction. The new eligibility<br />

criteria fit the majority of current clients;<br />

provincial policy and practice guidelines<br />

were successfully implemented.<br />

C2.4 – Using the RAI HC to Create<br />

Home Support Allocation Guidelines<br />

PRESENTERS:<br />

Cheryl Beach (Vancouver Island<br />

Health Authority); Jeff Poss<br />

(University of Waterloo)<br />

A model was created for home support<br />

allocation by examining the relationships<br />

between the RAI HC assessment and<br />

authorized home support hours. The<br />

model included: ADL Long Form, IADL<br />

Summary, caregiver co-resides, Cognitive<br />

Performance Scale, CHESS, behaviours,<br />

antidepressant use and primary means<br />

of locomotion. Recommendations<br />

for implementation into practice<br />

were presented.<br />

C3 – RAI TRAINING AND<br />

KNOWLEDGE TRANSFER<br />

C3.1 – A Transition Experience:<br />

Case Manager to RAI HC Educator<br />

PRESENTERS:<br />

Nesreen Miniano (Vancouver<br />

Coastal Health); Joyce Fung<br />

(Vancouver Coastal Health)<br />

Despite clinical expertise and coding<br />

experience in Acute/Community, we had<br />

uncertainties about what was required<br />

to transition from clinical practice to<br />

educator pathway. The experience has<br />

been with important lessons that now<br />

allow us to influence understanding and<br />

perspective of fellow Case Managers<br />

and coders in Acute/Community of<br />

the RAI HC.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 11


C3.2 – National <strong>interRAI</strong><br />

Training Service: New Zealand<br />

PRESENTER:<br />

Mary Cousins (Canterbury<br />

District Health Board)<br />

This paper describes New Zealand’s<br />

national approach to <strong>interRAI</strong><br />

training, particularly for home care<br />

assessments. It provides the framework<br />

for the training approach, details of<br />

the training programme and describes<br />

how competency and consistency are<br />

managed across a variety of private<br />

organisations and District Health<br />

Board services.<br />

C3.3 – Networking, Knowledge<br />

Transfer and Supporting Other<br />

RAI Coordinators<br />

PRESENTERS:<br />

Shirley Connelly (Hillsdale Estates,<br />

Regional Municipality of Durham);<br />

Janice Mansholt (Lakeview<br />

Manor,Regional Municipality<br />

of Durham)<br />

This presentation will provide an<br />

overview of the Durham Region RAI<br />

Coordinator Network, along with how<br />

to develop, implement and sustain a<br />

network within your area. We will also<br />

cover how to disseminate knowledge and<br />

information to other disciplines as well as<br />

review the SHRTN Collaborative.<br />

Learn the benefits of becoming a part<br />

of a RAI 2.0 Community of Interest.<br />

C3.4 – Quality Improvement and<br />

Measurement: Do RAI Quality<br />

Consultants Make a Difference?<br />

PRESENTERS:<br />

Eleanor Risling (Alberta Health<br />

Services); Carol L. Anderson<br />

(Alberta Health and Wellness)<br />

Using RAI Quality Consultants to<br />

assist front-line staff to utilize RAI 2.0<br />

outputs for care planning and quality<br />

improvement makes a difference in<br />

resident care. This presentation will<br />

describe the outcomes of a collaborative<br />

initiative undertaken by Alberta Health<br />

& Wellness, Alberta Health Services and<br />

contracted long-term care partners.<br />

C4 – SENIORS MENTAL HEALTH<br />

ACROSS THE CARE CONTINUUM<br />

C4.1 – Empirical Testing of the<br />

Interpersonal Theory of Suicide<br />

among Older Adults Using the<br />

RAI MH<br />

PRESENTER:<br />

Eva Neufeld (University of Waterloo)<br />

The goal of this research was to<br />

empirically test the Interpersonal Theory<br />

of Suicide (IPTS; Joiner, 2005) among an<br />

aging population. Data were examined<br />

for 12,694 older adults assessed with the<br />

RAI MH in Ontario. Constructs of the<br />

IPTS and associated factors are examined<br />

vis-à-vis the <strong>interRAI</strong> Severity of Self-<br />

Harm Scale.<br />

C4.2 – Use of the RAI MH: Experience<br />

of a Geriatric Mental Health Program<br />

PRESENTERS:<br />

Gabriella Golea (Centre for Addiction<br />

and Mental Health); Peggie Willett<br />

(Centre for Addiction and Mental Health)<br />

Engagement of all members of the<br />

interprofessional team in the assessment<br />

of specific domains has meant that there<br />

has been greater accuracy and specificity<br />

in the development of Mental Health<br />

Assessment Protocols (MHAPs) for<br />

care-planning and for the development<br />

of behavioural plans when transitioning<br />

clients to community settings.<br />

C4.3 – Older Adults Admitted for<br />

Inpatient Mental Health: Using RAI<br />

MH Data to Support Continuity<br />

of Care<br />

PRESENTER:<br />

Thomas G. Baker (Homewood Research<br />

Institute); Chris Perlman (Homewood<br />

Research Institute); Shannon Remers<br />

(Homewood Health Centre)<br />

Among older adults, many transitions<br />

take place between care settings.<br />

Using items from the RAI MH, the<br />

characteristics and needs of older<br />

adults can be summarized to support<br />

documentation during transitions in<br />

care. This RAI MH data may be utilized<br />

by other service providers following<br />

discharge to support continuity of care.<br />

C4.4 – When the Golden Years are<br />

Blue: Late-Life Depression in<br />

Long-Term Care<br />

PRESENTERS:<br />

Eva Neufeld (University of Waterloo);<br />

Shannon Freeman (University of<br />

Waterloo)<br />

This study examined depression among<br />

older adults newly admitted to long-term<br />

care facilities (LTCFs), and examined<br />

changes over time. Logistic regression<br />

identified correlates of depression after<br />

three months. The increasing prevalence<br />

of depression in LTCFs indicates a need<br />

to effectively manage a large number<br />

of older adults with depression and<br />

concurrent medical needs.<br />

C5 – IMPROVING QUALITY<br />

OF CARE<br />

C5.1 – One Health Care Region’s<br />

Approach to Using RAI for Quality<br />

Improvement<br />

PRESENTER:<br />

To be confirmed<br />

Access to valuable information stemming<br />

from CCRS e-reports presents new<br />

challenges such as how to analyse,<br />

organize and communicate the<br />

information in a meaningful way, how<br />

to ensure buy-in at multiple levels and<br />

how to promote quality improvement.<br />

This presentation discusses strategies<br />

implemented in one region to achieve<br />

these goals.<br />

C5.2 – Autopopulation—<br />

An Inconvenient Truth<br />

PRESENTERS:<br />

Leslie Orlikow (Revera Long Term<br />

Care); Marion Pringle (Revera Long<br />

Term Care)<br />

The use of Continuing Care Reporting<br />

System (CCRS) Quality Indicators<br />

triggered a data accuracy review, and<br />

autopopulation and staff data entry<br />

were identified as the cause of coding<br />

errors. Inaccurate data impacts clinical<br />

care, quality initiatives and management<br />

decisions, so a strategy was launched<br />

to address the issues and, ultimately,<br />

autopopulation is being abandoned.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 12


C5.3 – Using RAI MDS to Advance<br />

Quality and Promote Transparency<br />

in Long-Term Care: The Health<br />

Quality Ontario Experience<br />

PRESENTERS:<br />

Stephanie Soo (Health Quality<br />

Ontario); Gayle Stuart (Health<br />

Quality Ontario)<br />

Through its quality improvement and<br />

public reporting activities, Health Quality<br />

Ontario (HQO) is working to support<br />

quality and enhance transparency across<br />

Ontario’s health system. HQO leverages<br />

RAI 2.0 both to publicly report on the<br />

quality of care provided in long-term care<br />

homes and other sectors and to support<br />

province-wide long-term care quality<br />

improvement through the Residents<br />

First program.<br />

C5.4 – Interdisciplinary Approach<br />

to RAI-MDS in Assessing and<br />

Evaluating Residents using<br />

RAI Outputs<br />

PRESENTERS:<br />

Daile Moffat (Specialty Care Inc.);<br />

Suzy Gardner (Granite Ridge)<br />

Specialty Care staff recognized the<br />

need for an interdisciplinary approach<br />

to assessment and documentation<br />

of residents needs. Engaging staff in<br />

the development of a team approach<br />

to care using the RAI 2.0, resulted<br />

in a comprehensive methodology<br />

and interdisciplinary meeting, and<br />

documentation tool improving resident<br />

care and their quality indicators.<br />

NETWORKING REFRESHMENT<br />

BREAK, EXHIBITS AND POSTER<br />

VIEWING<br />

10:45 am – 11:15 am<br />

PLENARY SESSION #3<br />

OPTIMIZING MEDICATION USE IN<br />

THE ELDERLY – EXPLORING THE<br />

INTERRAI POTENTIAL<br />

11:15 am – 12:15 pm<br />

Steadily growing use of medication<br />

by older persons increases the cost of<br />

medical care. Due to the changing risk/<br />

benefit ratio of many drugs in old age<br />

and often inappropriate drug use, the<br />

risk of iatrogenic medication-related<br />

adverse drug events is high in older<br />

patients, particularly in those with<br />

complex polypharmacy. Comprehensive<br />

client assessments using setting-specific<br />

<strong>interRAI</strong> instruments require medication<br />

data to be fully complete. Drug<br />

databases combined with clinical client<br />

characteristics offer great potential for<br />

pharmacoepidemiological research, safer<br />

drug prescribing and development of<br />

guidelines and medication-related quality<br />

indicators.<br />

Dr. Eva Topinková<br />

Head, Department of Gerontology & Geriatrics<br />

1 st Faculty of Medicine, Charles<br />

University, Prague, Czech Republic<br />

President, Clinical Section, International<br />

Association of Geriatrics and<br />

Gerontology — European Region<br />

NETWORKING LUNCHEON,<br />

EXHIBITS AND POSTER VIEWING<br />

12:15 pm – 1:45 pm<br />

CONCURRENT SESSION D<br />

1:45 pm – 3:30 pm<br />

D1 – PLANNING AND POLICY FOR<br />

INTEGRATED CARE<br />

D1.1 – Modelling the Optimal Living<br />

Option for Alberta Continuing Care<br />

Clients Using the RAI HC<br />

PRESENTERS:<br />

Rob Weaver (Alberta Health<br />

Services / University of Calgary);<br />

Glenda Stein (Alberta Health Services)<br />

Alberta assesses individuals’ optimal<br />

living option from a range of supportive<br />

living levels and long-term care. This<br />

presentation reports on a project using<br />

RAI HC items and scales to differentiate<br />

between the living options. Using logistic<br />

regression, scales were developed that<br />

could predict the optimal living option<br />

with 80% accuracy.<br />

D1.2 – Reducing Duplication and<br />

Maxmising Health Spend to<br />

Integrated Family Health Centres<br />

PRESENTER:<br />

Jo Smith (MidCentral District<br />

Health Board)<br />

This presentation will focus on two<br />

initiatives that maximize the health<br />

journey of older adults: one is how<br />

automatic Packages of Temporary<br />

Supports (PoTS) are being used to<br />

aid on-time discharge through<br />

the completion of <strong>interRAI</strong> Contact<br />

Assessments by social workers in<br />

inpatient units. And the second, unique<br />

to New Zealand, is how older adults in<br />

the community are being supported<br />

through a direct contract with a GP<br />

consortium to quickly assess these<br />

clients without presenting to a separate<br />

siloed service.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 13


D1.3 – Initiating Integration of RAI<br />

Foundation between Primary and<br />

Community Care<br />

PRESENTERS:<br />

Teresa Coles (Vancouver Coastal Health<br />

Authority); Petra Pardy (Vancouver<br />

Coastal Health Authority);<br />

JoAnne Douglas (Vancouver<br />

Coastal Health Authority)<br />

In response to a provincial mandate<br />

creating an Integrated Primary and<br />

Community Care system, one health<br />

area established a RAI-based screening<br />

tool to identify fragile elderly clients for<br />

referral to case management services.<br />

This supports consistency in common<br />

language across care settings and a<br />

proactive approach to care delivery.<br />

D2 – PERSON-CENTRED CARE<br />

AND ENGAGEMENT<br />

D2.1 – Enhancing Purpose and<br />

Activity: Using <strong>interRAI</strong> 2.0 to<br />

Advance Person-Centered Care<br />

PRESENTER:<br />

Bonnie Roberts (CapitalCare)<br />

RAI 2.0 can be an important tool in<br />

achieving person-centered care. Learn<br />

how CapitalCare is using RAI 2.0 and<br />

its suite of tools in conjunction with<br />

embracing the person-centered care<br />

philosophy in order to advance<br />

quality care.<br />

D2.2 – Existing Client Pilot: Using the<br />

<strong>interRAI</strong> CHA to Respond to Risk<br />

and Optimize Client Independence<br />

PRESENTERS:<br />

Alison Kilbourn (Circle of Care);<br />

Debbie Taylor (Circle of Care)<br />

We used the <strong>interRAI</strong> CHA to respond<br />

to risks and changes in client status<br />

flagged by frontline staff, and to<br />

identify clients who would benefit from<br />

receiving additional support. This project<br />

illustrates how the <strong>interRAI</strong> CHA enables<br />

community support service agencies to<br />

shift from a service focus to a client focus,<br />

in order to identify unmet client needs<br />

and better support client independence.<br />

D2.3 – Promoting Choice and<br />

Independence for Complex<br />

Community Clients: System<br />

Redesign that Works!<br />

PRESENTERS:<br />

Elisabeth Antifeau (Interior Health);<br />

Cydney Higgins (Interior Health)<br />

There is growing interest in self-managed<br />

care options for disabled community<br />

clients to self-determine and direct<br />

their own support service needs.<br />

This presentation,using case exemplars<br />

and open discussion methodology,<br />

will describe excellence in the case<br />

management role and outcomes of<br />

system delivery re-design for the<br />

Choice in Supports for Independent<br />

Living (CSIL) program.<br />

D3 – MENTAL HEALTH AND<br />

SPECIAL POPULATIONS<br />

D3.1 – Predictors and Outcomes of<br />

Control Interventions in Inpatient<br />

Mental Health: Engaging Data to<br />

Inform Care<br />

PRESENTERS:<br />

Connie Paris (<strong>Canadian</strong> Institute for<br />

Health Information); Karen Luyendyk<br />

(<strong>Canadian</strong> Institute for Health<br />

Information)<br />

Use of control interventions (acute<br />

control medication, physical/mechanical<br />

restraint, and seclusion) has been<br />

associated with adverse outcomes, such<br />

as further provocation of aggression, and<br />

injury to staff or patients. Understanding<br />

predictors and outcomes of control<br />

interventions can contribute to<br />

successful implementation of a policy<br />

of least restraint.<br />

D3.2 – Evaluating Incidence of<br />

Depressive Symptoms in Hospital<br />

Using Information from the RAI MH<br />

PRESENTERS:<br />

Chris Perlman (Homewood Research<br />

Institute); Shannon Remers<br />

(Homewood Health Centre)<br />

The incidence of depressive symptoms<br />

was evaluated among patients admitted<br />

to specialized inpatient mental<br />

health services using the RAI MH.<br />

This presentation will explore patient<br />

characteristics associated with the<br />

incidence of depressive symptoms<br />

to begin to identify quality improvement<br />

opportunities for better meeting patient<br />

needs for depression.<br />

D3.3 – <strong>interRAI</strong> Child and Youth<br />

Mental Health (ChYMH): Overview<br />

and Preliminary Findings of a<br />

Multi- Site Evaluation<br />

PRESENTER:<br />

Shannon L. Stewart (Child and<br />

Parent Resource Institute)<br />

This presentation involves a detailed<br />

overview of the <strong>interRAI</strong> Child and Youth<br />

Mental Health (ChYMH), a standardized<br />

assessment instrument developed for use<br />

in child/youth inpatient and outpatient<br />

mental health facilities. The preliminary<br />

results of a multi-site evaluation study of<br />

the ChYMH in inpatient and outpatient<br />

settings will also be presented.<br />

D3.4 – Predictive Model of Length of<br />

Stay versus Admission Instances into<br />

Psychiatric Institutions Among Child<br />

Patients<br />

PRESENTERS:<br />

Shannon L. Stewart (Child and Parent<br />

Resource Institute)<br />

The current study proposes a theoretical<br />

model that differentiates predictors<br />

of Length of Stay (LOS) from those of<br />

psychiatric admission. Among child<br />

patients, we found that the severity of<br />

psychiatric conditions better predicts LOS<br />

while patients’ background conditions<br />

better predict instances of hospitalization.<br />

Implications to mental health policies<br />

are discussed.<br />

D4 – QUALITY IMPROVEMENT IN<br />

RESIDENTIAL / LONG-TERM CARE<br />

D4.1 – Quality Improvement:<br />

Assignment of Services to Long-Term<br />

Care Clients by Applying AI to RAI<br />

HC data<br />

PRESENTERS:<br />

George Tien (Fraser Health);<br />

Ronald Kelly (Fraser Health);<br />

Lori Godin (Fraser Health)<br />

A Neural Network (AI) approach was<br />

used to identify long-term care clients<br />

who may be appropriate for telephone<br />

nurse care management, and to screen<br />

out clients who are not appropriate<br />

Results indicate that a more efficient<br />

case identification process can be<br />

implemented based on the neural<br />

network approach.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 14


D4.2 – The Use of Audit and Feedback<br />

as a Quality Improvement Strategy<br />

in Long-Term Care<br />

PRESENTER:<br />

Hannah O’Rourke (University<br />

of Alberta)<br />

This project describes an audit and<br />

feedback intervention that has potential<br />

to improve care practices in long-term<br />

care facilities.<br />

D4.3 – Using the Resident Assessment<br />

Instrument (RAI 2.0) to Promote<br />

Continual Quality Improvement<br />

Across the Winnipeg Long-Term Care<br />

Region<br />

PRESENTER:<br />

Joe Puchniak (Winnipeg Regional<br />

Health Authority)<br />

The Winnipeg Regional Health Authority<br />

is taking an innovative approach to<br />

promoting evidence-informed front line,<br />

facility and regional decision-making<br />

using RAI 2.0 data. This presentation<br />

will describe a project that focuses on<br />

the reduction of antipsychotic medication<br />

use that potentially marks the start<br />

of a new era of evidence-based<br />

care and management for long-term<br />

care in Winnipeg.<br />

D4.4 – Quality and Safety in<br />

Long–Term Care<br />

PRESENTER :<br />

Joe Griffiths (<strong>Canadian</strong> Institute<br />

for Health Information)<br />

<strong>Canadian</strong> Institute for Health<br />

Information’s “Quality and Safety in<br />

Long-Term Care” represents the first<br />

public reporting by CIHI of region<br />

level quality indicators for this sector.<br />

Interesting findings and report<br />

highlights will be used to illustrate the<br />

power of the data to drive innovation<br />

for quality improvement.<br />

D5 – FACILITATING TRANSITIONS<br />

IN ACUTE CARE<br />

D5.1 – Predicting Unplanned Acute<br />

Care Use among Home Care Clients:<br />

Evidence from the Hamilton Niagara<br />

Haldimand Brant Local Health<br />

Integration Network Region<br />

PRESENTERS:<br />

Andrew P. Costa (University of<br />

Waterloo); Tom Peirce (Hamilton<br />

Niagara Haldimand Brant Community<br />

Care Access Centre)<br />

This presentation will identify strong<br />

predictors for unplanned acute care use<br />

based on the RAI HC as well as other<br />

information sources. These predictors<br />

and scales provide an avenue to mitigate<br />

the need for acute services and allow<br />

for more effective and timely use of<br />

limited resources.<br />

D5.2 – Using RAI HC and<br />

Administrative Data to Understand<br />

the Effects of Home First in Ontario<br />

PRESENTERS:<br />

Jeff Poss (University of Waterloo);<br />

John Hirdes (University of Waterloo)<br />

Using RAI HC data tied to administrative<br />

home care episode and service data,<br />

the effects of Ontario’s ‘Home First’<br />

philosophy, which seeks to return more<br />

high-needs seniors in hospital and to<br />

keep them at home, is described over<br />

time. Results show services were targeted<br />

in ways consistent with this policy<br />

direction.<br />

D5.3 – There’s No Place Like<br />

Home: Using RAI to Facilitate Care<br />

Planning for Alternate Level of<br />

Care Clients<br />

PRESENTERS:<br />

Gayle Seddon (Toronto Central<br />

Community Care Access Centre);<br />

Kathryn Wise (Toronto Central<br />

Community Care Access Centre)<br />

The Toronto Central Community Care<br />

Access Centre transitions over 7,000<br />

clients a month out of local hospitals<br />

to the community. Using the RAI HC<br />

in the hospital setting has enabled case<br />

managers to use a standardized method<br />

of assessment and communication in<br />

describing those clients that can be<br />

supported at home.<br />

D5.4 – Seniors and Alternate Level<br />

of Care (ALC): Building on<br />

Our Knowledge<br />

PRESENTER :<br />

Norma Jutan (<strong>Canadian</strong> Institute<br />

for Health Information)<br />

This presentation will explore an<br />

urgent policy issue (ALC) through an<br />

innovative data linkage between the RAI<br />

HC, RAI 2.0 and <strong>Canadian</strong> Institute for<br />

Health Information’s Discharge Abstract<br />

Database. These analyses will shed light<br />

on the characteristics of patients in<br />

transition from acute care to home and<br />

residential care and the factors related to<br />

discharge destination<br />

NETWORKING REFRESHMENT<br />

BREAK, EXHIBITS and POSTER<br />

VIEWING<br />

3:30 – 4:00 pm<br />

PLENARY SESSION #4<br />

USING CIHI’S RAI DATA<br />

TO SUPPORT RESOURCE<br />

ALLOCATION: A<br />

PAN-CANADIAN DISCUSSION<br />

4:00 pm – 5:00 pm<br />

PRESENTERS:<br />

To be confirmed<br />

In this facilitated panel discussion,<br />

stakeholders from <strong>Canadian</strong> provincial<br />

governments and regional health<br />

authorities will discuss how they are<br />

using data based on the <strong>interRAI</strong><br />

instruments to support activity-based<br />

funding models and resource allocation<br />

across sectors. Panelists will highlight<br />

findings to-date, and discuss key success<br />

factors as well as lessons learned.<br />

COCKTAILS<br />

6:00 pm – 7:00 pm<br />

Four Seasons Hotel Vancouver<br />

RAI FEST DINNER AND<br />

ENTERTAINMENT<br />

(Ticketed event – separate<br />

registration is required)<br />

7:00 pm – 11:00 pm<br />

Four Seasons Hotel Vancouver<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 15


THURSDAY, MAY 10<br />

ONSITE REGISTRATION, BADGE<br />

AND DELEGATE MATERIAL<br />

PICK-UP<br />

8:00 am – 11:00 am<br />

NETWORKING BREAKFAST AND<br />

TABLE-TOP ISSUES DISCUSSION<br />

8:00 am – 9:00 am<br />

CONCURRENT SESSION E<br />

9:00 am – 10:00 am<br />

E1 – PALLIATIVE CARE<br />

E1.1 – Quality End of Life Care Using<br />

the <strong>interRAI</strong> Palliative Care Clinical<br />

Assessment Protocols (CAPs)<br />

PRESENTERS:<br />

Shannon Freeman (University<br />

of Waterloo); Trevor Frise Smith<br />

(Nipissing University)<br />

Clinical Assessment Protocols embedded<br />

within the <strong>interRAI</strong> Palliative Care<br />

assessment instrument enable clinicians<br />

to respond to person-level preferences<br />

and needs over time to facilitate quality<br />

end-of-life care. An overview of eight<br />

CAPs will illustrate how they may be<br />

used to address client-specific needs of<br />

persons with a life-limiting illness.<br />

E1.2 – Using RAI Data to Understand<br />

Factors Related to Hospitalization<br />

among Community Palliative<br />

Care Clients<br />

PRESENTERS:<br />

Jeff Poss (University of Waterloo);<br />

Barbara Busing (Hamilton Niagara<br />

Haldimand Brant Community Care<br />

Access Centre)<br />

Using data from RAI instruments<br />

(<strong>interRAI</strong> Palliative Care and RAI HC),<br />

this work identifies factors that can<br />

predict hospitalizations among clients<br />

receiving palliative care services in<br />

the community. Hospitalizations may<br />

be prevented through identification of<br />

clients at greatest risk and focusing on<br />

treating factors for which palliative care<br />

services are well-equipped.<br />

E2 – QUALITY OF LIFE<br />

E2.1 – Correlates and Predictors<br />

of Quality of Life of Residents in<br />

<strong>Canadian</strong> Long-Term Care Facilities<br />

PRESENTER:<br />

Vahe Kehyayan (University of Waterloo)<br />

The Quality of Life (QoL) of 928<br />

long-term care facility residents in six<br />

<strong>Canadian</strong> provinces was measured<br />

using the <strong>interRAI</strong> Self-Report Nursing<br />

Home Quality of Life Survey instrument.<br />

The results showed select resident and<br />

facility characteristics to be significantly<br />

associated with QoL, and others were<br />

found to be predictors of QoL.<br />

E2.2 – Quality of Life in Mental<br />

Health Settings<br />

PRESENTER:<br />

John Hirdes (University of Waterloo)<br />

This presentation will report on<br />

<strong>interRAI</strong>’s ongoing work to develop self<br />

reported quality of life instruments across<br />

the continuum of care. The <strong>interRAI</strong><br />

Mental Health Quality of Life survey can<br />

be used to obtain the person’s perspective<br />

on recovery, personal outlook, social<br />

relationships, community engagement<br />

and service quality. Results will be<br />

presented for current pilot studies in<br />

Canada and internationally.<br />

E3 – RAI TRAINING AND<br />

KNOWLEDGE TRANSFER<br />

E3.1 – Transforming RAI Training<br />

PRESENTER:<br />

Lynn McNeely (<strong>Canadian</strong> Institute<br />

for Health Information)<br />

<strong>Canadian</strong> Institute for Health<br />

Information’s new Home and Continuing<br />

Care RAI training model promotes<br />

accessibility and sustainability in an<br />

environment of fiscal restraint.<br />

This presentation will explain how this<br />

program builds capacity and promotes<br />

critical thinking, which ultimately<br />

supports quality of care.<br />

E4 – ADVANCING CLINICAL CARE<br />

E4.1 – Managing Parkinson’s Disease<br />

in the Home: An Exploration of RAI<br />

HC Data from Finland and Ontario<br />

PRESENTER:<br />

Andrea D. Foebel (University<br />

of Waterloo)<br />

Use of medications for Parkinson’s disease<br />

(PD) in home care is higher in Finland<br />

than in Ontario. Behavioural symptoms,<br />

cognitive impairment, older age and more<br />

comorbidity were associated with less<br />

PD medication use. Designing initiatives<br />

to target these populations can improve<br />

client outcomes, promote independence<br />

and delay institutionalization.<br />

E4.2 – Implementing a Successful<br />

Restorative Care Program in<br />

Long-Term Care<br />

PRESENTERS:<br />

Daile Moffat (Specialty Care Inc.);<br />

Annette Zuccaro-Vanin<br />

(Villa Leonardo Gambin)<br />

Through an interdisciplinary approach,<br />

Specialty Care Villa Leonardo Gambin has<br />

developed a successful restorative model<br />

which focuses on improving resident ADL<br />

functions. The interdisciplinary team<br />

approach uses RAI 2.0 outcome<br />

scores quarterly to analyze resident’s<br />

ADL status. This model has been<br />

successfully implemented throughout<br />

Specialty Care and several independent<br />

homes in Ontario.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 16


E5 – INTEGRATING HOME CARE<br />

E5.1 – RAI HC Assessment within<br />

Occupational Therapy and<br />

Physiotherapy Home Care Practice<br />

PRESENTERS:<br />

Cheryl Beach (Vancouver Island Health<br />

Authority); Ana Maria Gidofalvi<br />

(Vancouver Island Health Authority);<br />

Debbie Mills (Vancouver Island Health<br />

Authority); Elaine Vance<br />

(Vancouver Island Health Authority);<br />

Cathy Hazzard (Vancouver Island<br />

Health Authority)<br />

The purpose was to trial the use of the<br />

RAI HC assessment by occupational<br />

therapists (OT) and physiotherapists(PT)<br />

in Home and Community Care in<br />

Vancouver Island Health Authority<br />

(VIHA). Workflows were examined and<br />

feedback from the therapist collected.<br />

The RAI HC assessment shows potential<br />

for use beyond traditional case<br />

management practice.<br />

E5.2 – Integrated Care for Seniors<br />

Toronto: Using the RAI HC to Target<br />

and Design Wrap-Around Care<br />

Models<br />

PRESENTER:<br />

Gayle Seddon (Toronto Central<br />

Community Care Access Centre)<br />

The Integrated Client Care Model-Seniors<br />

is a program in Toronto, Ontario that<br />

supports medically complex seniors in<br />

the community. This presentation will<br />

highlight the use of the RAI HC as<br />

a catalyst for planning, as a framework<br />

for model development and for<br />

communicating care plans across<br />

the continuum.<br />

NETWORKING REFRESHMENT<br />

BREAK, EXHIBITS AND POSTER<br />

VIEWING<br />

10:00 am– 10:30 am<br />

PLENARY SESSION #5<br />

NEUROLOGICAL CONDITIONS<br />

ACROSS THE CONTINUUM<br />

OF CARE: USING INTERRAI<br />

INSTRUMENTS TO RESPOND<br />

TO THE NEEDS OF SPECIAL<br />

POPULATIONS<br />

10:30 am – 11:30 am<br />

This presentation will report on the<br />

results of a multi-year research project<br />

funded by the Public Health Agency of<br />

Canada regarding the needs, caregiver<br />

issues and access to services of persons<br />

with neurological conditions across the<br />

continuum of care. The project uses<br />

data from eight provinces and territories<br />

including mental health, home care<br />

and residential care settings to examine<br />

the experience of this population in<br />

different care settings. In addition, the<br />

presentation deals with the applicability<br />

of <strong>interRAI</strong> assessments to unique<br />

clinical subpopulations in different<br />

service settings.<br />

Dr. John Hirdes<br />

Professor and Ontario Home Care Research<br />

and Knowledge Exchange Chair<br />

School of Public Health and Health<br />

Systems, University of Waterloo<br />

Senior <strong>Canadian</strong> Fellow and Board Member,<br />

<strong>interRAI</strong><br />

INNOVATION AWARDS<br />

11:30 am – 12:00 pm<br />

CLOSING REMARKS and<br />

ADJOURNMENT<br />

12:00 pm – 12:15 pm<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 17


POSTER PRESENTATIONS<br />

A Preliminary Examination of<br />

Gender Differences among Forensic<br />

Patients Based on the <strong>interRAI</strong><br />

Forensic Supplement<br />

PRESENTER :<br />

Krista Mathias (University of Waterloo)<br />

This presentation will identify<br />

criminogenic risk factors and clinical<br />

outcomes within an Ontario forensic<br />

inpatient population using the <strong>interRAI</strong><br />

Forensic Supplement. This information<br />

along with clinical data obtained from<br />

the RAI MH will be examined to<br />

determine what gender differences<br />

exist and how this can improve care<br />

planning for this population.<br />

Can We Budge the Needle? Using<br />

RAI Quality Indicator Data in<br />

Conversations about Quality Care<br />

PRESENTERS:<br />

Tilly Schalkwyk (Providence Health<br />

Care); Andrea Felzmann (Vancouver<br />

Coastal Health)<br />

Vancouver Coastal Health recently<br />

revised their quarterly quality report to<br />

be more understandable and clinically<br />

relevant for their 56 care homes. Since<br />

the revision, two QIs were used to<br />

evaluate ongoing clinical initiatives.<br />

We will discuss if providing RAI<br />

residential care data like these will<br />

help us budge the needle.<br />

Comparison of Home Care Quality<br />

Indicators and the Influence of Risk<br />

Adjustment between Two Provinces<br />

PRESENTER :<br />

Amanda Mofina (Wilfrid<br />

Laurier University)<br />

Home care quality indicators (HCQIs)<br />

generated from RAI HC are expressed<br />

as rates of negative outcomes. New<br />

risk adjusters will be developed for the<br />

cognitive impairment HCQI to control<br />

for client characteristics that may<br />

increase the HCQI rates irrespective<br />

of the quality of care (N≈100,000).’<br />

Correlation of Select RAI MH Scales<br />

and Adverse Events in Inpatient<br />

Psychiatry Units<br />

PRESENTERS:<br />

Sandra Stewart (North Bay Regional<br />

Health Centre); Laurie Hillier (North<br />

Bay Regional Health Centre);<br />

Brenda Pace (North Bay Regional<br />

Health Centre); Lisa Macduff (North<br />

Bay Regional Health Centre)<br />

Average monthly RAI MH Cognitive<br />

Performance and Aggressive Behaviours<br />

scales collected from select inpatient<br />

psychiatric care units will be correlated<br />

with incidents of patient restraint.<br />

Results may lead to a new model of<br />

clinical information dissemination to<br />

the care unit level with implications<br />

for quality improvement initiatives<br />

and practice change.<br />

Data in Motion<br />

PRESENTERS:<br />

Karen Ptacek (Preferred Health<br />

Care Services); Corinna S.Y. Tam<br />

(Leisureworld Mississauga)<br />

We are going to show how the CCRS<br />

QI report as evidenced for the decision<br />

which we made towards quality<br />

improvement initiatives in our home(s).<br />

We will also include a comparison and<br />

observation of internal key risk indicators<br />

and the CCRS eQuarterly data relating to<br />

the improvement initiatives.<br />

Dual Sensory Loss and its<br />

Relationship to Communication<br />

and Functional Status<br />

PRESENTER:<br />

Dawn Guthrie (Wilfrid Laurier<br />

University); Jeremiah Beggs (University<br />

of Ontario Institute of Technology)<br />

Little is known about home care<br />

clients with both vision and hearing<br />

impairments, or dual sensory loss (DSL).<br />

The Deafblind Severity Index is based on<br />

two items from the RAI HC. This index<br />

may be useful in targeting clients with<br />

DSL who are at risk of communication<br />

difficulties and functional dependence.<br />

Employing RAI MH Data to Predict<br />

Length of Stay in an Acute Inpatient<br />

Psychiatric Unit<br />

PRESENTERS<br />

Albert Gouge (Health Sciences North);<br />

Stacey Roles (Health Sciences North);<br />

Maureen McLelland (Health Sciences<br />

North)<br />

RAI MH symptom scales were examined<br />

for their utility in predicting extended<br />

Length of Stay in an Acute Inpatient<br />

Psychiatric unit. A four factor solution<br />

was able to correctly classify 72.7% of all<br />

admissions. This automatically calculated<br />

assessment could be implemented to aid<br />

in planning care and bed utilization.<br />

Examining the Association<br />

between PTSD and Mood Disorders<br />

among Youth in Adult Mental<br />

Health Facilities<br />

PRESENTER:<br />

Shannon L. Stewart (Child and Parent<br />

Resource Institute)<br />

This study examines some of the factors<br />

that predict DSM-IV mood disorder in<br />

youth in adult mental health facilities.<br />

Using logistic regression, we found that<br />

post-traumatic stress disorder (PTSD),<br />

temporary residence, risk of self-harm,<br />

negative symptoms, sleep problems, and<br />

withdrawal from activities of interest<br />

predicted mood disorders among our<br />

study population.<br />

Gender Differences in the Effect<br />

of Psychiatric Re-Admission on<br />

Subsequent Stay Length among<br />

Child Patients<br />

PRESENTER:<br />

Shannon L. Stewart (Child and Parent<br />

Resource Institute)<br />

The current study examines the effect of<br />

previous psychiatric admissions on<br />

children’s subsequent length of stay<br />

(LOS) in a longitudinal design. Utilizing<br />

hierarchical linear modeling, it was<br />

found that the temporal relationship<br />

between the number of previous<br />

admissions and the subsequent LOS is<br />

stronger for boys than for girls.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 18


Impact of Admission Source on<br />

HRQOL of Seniors with Dementia<br />

in Residential Care<br />

PRESENTER:<br />

Robert Gill (Fraser Health)<br />

Admission source appears to play a role<br />

in the Health Related Quality of Life<br />

(HRQOL) of seniors with dementia living<br />

in residential care. Using the MDS-Health<br />

Status Index (MDS-HSI) to measure<br />

HRQOL, this study shows the associated<br />

decline in HRQOL for seniors admitted<br />

from acute care compared to<br />

the community.<br />

Implementation of the RAI HC in<br />

First Nations Communities: Unique<br />

Considerations You Could Employ<br />

PRESENTER:<br />

Melanie Pooyak-Henry (Health<br />

Canada, FNIH Alberta Region)<br />

The pilot implementation of the RAI HC<br />

in six Alberta First Nations communities<br />

is laying the foundation for a<br />

pan-<strong>Canadian</strong> First Nations approach.<br />

Although unique and innovative<br />

strategies have created a First Nations<br />

model for success, we encourage<br />

others to discover the widespread value<br />

and usefulness.<br />

Improving Safety and Quality of<br />

Care to Seniors in Care<br />

PRESENTER:<br />

To be confirmed<br />

This study engaged front line residential<br />

caregivers to use RAI data to develop and<br />

action targeted, facility-specific quality<br />

improvement strategies. Teams were<br />

supported to inform action plans with<br />

evidence, enhancing understanding of<br />

how research can influence practice and<br />

how teams can collaborate to improve<br />

quality of care and work life.<br />

Integrated Cluster Care: An<br />

Innovative Approach<br />

PRESENTER:<br />

Jeffrey Cole (Central Community<br />

Care Access Centre)<br />

The Central Community Care Access<br />

Centre (CCAC) and Circle of Care, a<br />

contracted Service Provider developed<br />

an innovative, integrated model of service<br />

delivery where accountability for services<br />

was shifted from the CCAC to the Service<br />

Provider. A 26 week pilot measured<br />

clients’ health status through use of<br />

the RAI HC.<br />

MDS-RAI — The Foundation<br />

to Delivering Integrated Care<br />

PRESENTER:<br />

Joanna Martin (Windermere<br />

Care Centre)<br />

This poster will encourage those who are<br />

starting the RAI 2.0 journey and those<br />

who are stumbling with it. We did not<br />

want to add RAI 2.0 to our workload,<br />

rather we decided to adjust RAI 2.0 into<br />

our workflow in a slow, methodical way<br />

building success along the way.<br />

MHAOnt: An Ontological Model<br />

for Community Mental Health<br />

Assessment Analytics<br />

PRESENTERS:<br />

Lingkai Zhu (University of Waterloo);<br />

Helen Chen (University of Waterloo)<br />

The <strong>interRAI</strong> Community Mental Health<br />

(CMH) instrument is limited by relying<br />

on empirical knowledge while<br />

performing statistical analysis. The MHA<br />

ontology based on <strong>interRAI</strong> CMH can<br />

serve as a central mediator guiding<br />

mental health data analytics processes,<br />

possibly bringing innovation to data<br />

visualization, concept visualization, and<br />

data analysis processes.<br />

Physical and Occupational Therapy<br />

Home Care Visits for Persons with<br />

Neurological Conditions<br />

PRESENTER:<br />

Sophia Hsueh (University of Toronto)<br />

The pattern of physical and occupational<br />

service use in Ontario’s home care system<br />

vary by neurological disorder. Common<br />

among the neurological conditions was<br />

that only a modest percentage of clients<br />

received physical or occupational therapy<br />

visits despite having identified problem<br />

areas that could be addressed by<br />

rehabilitation.<br />

Solving the RAI Accuracy Challenge<br />

PRESENTER:<br />

Laureen Nein (Saskatoon<br />

Health Region)<br />

An effective strategy to improve RAI data<br />

accuracy was developed in Saskatoon<br />

Health Region to promote use of the data<br />

by care teams, managers and senior<br />

leadership. RAI assessors were provided<br />

with incentives to improve accuracy<br />

and strategic planners were provided<br />

with information to improve confidence<br />

in RAI data.<br />

Staff Engagement in the RAI HC<br />

Assessment Process — Then to Now<br />

PRESENTER:<br />

Nancy Ackerman (Toronto Central<br />

Community Care Access Centre)<br />

This presentation will showcase the<br />

Toronto Central Community Care Access<br />

Centre’s staff commitment to improving<br />

front line staff and subsequent client<br />

engagement in the RAI HC assessment<br />

through improved understanding of the<br />

assessment tool and its outputs and by<br />

consistent communication of this<br />

information through the medium of a<br />

committed group.<br />

Stepping Stones: The Quality<br />

Indicator Report Builds the Path<br />

Linking RAI-MDS Data to<br />

Improved Care<br />

PRESENTER:<br />

Nancy Tunnicliffe (Bruyère<br />

Continuing Care)<br />

Properly designed, with appropriate<br />

stepping stones for all levels of staff, the<br />

Quality Indicator reporting process can<br />

be used to set goals and gain valuable<br />

feedback on the path to quality care. This<br />

poster illustrates the experience of one<br />

large Complex Continuing Care facility.<br />

Traumatic Head Injury and<br />

Publically Funded Home Care<br />

Use in Ontario<br />

PRESENTER:<br />

Sophia Hsueh (University of Toronto)<br />

Traumatic head injury clients in Ontario’s<br />

home care system are older adults, and a<br />

majority of them are at high risk of<br />

institutionalization. Despite the need for<br />

long term support in this population,<br />

there is little publicly funded<br />

rehabilitation offered at home.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 19


Using RAI Data to Predict Risk of<br />

Seclusion/Restraint in a Psychiatric<br />

Intensive Care (PIC) Unit<br />

PRESENTERS:<br />

Stacey Roles (Health Sciences North);<br />

Albert Gouge (Health Sciences North);<br />

Maureen McLelland (Health<br />

Sciences North)<br />

Following a retrospective review, factors<br />

within the RAI MH were examined for<br />

their ability to predict actual seclusion/<br />

restraint events. A six factor solution<br />

was able to correctly classify 82.6%<br />

of all admissions. This automatically<br />

calculated risk assessment could be<br />

implemented to potentially reduce<br />

the use of restrictive measures through<br />

early identification/intervention.<br />

Using RAI Data to Refine<br />

a Residential Care Bed<br />

Prediction Model<br />

PRESENTERS:<br />

Mary Henderson Betkus<br />

(Northern Health); Matthew Amsel<br />

(Northern Health)<br />

This presentation uses RAI data (RAI HC,<br />

RAI 2.0) and simulation modeling<br />

(Rockwell ARENA) to predict residential<br />

care bed need in a geographic<br />

dispersed population.<br />

Using the RAI 2.0 to Support Positive<br />

Nursing Restorative Outcomes<br />

PRESENTERS:<br />

Cheryl Ho (The O’Neill Centre Long<br />

Term Care Home); Francine<br />

Georgopoulos (Fairview Nursing<br />

Home); Danielle Loreto (Cedarvale<br />

Terrace Long Term Care Home)<br />

We demonstrate how the RHM homes<br />

utilized the RAI 2.0 system into our<br />

nursing restorative program and how it<br />

has helped us bring about positive<br />

outcomes. We also share actual success<br />

stories of real residents, evidence of<br />

quality improvement from one of our<br />

homes, MDS Quality Indicators, and<br />

resident testimonial.<br />

Violence, Trauma and Self-Harm:<br />

An Analysis of Forensic Psychiatric<br />

Inpatients Using the <strong>interRAI</strong> MH<br />

PRESENTERS:<br />

Krista Mathias (University of<br />

Waterloo); Eva Neufeld (University<br />

of Waterloo)<br />

This research presents preliminary<br />

findings on the associations between<br />

violent behavior, trauma and self-harm<br />

among forensic inpatients in Ontario<br />

hospitals. Current level of violence,<br />

traumatic life events and self-harm were<br />

examined among 2,729 forensic<br />

inpatients using the RAI MH instrument.<br />

Understanding this interaction<br />

may increase patient safety and<br />

promote recovery.<br />

Virtual Classroom for RAI Training<br />

PRESENTER:<br />

Susan Hartnell (Interior Health)<br />

Development of the Virtual Classroom<br />

can support standardized RAI training.<br />

Centralized training is possible and<br />

desirable for a large geographical<br />

organization. It ensures consistency<br />

of training standards and messaging.<br />

Supporting the Virtual Classroom<br />

with multiple technological elements<br />

provides a complete and robust RAI<br />

training package for new and<br />

experienced assessors.<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> <strong>PRELIMINARY</strong> <strong>PROGRAM</strong> www.canadian<strong>interRAI</strong>.org 20


REGISTRATION<br />

Registration will begin on Monday, May 7, 2012, at 11:00am<br />

at the Four Seasons Hotel Vancouver, 791 West Georgia Street,<br />

Vancouver, British Columbia.<br />

Space is not guaranteed, unless payment is received prior to the event.<br />

Registration Fee for Full <strong>Conference</strong> (May 8 – 10, 2012)*<br />

Fee: $715.00 + HST $85.80 = $800.80<br />

*Fees do not include Pre-<strong>Conference</strong> Workshop, Site Visits or RAI Fest<br />

Site Visits (May 7, 2012 – Morning)<br />

Fee: $20.00 + HST $2.40 = $22.40<br />

Pre-<strong>Conference</strong> Workshop (May 7, 2012 – Afternoon)<br />

Fee: $99.00 + HST $11.88 = $110.88<br />

Registration Fee for Individual <strong>Conference</strong> Days<br />

Tuesday May 8: $410.00 + HST $49.20 = $459.20<br />

Wednesday May 9: $410.00 + HST $49.20 = $459.20<br />

Thursday May 10 (½ day): $350.00 + HST $42.00 = $392.00<br />

RAI Fest and Entertainment (May 9, 2012)<br />

Dinner & Entertainment: $71.00 + HST $8.52 = $79.52<br />

Cancellation Policy<br />

Notice of cancellation must be provided in writing 3 days prior<br />

to the date of the program. A 50% administration fee will apply<br />

to all refunds. Registrants who fail to attend the program or<br />

cancel after the deadline date shall be liable for the entire fee.<br />

Substitutions are welcome. The Ontario Hospital Association<br />

reserves the right to cancel or reschedule a program.<br />

Accommodation<br />

If you require accommodations, please contact the Four Seasons<br />

Hotel Vancouver at 604-689-9333 or 1-866-223-9333. Please be<br />

sure to indicate that you are attending the <strong>Canadian</strong> <strong>interRAI</strong><br />

<strong>Conference</strong> to secure a special room rate of $205 for single/double<br />

occupancy. Be sure to make your hotel reservation before<br />

April 7, 2012, as accommodations for that time period are filling<br />

up quickly.<br />

If you require extra assistance or have special requirements,<br />

please let us know when registering for the conference to ensure we can<br />

accommodate them.<br />

Three Easy Ways to Register<br />

1. Online: www.canadian<strong>interRAI</strong>.org<br />

2. Fax: 416-205-1340<br />

3. Mail: If paying with a cheque, complete the form and mail<br />

together with payment to:<br />

Ontario Hospital Association<br />

2012 <strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong> Secretariat<br />

200 Front Street West, Suite 2800, Toronto, Ontario, M5V 3L1<br />

For additional registration and program information,<br />

please contact Elizabeth Barrasso at 416-205-1352 (toll free<br />

at 1-800-598-8002 x1352) or ebarrasso@oha.com<br />

<strong>Canadian</strong> <strong>interRAI</strong> <strong>Conference</strong><br />

MAY 7-10, 2012<br />

VANCOUVER, BRITISH COLUMBIA<br />

Four Seasons Hotel Vancouver<br />

791 West Georgia Street, Vancouver<br />

REGISTRATION FORM<br />

Miss Mrs. Ms. Mr. Dr.<br />

First Name:<br />

Last Name:<br />

Position:<br />

Organization:<br />

Address:<br />

Province Postal Code<br />

Phone No: Ext:<br />

Email Address*:<br />

Emergency Contact Information (if different from above)<br />

Please indicate your emergency contact information below. We will contact<br />

you in case of an emergency, i.e. program cancellation, etc. The information<br />

will be kept in confidence.<br />

Emergency Contact Number:<br />

Emergency Contact Email:<br />

Select Your Events (Check all that apply)<br />

Full <strong>Conference</strong> Fee<br />

Site Visits (½ day)<br />

Pre-<strong>Conference</strong> Workshop (½ day)<br />

Tuesday only<br />

Wednesday only<br />

Thursday only (½ day)<br />

RAI Fest and Entertainment<br />

Payment Method<br />

Cheque VISA/ MasterCard/ American Express<br />

If paying by cheque, please make cheque payable to:<br />

Ontario Hospital Association.<br />

Registration Fee: $ + 12% HST: $<br />

Site Visits: $ + 12% HST: $<br />

Pre-<strong>Conference</strong> Workshop: $ + 12% HST: $<br />

RAI FEST & Entertainment: $ + 12% HST: $<br />

= Total: $<br />

If paying by credit card, please provide the following information.<br />

Name of Cardholder:<br />

VISA/MasterCard/AMEX No:<br />

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*To be used for registration confirmations and conference material.<br />

www.canadian<strong>interRAI</strong>.org The Ontario Hospital Association is acting as this year’s <strong>Conference</strong> Secretariat


Integration: Advancing Quality Care<br />

Across the Continuum<br />

www.canadian<strong>interRAI</strong>.org

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