PRELIMINARY PROGRAM - Canadian interRAI Conference
PRELIMINARY PROGRAM - Canadian interRAI Conference
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 />
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Position:<br />
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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 />
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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 />
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If paying by cheque, please make cheque payable to:<br />
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Registration Fee: $ + 12% HST: $<br />
Site Visits: $ + 12% HST: $<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