1:30 pm - 2:30 pm
Plenary Session 1
John P. Hirdes, PhD and Brant E. Fries, PhD : STRIVE and CAN-STRIVE: Update on Resource Utilization Groupings
The Resource Utilization Groups, Version III (RUG- III ) case mix system has been the basis for payment to US nursing facilities under the federal Medicare system since 1998 and for Ontario Complex Continuing Care hospitals/units since 2002. It is also being considered as the basis for payment for Ontario long-term care homes. A coordinated pair of projects, one in the US (STRIVE) and one in Canada (CAN-STRIVE), are refining the RUG- III system to address new practice patterns, emerging populations, and cross-national differences. In May 2009, the US government announced the preliminary results of the STRIVE study, a 66-group RUG-IV system. The CAN-STRIVE project has completed data collection in long-term care homes and its preliminary analyses. This session will report on the findings of both projects and discuss plans for future analyses.
3:00 pm - 4:00 pm
Plenary Session 2
Harriet Finne-Soveri, MD, PhD : Impact of interRAI tools in Long Term Care Facilities in Finland and uses of interRAI tools for planning services
The RAI 2.0 has been an important part of national initiatives to improve long term care services in Finland . The use of Quality Indicators (QIs) has provided valuable insights to the quality of nursing home services. This presentation reports on Finnish experiences in using QIs to support clinical interventions aimed at improving care for the frail elderly. Future directions in the use of other interRAI instruments in Finland will also be discussed.
4:00 pm - 4:45 pm
Plenary Session 3
John N. Morris, PhD : interRAI initiatives for Quality of Life and Wellness
As part of interRAI's commitment to develop a fully integrated health information system, new research has been done to create a suite of Quality of Life tools. These instruments examine the subjective dimensions of quality of life. They serve as a complement to interRAI's clinical assessment tools by emphasizing the person's perspective. In addition, interRAI's Wellness instrument is designed to support health promotion and wellness for seniors residing independently in the community and in continuing care retirement communities. This presentation will summarize current progress for both of these initiatives.
| Tuesday, June 23 |
9:00 am - 10:00 am
Plenary Session 4
Pálmi V. Jónsson, MD, FACP , Anja Noro, PhD and John P. Hirdes, PhD : interRAI Solutions for Improving Care of the Elderly in Acute Hospital Settings
The Nordic AC study is the largest research initiative to date on application of interRAI instruments to the elderly in acute care settings. This presentation will summarize current research on the interRAI AC instrument, including the new MAPLe-AC decision support system. In addition, a 5-country study on the use of the interRAI Emergency Department Screener to identify ALC patients and to support referrals to home care will be described.
| Wednesday, June 24 |
10:45 am - 11:45 am
Symposium on Assisted Living / Supportive Housing
Judy Bowyer, RN, BScN, Med
Kristina Hall
Norma Jutan, PhD
Mary Henderson-Betkus RN, BScN, MSc
Colleen J. Maxwell PhD
Laurel A. Strain PhD
Across Canada, health system reform, financial constraints and policy initiatives emphasizing deinstitutionalization have led to a significant expansion of what is termed Supportive or Assisted Living (SL/AL). Considerable debate revolves around the ‘type' of person who can be effectively and safely cared for in these settings and how best to determine and implement eligibility criteria for SL/AL. Our speakers will provide a unique overview of how policy and program initiatives relevant to SL/AL vary across 3 provinces (Ontario, Alberta and British Columbia). The presentations will highlight similarities and differences in SL/AL settings and services and in the health and social needs of persons residing in SL/AL using comparable RAI data from the 3 provinces.
11:45 am - 12:30 pm
Plenary Session 5
John P. Hirdes, PhD: The Quality of Care for Vulnerable Populations: How is Canada doing?
Canadian citizens are often concerned about the quality of our health care system, and this is particularly true for services targeting the elderly. This presentation examines data from several jurisdictions to consider the quality of home care, long term care and mental health services in Canada . It is addresses steps that must be taken for Canadian provinces and territories to fully benefit from quality applications of interRAI instruments.
