Implementing the interRAI Check-Up Comprehensive Assessment: Facilitating Care Planning and Care Coordination during the Pandemic

Figures & Tables

Survey respondents’ demographics.

	N (%)
Gender
Female	48 (100.0%)
Age
Less than 40 years old	15 (31.3%)
40 to 49 years old	18 (37.5%)
50 years and older	15 (31.3%)
Experience as a Care Coordinator
Less than 5 years	17 (35.42%)
5 years to less than 10 years	16 (33.3%)
10 years or greater	15 (31.25%)
Designated Health Profession
Registered Nurse (RN)	31 (64.6%)
Social Worker (SW)	8 (16.7%)
Therapies	9 (18.75%)

[i] HNHB = Hamilton Niagara Haldimand Brant; WW = Waterloo Wellington.

Therapies = Occupational Therapist, Physiotherapist, and Speech Language Pathologist.

Care Coordinators’ use of the CU.

	N (%)
Time to administer the CU during a telephone assessment^a
<20 minutes	3 (6.3%)
20–29 minutes	8 (16.7%)
30–39 minutes	14 (29.2%)
40–49 minutes	13 (27.1%)
>50 minutes	10 (20.8%)
Patient populations that the CU was administered for
Community independence	47
Chronic – initial	13
Chronic – reassessment	29
Complex – initial	2
Complex – reassessment	6
Patients with cognitive impairment (or their caregivers)	6
Long-term care – reassessment	3
Primary respondent^b
Caregiver	4 (8.3%)
Caregiver (primarily) and the patient provided some responses	11 (22.9%)
The caregiver and patient equally	6 (12.5%)
Patient (primarily) and the caregiver provided some responses	17 (35.4%)
Patient	10 (20.8%)
Based on the CU results, how often Care Coordinators identified and prioritized patients needing a more comprehensive assessment
Always	6 (12.5%)
Most of the time	9 (18.8%)
Sometimes	17 (35.4%)
Rarely	9 (18.8%)
Never	4 (8.3%)
No response (blank)	3 (6.3%)
How often the CU completed over the phone provides a sufficient picture of the patient to create a care plan
Always	6 (12.5%)
Most of the time	17 (35.4%)
Sometimes	15 (31.3%)
Rarely	6 (12.5%)
Never	1 (2.1%)
No response (blank)	3 (6.3%)

[i] HNHB = Hamilton Niagara Haldimand Brant; WW = Waterloo Wellington.

^a On average.

^b Most often.

^c Such as when the example provided in the assessment did not apply to the person.

Barriers to administering the CU.

	EXPERIENCE AS A CARE COORDINATOR			DESIGNATED HEALTH PROFESSION
	LESS THAN 5 YEARS	5 YEARS TO 10 YEARS	10 YEARS OR GREATER	RN	SW	THERAPIES
How often the assessor was uncertain about the person’s response to questions and documented these potential discrepancies
All of the time	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)
Most of the time	0 (0.0%)	2 (4.2%)	2 (4.2%)	3 (6.3%)	1 (2.1%)	0 (0.0%)
Sometimes	4 (8.3%)	6 (12.5%)	6 (12.5%)	11 (22.9%)	2 (4.2%)	3 (6.3%)
Rarely	8 (16.7%)	7 (14.6%)	5 (10.4%)	13 (27.1%)	4 (8.3%)	3 (6.3%)
Never	5 (10.4%)	1 (2.1%)	2 (4.17%)	4 (8.3%)	1 (2.1%)	3 (6.3%)
How often alternate examples for questions were provided
All of the time	1 (2.1%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (2.1%)	0 (0.0%)
Most of the time	6 (12.5%)	6 (12.5%)	3 (6.3%)	11 (22.9%)	2 (4.2%)	2 (4.2%)
Sometimes	4 (8.3%)	7 (14.6%)	10 (20.8%)	14 (29.2%)	3 (6.3%)	4 (8.3%)
Rarely	5 (10.4%)	3 (6.3%)	2 (4.2%)	6 (12.5%)	2 (4.2%)	2 (4.2%)
Never	1 (2.1%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (2.1%)
How often the Care Coordinator accessed the patient’s history or other information before administering the CU
All of the time	11 (22.9%)	6 (12.5%)	7 (14.6%)	13 (27.1%)	7 (14.6%)	4 (8.3%)
Most of the time	5 (10.4%)	7 (14.6%)	4 (8.3%)	11 (22.9%)	1 (2.1%)	4 (8.3%)
Sometimes	1 (2.1%)	2 (4.2%)	4 (8.3%)	7 (14.6%)	0 (0.0%)	0 (0.0%)
Rarely	0 (0.0%)	1 (2.1%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (2.1%)
Never	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	0 (0.0%)

[i] RN = Registered Nurse; SW = Social Worker.

Therapies = Occupational Therapist, Physiotherapist, and Speech Language Pathologist.

Care Coordinators’ use of CU results for care planning.

HOW OFTEN THE CU RESULTS…	N (%)
HOW OFTEN THE CU RESULTS…	MEDICAL ISSUES	FUNCTIONAL STATUS/ADLS	MOOD	COGNITION	SOCIAL ISOLATION	INFORMAL SUPPORTS/IADLS
Help gain an understanding of the patient’s:
Very often	3 (6.3%)	9 (18.8%)	4 (8.3%)	5 (10.4%)	5 (10.4%)	5 (10.4%)
Often	15 (31.3%)	25 (52.1%)	20 (41.7%)	16 (33.3%)	16 (33.3%)	29 (60.4%)
Sometimes	21 (43.8%)	9 (19.8%)	14 (29.2%)	18 (37.5%)	17 (35.4%)	9 (18.8%)
Rarely	5 (10.4%)	2 (4.2%)	7 (14.6%)	5 (10.4%)	5 (10.4%)	1 (2.1%)
Never	1 (2.1%)	0 (0.0%)	0 (0.0%)	1 (2.1%)	2 (4.2%)	1 (2.1%)
No response (blank)	3 (6.3%)	3 (6.3%)	3 (6.3%)	3 (6.3%)	3 (6.3%)	3 (6.3%)
Help in the development of care planning related to:
Very often	1 (2.1%)	9 (18.8%)	3 (6.3%)	4 (8.3%)	3 (6.3%)	8 (16.7%)
Often	18 (37.5%)	23 (47.9%)	15 (31.3%)	16 (33.3%)	15 (31.3%)	23 (47.9%)
Sometimes	14 (29.2%)	10 (20.8%)	17 (35.4%)	17 (35.4%)	20 (41.7%)	11 (22.9%)
Rarely	10 (20.8%)	3 (6.3%)	9 (18.8%)	7 (14.6%)	5(10.4%)	2 (4.2%)
Never	2 (4.2%)	0 (0.0%)	1 (2.1%)	1 (2.1%)	2 (4.2%)	1 (2.1%)
No response (blank)	3 (6.3%)	3 (6.3%)	3 (6.3%)	3 (6.3%)	3 (6.3%)	3 (6.3%)

[i] ADLs = Activities of daily living; IADLs = Instrumental activities of daily living.

Care Coordinators’ use of scales for care planning (n = 45).

	EXPERIENCE AS A CARE COORDINATOR			DESIGNATED HEALTH PROFESSION
	LESS THAN 5 YEARS	5 YEARS TO 10 YEARS	10 YEARS OR GREATER	RN	SW	THERAPIES
How often the DIVERT scale score was used
With all patients	2 (4.4%)	2 (4.4%)	0 (0.0%)	0 (0.0%)	1 (2.2%)	3 (6.7%)
With those who were DIVERT 3 or more	1 (2.2%)	0 (0.0%)	1 (2.2%)	1 (2.2%)	0 (0.0%)	1 (2.2%)
With those who were DIVERT 5 or 6	3 (6.7%)	4 (8.9%)	2 (4.4%)	8 (17.8%)	0 (0.0%)	1 (2.2%)
Do not use	11 (24.4%)	8 (17.8%)	11 (24.4%)	19 (42.2%)	7 (15.6%)	4 (8.9%)
How often the CHESS scale score was used
With all patients	3 (6.7%)	4 (8.9%)	2 (4.4%)	4 (8.9%)	2 (4.4%)	3 (6.7%)
With those who scored 3 or more	0 (0.0%)	1 (2.2%)	0 (0.0%)	0 (0.0%)	0 (0.0%)	1 (2.2%)
With those who scored 4 or more	3 (6.7%)	2 (4.4%)	4 (8.9%)	7 (15.6%)	1 (2.2%)	1 (2.2%)
With those who scored End-Stage	1 (2.2%)	1 (2.2%)	0 (0.0%)	2 (4.4%)	0 (0.0%)	0 (0.0%)
Do not use	10 (22.2%)	6 (13.3%)	8 (17.8%)	15 (33.3%)	5 (11.1%)	4 (8.9%)

[i] N = Registered Nurse; SW = Social Worker; OT = Occupational Therapist; PT = Physiotherapist; SLP = Speech Language Pathologist.