Using the Evidence Integrating MDS Reports and Quality Indicator

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					2008 Canadian RAI Conference                                                                                     May 2008
Making the Quality Connection                                                                             Edmonton, Alberta




            Using the Evidence: Integrating                                     Objectives
              MDS Reports and Quality                      • To identify falls risk factors using the MDS/RAI
                                                             2.0
               Indicator Data into Falls
                                                           • To demonstrate how the outputs of MDS such
             Prevention and Management                       as RAPS and reports generated from software
                                                             such as PointClickCare can be used to help with
                                                             falls care planning and quality indicator analysis
                          Tara Kelly, OT
                       Central Care Corporation            • To identify how program success can be
                                                             measured




                         Background                                        Fall Risk Factors
         • As a home we have been using the MDS/           • CIHI has identified the following MDS risk factors
           PCC system since 2003                             as significant to predict falls:
                                                             –   History of falling
         • In June 2007 our team began using the             –   Increasing age
           reports generated from MDS results                –   Cognitive impairment
         • Currently, we are using the reports               –   Use of anti-psychotic or psychotropic medications
           generated from MDS results to assist with         –   New medication in last 90 days
           our Falls Analysis and Reduction Team             –   Wandering
           intervention plans                                –   Walking with supervision or limited assistance




                      Fall Risk Factors                                  Falls Interventions
         • The Falls RAP in the MDS identifies the         • Thorough care planning identifies pre-fall
           internal and external factors causing             risk factors and uses post-fall pattern
           Residents to be at risk of falls                  analysis
         • Falls RAP and MDS generated clinical            • The Falls RAP, Resident Response
           scales assist with critical thinking in falls     Analyzer, Outcome Summary Report and
           prevention (i.e. CPS)                             MDS QI Report help to develop
                                                             interventions




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2008 Canadian RAI Conference                                                                                              May 2008
Making the Quality Connection                                                                                      Edmonton, Alberta




                 Measuring Outcomes                                     Evidence in Action
         • The goal is to have decreased number of                   DATA
                                                                 COLLECTION
                                                                                                     ASSESS RISK
                                                                                                       FACTORS
                                                              •Information input to                •Complete RAPs
           falls and fall injury                              MDS                                  and Clinical Scales

         • With the MDS we can measure our
           progress and visualize it- Outcome                     MEASURE               If new      CARE PLANNING
                                                                 OUTCOMES               or         •Find your target
           Summary Report and MDS QI Report                   •Analyze the MDS          repeat     interventions by
                                                              QI Report and             triggers   answering RAPs
         • Use MDS reports in combination with PCC            Outcome Summary                      questions, using the
                                                                                                   Resident Response
                                                              Report and PCC
           QIA program for data collection and                QIA                                  Analyzer, the MDS
                                                                                                   QI Report and
                                                              •Recommend
           analysis                                           quarterly analysis                   Outcome Summary
                                                                                                   Report




                        Challenges                                                    Summary
         • Staff buy-in of the MDS/RAI-2.0             • We have the opportunity to:
         • Assessment timelines need to be met-          –Use the tools available to us to
           regular quarterly assessment                   improve our falls risk identification
         • Perception that the reports replace face-
           to-face clinical assessment
                                                         –Use the reports generated from
                                                          MDS results to develop
         • Willingness to repeat the process several
           times                                          interventions, measure outcomes
                                                          and ultimately prevent falls




                                                                                 References
                                                       • Canadian Institute for Health Information 2005-2006
                                                         CCRS Outputs for Decision Support
                                                       • Canadian Institute for Health Information
                     QUESTIONS?




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