Purpose
At interRAI, we believe that comprehensive assessment is the foundation for effective care planning. Clinical Assessment Protocols, known as CAPs, are designed to assist the assessor to interpret systematically all the information recorded on an instrument. Assessment Protocols are not intended to automate care planning; rather, they help the clinician focus on key issues identified during the assessment process, so that decisions as to whether and how to intervene can be explored with the individual. Each Assessment Protocol has been developed by a group of experts and validated through clinical focus groups and on-going empirical research.
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Care Planning Process
Assessment (interRAI/other) ► Decision-making (CAPs/other) ► Care plan development ► Care plan implementation ► Evaluation
The New Generation of interRAI Clinical Assessment Protocols
As part of a multi-year initiative to update its entire family of assessment instruments, interRAI is pleased to release new Clinical Assessment Protocols (CAPs) for use with its assessment instruments for home care, community health, long-term care facilities, and assisted living. The new CAPs can also be used with the prior generation of the interRAI assessment instrument used in long-term care facilities (the MDS 2.0) and home care (the HC 2.0). As a result, clinicians using either the prior instruments or the new suite of instruments will be able to benefit from this major research initiative.
The set of new CAPs was first released at the joint interRAI-Canadian Institute for Health Information conference held in Ottawa, Canada in May 2007. interRAI anticipates releasing new CAPs for use with its inpatient psychiatry and community mental health instruments (interRAI Mental Health and interRAI Community Mental Health) in 2010. Three working groups are also in the process of developing the first generation of CAPs for the interRAI Acute Care, interRAI Palliative Care, and interRAI Intellectual Disability instruments.
27 CAPs for Use with interRAI’s Community and Long-Term Care Assessment Instruments
Functional Performance CAPs
- Physical Activities Promotion
- Instrumental Activities of Daily Living
- Activities of Daily Living
- Home Environment Optimization
- Institutional Risk
- Physical Restraints
Cognition/Mental Health CAPs
- Cognitive Loss
- Delirium
- Communication
- Mood
- Behavior
- Abusive Relationship
Social Life CAPs
- Activities
- Informal Support
- Social Relationship
Clinical Issues CAPs
- Falls
- Pain
- Pressure Ulcer
- Cardiorespiratory Conditions
- Undernutrition
- Dehydration
- Feeding Tube
- Prevention
- Appropriate Medications
- Tobacco and Alcohol Use
- Urinary Incontinence
- Bowel Conditions
Research and Development Group
The effort to develop the new CAPs was led by interRAI’s Instrument and System Development (ISD) committee chaired by John Morris, PhD MSW. The ISD and support subcommittee membership is comprised of a multidisciplinary team from eight countries, including:
• Australia (Len Gray, MD PhD)
• Canada (Katherine Berg, PhD PT; John P. Hirdes, PhD; Trevor Frise Smith, PhD)
• Finland (Harriet Finne-Soveri, MD PhD; Magnus Björkgren, PhD)
• France (Jean-Claude Henrard, MD)
• Netherlands (Dinnus Frijters, PhD)
• Sweden (Gunnar Ljunggren, MD PhD)
• Switzerland (Ruedi Gilgen, MD)
• United States (Pauline Belleville Taylor, RN MS CS; Brant E. Fries, PhD; Catherine Hawes, PhD; John N. Morris, PhD MSW; R. Knight Steel, MD; Sue Nonemaker, RN, MS; Terry Rabinowitz, MD; David Zimmerman, PhD)
