Book contents
- Frontmatter
- Contents
- Foreword
- Acknowledgements
- List of contributors
- List of boxes, figures and tables
- Part I Principles of performance measurement
- Part II Dimensions of performance
- Part III Analytical methodology for performance measurement
- Part IV Performance measurement in specific domains
- 4.1 Performance measurement in primary care
- 4.2 Chronic care
- 4.3 Performance measurement in mental health services
- 4.4 Long-term care quality monitoring using the inteRAI common clinical assessment language
- Part V Health policy and performance measurement
- Part VI Conclusions
- Index
4.4 - Long-term care quality monitoring using the inteRAI common clinical assessment language
Published online by Cambridge University Press: 06 July 2010
- Frontmatter
- Contents
- Foreword
- Acknowledgements
- List of contributors
- List of boxes, figures and tables
- Part I Principles of performance measurement
- Part II Dimensions of performance
- Part III Analytical methodology for performance measurement
- Part IV Performance measurement in specific domains
- 4.1 Performance measurement in primary care
- 4.2 Chronic care
- 4.3 Performance measurement in mental health services
- 4.4 Long-term care quality monitoring using the inteRAI common clinical assessment language
- Part V Health policy and performance measurement
- Part VI Conclusions
- Index
Summary
Introduction
Residential care has been the mainstay of long-term care delivery systems in industrialized countries for decades. However, changes in acute care financing; individuals' preferences for remaining in the community; and the ageing of the elderly population mean that individuals with increasing frailty and impairments occupy these long-term care facilities. Most long-term care systems have evolved idiosyncratically as countries have faced different demographic imperatives and responded to different regulatory and medical-care systems. The need to characterize the needs of the population of long-term care users and the types and quality of services they receive has come to the forefront as the acuity of long-term care facilities has increased and as countries attempt to rebalance these budgets in order to provide more community support.
This chapter describes the development of a comprehensive clinical and functional assessment instrument – the nursing home Resident Assessment Instrument (RAI), more commonly known as the Minimum Data Set (MDS). This was designed in the United States on the basis that the proper provision of the complex care needed by frail older persons is predicated upon a comprehensive clinical assessment and it is the absence of such that underlies deficient quality of care. Originally intended as a clinical care planning tool, this minimum set of clinical and demographic data on all nursing home residents has been adapted as a vehicle for determining payment levels and to monitor the quality of care.
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- Performance Measurement for Health System ImprovementExperiences, Challenges and Prospects, pp. 472 - 506Publisher: Cambridge University PressPrint publication year: 2010
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