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interRAI Newsletter
Issue 20 - March 2015

Inside This Issue
List of meetings 
interRAI world

2015

 

iNICA: April 17-18, Lausanne, Switzerland

 

iNICA & iNAC: April 19, Lausanne, Switzerland

 

iNAC: April 21-22, Lausanne, Switzerland

 

ISD: May 9-12, Seoul, Korea

 

ISD: October 16-19, Waiheke Island, New Zealand

 

iNAC: December 2-4, Beijing, China

 

SPOC: December 3-7, Shanghai, China 

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Editor: Len Gray

Contact: Please send any items for the next newsletter to
 Jo Grey


::
From the President   
 

It has been over a year since the last interRAI Newsletter, but it has been quite a year for interRAI. 


The work of interRAI has gradually expanded into new fields from its beginnings in long term care and community aged care, to encompass mental health, disability services, hospital care and most recently paediatrics.  To enable a wider group of contributors, it has become necessary to re-arrange our structure to enable a wider group of contributors. 

We have created 3 major working groups (or "interRAI Networks") focussing on integrated care and aging (iNICA); acute hospital care (iNAC) and mental health (iNMH); we may form more in the future as newer applications mature or we develop new instruments. These groups meet at least yearly in person, and frequently by teleconference to promote instrument development and research in their respective fields.  Every two years, interRAI as a whole will meet to be sure that information is shared across the Networks. Coalescing these groups is the interRAI central "Instrument and Systems Development" committee, which sets policy around instrument development, reviews scientific developments, and is the final arbiter of new systems.  Other working groups attend to general policy and operations.  interRAI membership now approaches 100 members from 35 nations.

interRAI's fundamental mission and our values remain unchanged; we continue to focus on the use of science to support decision-making in the health care field, and remain dedicated to be an independent, non-profit, voluntary organization. 
 
In April 2016, interRAI will conduct it first global "open" conference in Toronto, Canada in conjunction with its own plenary meeting.  This conference will bring together all interRAI members as well as a much wider community of people who have an interest or engagement with interRAI.  This meeting will be widely publicised, including in future editions of this newsletter.

  

Brant Fries

President, interRAI 

New interRAI Acute Care Screener: The Purple Box Assessment

 

interRAI has developed a new assessment system to support screening of patients who arrive in acute care hospitals.  The system is designed to screen for a multitude of syndromes and risks associated with hospitalisation such as delirium, dementia, falls, and pressure ulcer.  

 

The assessment comprises 59 clinical observations, supported by a range of algorithms to generate a problem list, a small number of scales and diagnostic and risk screening tools.  It is expected to be applied to ALL adult patients, and will be administered by nursing staff at arrival.  Preliminary testing suggests that it requires 15 minutes to complete.  It is envisaged as a companion instrument to the interRAI Acute Care assessment system, which is designed for more in depth assessment of older patients with complex functional and psychosocial needs.

 

The "Purple Box Assessment" (or PBA) arises from its place in the hospital "mini-suite" depicted below.

 

 

It is approved as an "alpha" version by interRAI's Instrument and Systems Development committee.  This level of development denotes its readiness for field testing. 

 

An extensive program of research is planned by iNEAC over the next 2 years to fully test its clinimetric properties, and to prepare a final version with associated applications and training materials. For further information, contact Len Gray.  

Paediatric Home Care Manual now Available

The interRAI Pediatric Home Care Assessment (PEDS-HC) is a standardized assessment tool developed for use in programs serving children with special health care challenges. The PEDS-HC instrument is designed to be used to assess the home care challenges of children and youths ranging in age from 4 through 20 (in the USA) who are seeking or receiving long-term services or supports. 

Drs Charles Phillips and Catherine Hawes (interRAI Fellows) are the primary authors. This book contains introductory material, an item-by-item guide to completing the assessment form, and the assessment form itself.  

More... 

Popular New interRAI Article  

An interRAI paper Care planning needs of palliative home care clients: Development of the interRAI palliative care assessment clinical assessment protocols (CAPs) by Shannon Freeman, John P Hirdes, Paul Stolee, John Garcia, Trevor Frise Smith, Knight Steel and John N Morris BMC Palliative Care 2014, 13:58 (15 December 2014), has recently been granted "highly accessed status" on BMC palliative Care. More...

Brief Mental Health Screener proves successful

The  interRAI Brief Mental Health Screener (BMHS), a unique mental health assessment form developed by Ron Hoffman, PhD with the help of interRAI Board member and academic advisor Dr. John Hirdes, is becoming more widely used in Canada, following a series of successful pilot studies.

 

The one-page assessment form is designed to establish a "common, descriptive, but efficient language" between police officers on the street and medical staff in the hospitals. The BMHS grew out of Hoffman's observation that there is a frequent disconnect between law enforcement and medical personnel when the police bring seemingly mentally disturbed individuals into the hospital.

 

Recent Publications

 

Ballokova, A., Peel, N., Fialova, D., Scott, I., Gray, L., Hubbard, R. (2014). "Use of benzodiazepines and association with falls in older people admitted to hospital: a prospective cohort study." Drugs & Aging 31(4): 299-310.
 

Costa, A. P., Hirdies, J., Heckman, G., Dey, A., Jonsson, P., Lakhan, P., Ljunggren, G., Singler, K., Sjostrand, F., Swoboda, W., Wellens, N., Gray, L. (2014). "Geriatric syndromes predict postdischarge outcomes among older emergency department patients: findings from the interRAI Multinational Emergency Department Study." Academic Emergency Medicine 21(4): 422-433.
 

Peel, N., Chan, K., Hubbard, R. (2014). "The outcomes of cognitively impaired older people in Transition Care " Australasian Journal on Ageing [EPub ahead of print].
 

Peel, N., Navanathan, S., Hubbard, R. (2014). "Gait speed as a predictor of outcomes in post-acute transitional care for older people." Geriatrics and Gerontology International 14(4): 906-910.
 

Runganga, M., Peel, N., Hubbard, R. (2014). "Multiple medication use in older patients in post-acute transitional care: a prospective cohort study." Clinical Interventions in Aging 9: 1453-1462.
 

Travers, C., Byrne, G., Pachana, N., Klein, K., Gray, L.. (2014). "Prospective observational study of dementia in older patients admitted to acute hospitals." Australasian Journal on Ageing 33(1): 55-58. 

 

Hirth RA, Grabowski DC, Feng Z, Rahman M, Mor V.

 (2014). "Effect of nursing home ownership on hospitalization of long-stay residents: an instrumental variables approach."
Int J Health Care Finance Econ. 2014 Mar;14(1):1-18.

 

Rahman M, Foster AD, Grabowski DC, Zinn JS, Mor V.

 (2013). "Effect of hospital-SNF referral linkages on rehospitalization." Health Services Research. 2013 Dec;48(6 Pt 1):1898-919. doi: 10.1111/1475-6773.12112. Epub

2013 Oct 17.

 

Givens JL, Mitchell SL, Kuo S, Gozalo P, Mor V, Teno J.

 (2013). "Skilled nursing facility admissions of nursing home residents with advanced dementia."  Journal of the American Geriatrics Society 2013 Oct;61(10):1645-50. doi: 10.1111/jgs.12476. Epub 2013 Oct 

Szczerbińska K, Topinková E, Brzyski P, van der Roest HG, Richter T, Finne-Soveri H, Denkinger MD, Gindin J, Onder G, Bernabei R (2014).  "The characteristics of diabetic residents in the European nursing homes - results from the SHELTER Study."  J Am Med Dir Assoc. 2014 Dec 19. doi: 10.1016/j.jamda.2014.11.009. [EPub ahead of print].

 

Shannon Freeman, John P Hirdes, Paul Stolee, John Garcia, Trevor Frise Smith, Knight Steel and John N Morris (2014). "Care planning needs of palliative home care clients: Development of the interRAI palliative care assessment clinical assessment protocols (CAPs)." BMC Palliative Care 2014, 13:58 (15 December 2014).

 

New Members and Promotions

Fellows
Dr Ruth Hubbard is a Senior Lecturer in Geriatric Medicine at the University of Queensland and Consultant Physician in Geriatric Medicine. She moved to Brisbane from Cardiff in 2011.
Dr Brigette Meehan has a masters in education from the University of Canterbury in Christchurch, New Zealand, and a PhD in speech pathology from the University of Queensland in Australia.
Dr Chris Perlman is an Assistant Professor in the School of Public Health and Health Systems at the University of Waterloo. Dr. Perlman was also the Associate Director of the Homewood Research Institute at Homewood Health Centre.
Dr Sofia Sluchevskaya is an assistant professor in Mechnikov I.I. NW State Medical University in St. Petersburg, Russia. She has completed her medical studies in St. Petersburg Medical University named after Pavlov I.P. specializing in psychiatry.
Dr Fredrick Sjöstrand is an emergency physician and is trained in geriatrics with special emphasis on palliative care. Prior to entering the interRAI organization Dr. Sjöstrand conducted research on fluid balance and pain management.
Dr Hein van Hout is a senior researcher at the VU University Medical Center of Amsterdam and coordinates the primary care geriatric research. His primary research interests are case-finding, prevention and treatment of persons with dementia,depression, and somatic frailty.


Also Promoted to Fellowship 

Congratulations to the following people who have also been promoted to interRAI fellowship: Andrew Costa, Melinda Martin Khan, George Heckman, Stefanie Monod, Samir Sinha. These members have been profiled in earlier newsletters. 


New 
Associate Fellows  

Congratulations to the following new interRAI Associate Fellows: Chantal van Audenhove; Christophe Bula; Joachim Cohen; Leon Geffen; Alice Hirdes; Ron Hoffman; Vahe Kehyayan; Marie-Jeanne Kergoat; Duncan Laurenson; Rob van Marum; Harm van Marwijk; Anja Noro; Nancye Peel and Nathalie Wellens. 

 

Promotions 

Professor  Liv Wergeland Sørbye 

Congratulations to Liv Wergeland Sørbye, who has been promoted to Professor after the evaluation of her scientific work, teaching and supervision experience and achievements.

 

Dr Charles Phillips

Dr. Phillips has been named a standing member of the US Agency for Healthcare Research and Quality's (AHRQ) Healthcare Effectiveness and Outcomes Research (HEOR) study section.

 

Drs Charles Phillips and Catherine Hawes

Charles Phillips and Catherine Hawes have both been named Regent Professor, Emeritus at the School of Public Health, Texas A&M University.


 
Dr Ruth Hubbard

Dr Hubbard has been promoted to the level of Associate Professor at the University of Queensland.