Healthcare Management Forum最新文献_第9页

Building a Rational Clinical Information System for Older Adults in Acute Care: The Role of the interRAI Acute Care Suite. 构建合理的老年人急性护理临床信息系统：interRAI急性护理套件的作用。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-10-27 DOI: 10.1177/08404704251389449

George A Heckman, Micaela Jantzi, John P Hirdes, Amanda Nova, Jacobi Elliott, Samir Sinha

引用次数: 0

Educational Approaches for Successful Implementation of interRAI Assessment Systems. 成功实施rai评估系统的教育方法。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-11-10 DOI: 10.1177/08404704251390312

Brigette Meehan, Mary James, Bonnie A Pearson, John P Hirdes

引用次数: 0

The OnSPARK LTC Data Platform: Leveraging interRAI to Build a Learning Health System for Long-Term Care. OnSPARK LTC数据平台：利用interRAI建立一个长期护理的学习型健康系统。

IF 2.4

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2026-01-25 DOI: 10.1177/08404704251392810

Andrew P Costa, Michaella Miller, Colleen Webber, Darly Dash, Luke Turcotte, Aaron Jones, Arthur Sweetman

{"title":"The OnSPARK LTC Data Platform: Leveraging interRAI to Build a Learning Health System for Long-Term Care.","authors":"Andrew P Costa, Michaella Miller, Colleen Webber, Darly Dash, Luke Turcotte, Aaron Jones, Arthur Sweetman","doi":"10.1177/08404704251392810","DOIUrl":"10.1177/08404704251392810","url":null,"abstract":"Long-Term Care (LTC) in Canada faces persistent challenges in quality, staffing, and accountability. InterRAI assessment instruments, used nationally and internationally, provide validated scales, quality indicators, and care planning tools that support evidence-based resident assessment. Yet, their potential has been limited by delayed access, facility-level aggregation, and lack of integration with workforce and operational data. OnSPARK (Ontario Supporting Partnerships to Advance Care and Knowledge in Long-Term Care) addresses this gap as Canada's largest sector-governed LTC data platform. By integrating de-identified interRAI assessments, electronic health records, and staffing data from more than 200 Ontario homes, OnSPARK delivers unit-level analytics, near real-time performance reporting, and a secure environment for embedded research and artificial intelligence development. This article describes how OnSPARK enables interRAI to function as the backbone of a learning health system in LTC, advancing unit-level reporting, workforce-outcome linkages, artificial intelligence-enabled tools, and collaboratives such as the Seniors Quality Leap Initiative.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"178-184"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876429/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146044079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Care Planning Across the Health System: Intersectoral Application of the interRAI Assessment System. 整个卫生系统的护理规划：综合评估系统的跨部门应用。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-09-28 DOI: 10.1177/08404704251370371

Connie Schumacher, Margaret Saari, Melissa Northwood, Fabrice Mowbray, Chantelle Mensink, Michelle Heyer, Kasia Bail, Grace Pyatt

{"title":"Care Planning Across the Health System: Intersectoral Application of the interRAI Assessment System.","authors":"Connie Schumacher, Margaret Saari, Melissa Northwood, Fabrice Mowbray, Chantelle Mensink, Michelle Heyer, Kasia Bail, Grace Pyatt","doi":"10.1177/08404704251370371","DOIUrl":"10.1177/08404704251370371","url":null,"abstract":"Older adults living with frailty and multimorbidity interact with multiple care providers and health settings, resulting in fragmented care and information discontinuity. Standardized assessments potentiate integrated care by communicating consistent measures of health information between sectors and providers. We use a pragmatic case example of a theoretical medically complex older adult to illustrate use of interRAI standardized assessments throughout the health journey. The case example represents the assessment findings of a patient accessing care through primary care, the emergency department, home/community care and long-term care. A suite of assessment instruments embedded with decision support algorithms guides nursing care decisions, while a common language and standardized assessment items support effective communication and collaboration among the health team. Successful adoption of integrated and comprehensive assessment tools requires training, engagement, and time to embed processes into practice. interRAI assessments enable integration through a common language, aligning successive assessments across the care continuum.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"132-140"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187165","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Born from Crisis: The Evolution of interRAI and Its Relevance to Today's Healthcare Challenges. 从危机中诞生：interRAI的演变及其与当今医疗保健挑战的相关性。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-10-27 DOI: 10.1177/08404704251389190

Brant E Fries, George Heckman, John P Hirdes, Harriet Finne-Soveri, Alice Hirdes, Yohana J S Mashalla, Shannon L Stewart

{"title":"Born from Crisis: The Evolution of interRAI and Its Relevance to Today's Healthcare Challenges.","authors":"Brant E Fries, George Heckman, John P Hirdes, Harriet Finne-Soveri, Alice Hirdes, Yohana J S Mashalla, Shannon L Stewart","doi":"10.1177/08404704251389190","DOIUrl":"10.1177/08404704251389190","url":null,"abstract":"Fragmented healthcare systems worldwide struggle to support patient populations with complex health and social needs. System integration requires a standardized clinical health information system to better care for these populations. This review describes how interRAI systems evolved into powerful solutions to support healthcare system integration. In response to a care quality crisis in long-term care homes in the United States, Congress mandated a standardized Minimum Data Set (MDS) from which multiple outputs were derived to support care planning, care quality, and case-mix assessment. This work drew international attention, leading to the creation of interRAI. Three decades of extensive international research, stakeholder engagement, and implementation have led to the creation of comprehensive cross-sectoral assessment systems for diverse populations, including older adults, mental health patients, and children and youth. The interRAI assessment systems, widely used in Canada and internationally, constitute comprehensive clinical assessment systems capable of supporting health system integration.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"75-84"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876427/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145379141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Inspiring That EUREKA Moment: The Importance of Patient Co-Design of Outputs from interRAI Assessments. 激发灵感的尤里卡时刻：患者共同设计的重要性从rai评估输出。

IF 2.4

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-11-17 DOI: 10.1177/08404704251393901

Christopher M Perlman, Lynn Martin, Jacobi Elliott

{"title":"Inspiring That EUREKA Moment: The Importance of Patient Co-Design of Outputs from interRAI Assessments.","authors":"Christopher M Perlman, Lynn Martin, Jacobi Elliott","doi":"10.1177/08404704251393901","DOIUrl":"10.1177/08404704251393901","url":null,"abstract":"There are rich data available from assessments like the interRAI Mental Health that may not be shared with patients in usable ways. We outline a co-design process as an example for health system providers interested in developing platforms for sharing interRAI information with care recipients. Persons with lived experience (current and past service users) identified design specifications for summaries of interRAI data over a series of co-design workshops, including visual and text representations of clinical information as well as processes for sharing summaries with patients. Graphic and text considerations were identified in workshops, including icons associated with key clinical issues and nuanced text summaries of assessment outputs and implications. Participants noted that persons in inpatient care should review this information once stable, and with assistance of a peer support specialist. This work affirms that it is not only desirable, but entirely achievable from an organizational perspective to prioritize and integrate patient voices in the design and use of clinical information.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"167-172"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145542868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Supporting Equitable Aged Care Access: Feasibility and Acceptability Pilot Study of a Paeārahi-Facilitated interRAI Self-Assessment Model for Indigenous Elders. 支持公平的老年护理获取：Paeārahi-Facilitated原住民长者自我评估模型的可行性与可接受性试点研究。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-10-09 DOI: 10.1177/08404704251369754

Joanna F Hikaka, Mariana Foxcroft, Karyn Foley, Sally Aydon, Robinson J Spencer, Brigette Meehan

{"title":"Supporting Equitable Aged Care Access: Feasibility and Acceptability Pilot Study of a Paeārahi-Facilitated interRAI Self-Assessment Model for Indigenous Elders.","authors":"Joanna F Hikaka, Mariana Foxcroft, Karyn Foley, Sally Aydon, Robinson J Spencer, Brigette Meehan","doi":"10.1177/08404704251369754","DOIUrl":"10.1177/08404704251369754","url":null,"abstract":"An interRAI assessment is required for older people in Aotearoa New Zealand (NZ) to access public aged care services. Paeārahi (Māori health navigators) provide culturally-appropriate, connected healthcare. We investigated the feasibility and acceptability of paeārahi-facilitated Check Up Self Report (CU-SR) completion with older Māori in NZ. Prospective non-randomised, non-comparator intervention study in one NZ health practice with eligible participants (Māori, 55 years or older, community-dwelling, not known to require formal needs assessment). Predefined feasibility and acceptability outcomes were reported using descriptive statistics and thematic analysis. Participants (n = 50, mean 65.3 years, 66% female) felt most CU-SR items were acceptable. Paeārahi-facilitated assessment and care planning were generally acceptable and feasible to undertake and perceived to improve healthcare access. Paeārahi-facilitated CU-SR assessment and care planning is a scalable model utilising a culturally appropriate, non-regulated Indigenous health workforce and an internationally validated assessment with the potential to identify unmet need and address inequities in aged care access.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"159-166"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145259549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond Digitalization: Essential Information Technology and Procurement Insights for Successful interRAI System Adoption. 超越数字化：必要的信息技术和采购洞察，为成功的rai系统采用。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-11-10 DOI: 10.1177/08404704251390914

Magnus A Björkgren, Margaret E Saari, Melanie E Thomasson, Leonard C Gray

引用次数: 0

A Scoping Review of Interventions Using an interRAI Information System to Guide Care Management and Assess Intervention Efficacy in Older Adults. 使用interRAI信息系统指导老年人护理管理和评估干预效果的干预范围综述。

IF 2.4

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-11-14 DOI: 10.1177/08404704251391151

Nick W Bray, Sydney MacNinch, Nazanin Nasiri, Jasmine Friedrich Yap, Ilona Barańska, Emmanuel Bagaragaza, George Heckman, Johanna de Almeida Mello, Katarzyna Szczerbińska, Caitlin McArthur

{"title":"A Scoping Review of Interventions Using an interRAI Information System to Guide Care Management and Assess Intervention Efficacy in Older Adults.","authors":"Nick W Bray, Sydney MacNinch, Nazanin Nasiri, Jasmine Friedrich Yap, Ilona Barańska, Emmanuel Bagaragaza, George Heckman, Johanna de Almeida Mello, Katarzyna Szczerbińska, Caitlin McArthur","doi":"10.1177/08404704251391151","DOIUrl":"10.1177/08404704251391151","url":null,"abstract":"interRAI instruments consist of clinical information systems able to support integrated care. Through a scoping review, we describe how interRAI instruments are used: (1) as interventions (implementation category) and (2) to evaluate interventions (efficacy category) in older adults. In accordance with the PRISMA-ScR framework, we searched 6 databases and conducted dual-independent screening, with conflicts resolved by a third reviewer. Data extraction followed an identical procedure. The review yielded 64 manuscripts, including 43 and 21 categorized as studies of efficacy or implementation, respectively. Findings indicate that interRAI systems are consistently utilized to evaluate or enhance participant-centred outcomes across diverse healthcare settings in 17 countries, with a particular emphasis on home and long-term care. interRAI is a versatile system with the potential to form the foundation of an integrated clinical information system. This review provides a basis for future research testing novel intervention strategies with interRAI systems.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"121-131"},"PeriodicalIF":2.4,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145514543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing Future Leaders in Health Assessment Research: Evaluation of interRAI's inSPIRe Program. 培养健康评估研究的未来领导者：interRAI inSPIRe计划的评估。

Healthcare Management Forum Pub Date : 2026-03-01 Epub Date: 2025-11-06 DOI: 10.1177/08404704251388358

Julie Weir, Darly Dash, Danelle Kenny, Joanna Hikaka, Yassine Benhajali, Zain Pasat, Andrew P Costa, Luke Andrew LA Turcotte, John Hirdes

{"title":"Developing Future Leaders in Health Assessment Research: Evaluation of interRAI's inSPIRe Program.","authors":"Julie Weir, Darly Dash, Danelle Kenny, Joanna Hikaka, Yassine Benhajali, Zain Pasat, Andrew P Costa, Luke Andrew LA Turcotte, John Hirdes","doi":"10.1177/08404704251388358","DOIUrl":"10.1177/08404704251388358","url":null,"abstract":"This article reports on the fourth interRAI Summer Program of International Research (inSPIRe), an intensive capacity-building initiative with a structured program, hosted at McMaster University in July 2024. Twenty-four delegates from 14 countries attended, representing diverse backgrounds in research, clinical practice, policy, and health informatics. The inSPIRe initiative aimed to foster understanding of interRAI's assessment systems, develop methodological skills, establish mentorship relationships, create opportunities for contribution to the interRAI consortium, and initiate global collaborations. All participants reported that the program met or exceeded their expectations, with significant benefits including access to comprehensive international datasets, engagement with experienced mentors, and effective knowledge translation between research and practice. Regional adaptations of the program have already emerged, demonstrating its scalability and impact beyond the initial intensive experience. The inSPIRe program represents an effective and flexible model for building global health services leadership and research capacity and capability, applicable internationally.","PeriodicalId":39854,"journal":{"name":"Healthcare Management Forum","volume":" ","pages":"101-107"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12876405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145453506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0