Table 2.
Cluster map cluster statements and ratings
| Cluster Statements Sample | Rating mean (SD) | |
|---|---|---|
| Importance | Capacity | |
| Engagement of Older Adults and Care Partners (6 statements) | 3.18 (0.26) | 2.72 (0.39) |
| ensure that older adults and care partners understand the results of the Check Up and how to use the information to support their own wellbeing | ||
| ensure that older adults see value in the tool and its outputs in a way that makes sense to them. | ||
| Instrument’s Ease-of-Use (13 statements) | 3.10 (0.37) | 2.64 (0.29) |
| be aware of cultural and language differences to ensure that questions are understood and answered accurately | ||
| ensure Check Up is in an easily read, easily understood format without jargon or acronyms | ||
| make sure language supports/translation are provided where there is a barrier | ||
| offer various types of support for how to use technology (phone or in-person intro, video of how to complete, phone tech support, in-office support) for older adults | ||
| Accessibility of Assessment Process (11 statements) | 3.13 (0.38) | 2.57 (0.44) |
| check to see whether the older adult and/or care partner has the capacity to fill out the tool | ||
| ensure that older adults have access to accessibility aids to use a device | ||
| make the interRAI Check Up user-friendly so it does not deter the older adult from completing it as required | ||
| provide options and confirm whether the older adult and care partner would prefer to fill the tool out online, in person, on paper, or over the phone/video | ||
| Person-Centred Process (8 statements) | 3.10 (0.25) | 2.73 (0.31) |
| be clear about how the outputs will contribute to or support care (i.e., need identification; triaging of referrals; develop goals for care; identify risk/vulnerability; act an outcome measure) | ||
| ensure the care-planning process is person centered and holistic and identifies what health means to that person. | ||
| How to Use the Check Up in an Assessment Process (7 statements) | 2.94 (0.33) | 2.72 (0.18) |
| effectively communicate the process for completing the Check Up (e.g., provider roles and responsibilities, timelines, and older adult roles and responsibilities) | ||
| develop and share resources for both the use of the software and the Check Up with older adults, care partners, and providers | ||
| Training and Education for Providers (8 statements) | 3.08 (0.22) | 2.68 (0.21) |
| leverage existing provincial resources to develop and provide education and support to older adults, care partners, and providers on the use of software and the Check Up | ||
| ensure that primary care and other health care providers are knowledgeable / trained on using the tool and are in agreement that it is a useful tool to gather information for quality care | ||
| Health and Social Care Provider Coordination (18 statements) | 2.99 (0.35) | 2.53 (0.39) |
| identify referral pathways for older adults based on Check Up outputs and identified needs | ||
| provide access to providers in all sectors to this tool to ensure that every older adult and their care partner are not being asked the same questions | ||
| set a standard time frame by which the most responsible provider must review the Check Up information to follow-up on any high-risk issues identified (e.g., significant mood issue) | ||
| continue to build trust and understanding across the care system and with older adults using the system as this will be essential for partnership and collaboration. | ||
| ensure that primary care and other health care professionals have buy-in that this tool is an important to use as a compliment to care | ||
| ensure the tool does not replace clinical reasoning of very qualified staff | ||
| Health Information Integration (5 statements) | 3.19 (0.38) | 2.45 (0.31) |
| sync information between all provider data sources for an older adult (i.e., electronic health records) to avoid duplication of assessment. | ||
| ensure Check Up information and any referrals are made available to primary care provider | ||
| Health System Decision Support and Quality Improvement (13 statements) | 2.92 (0.38) | 2.46 (0.33) |
| consider software solutions that seamlessly integrate with various electronic platforms to avoid duplication of assessment | ||
| understand the sustainability cost of funding and access to software for organizations | ||
| consider how the interRAI outcomes would be used into collaborative care-planning (across teams/programs), which includes the person’s goals/priorities as a guiding component. | ||
| ensure the data collected at the community level is used to inform gaps in health care needs of older adults | ||
| Privacy and Confidentiality (9 statements) | 3.11 (0.54) | 2.82 (0.55) |
| complete data sharing agreements to support older adults’ privacy, confidentiality and appropriate sharing | ||
| ensure the older adult and their care partner understand who will have access to the information, where it will be stored, and with whom it will be shared | ||
| Ensure the data collected is stored in a secure environment | ||
Note. Importance and capacity were rated on a scale from 0 to 4. SD = standard deviation