15/08/2010 1
Centre for Online Health Centre for Research in Geriatric Medicine
Centre for
Research in Geriatric Medicine
Centre for
Online Health
TELEGERIATRICS
Professor Len Gray Hanoi Teleconference 2010
Centre for Online Health Centre for Research in Geriatric Medicine
Our strategies to improve access to geriatric specialists...
- Structured pre-assessment performed by trained nurses
- Clinical decision support systems
- Case review online
- Bedside consultation by video-conference
Centre for Online Health Centre for Research in Geriatric Medicine Centre for Research in Geriatric Medicine
STRUCTURED ASSESSMENT SYSTEMS: THE INTERRAI ACUTE CARE
Centre for Online Health Centre for Research in Geriatric Medicine
The interRAI Acute Care instrument is designed to support assessment and management of frail older patients in the acute care setting
Centre for Online Health Centre for Research in Geriatric Medicine
Second generation assessment systems
Clinical
- bservations
Cognition Mood Communication Mobility Self care IADL Continence Falls Pain Physical environment Social support Formal services
Scales for screening & severity
Cognitive scale Delirium scale Depression scale Communication scale ADL scale IADL scale Pain scale
Automated recommendations
Cognition , delirium, depression, falls, pain, ADL, nutrition, readmission, institutional risk Centre for Online Health Centre for Research in Geriatric Medicine
What does it deliver?
- Improved quality of documentation
- An ability to create electronic information
- Consistency & reliability of decision-making
- Reduced cost of assessment
- Potential to:
– Monitor quality – Enhance casemix systems