[PPT] - ioRN Standard measure of functional needs & independence PETER PowerPoint Presentation

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PETER KNIGHT Head of Service for Integration Support ISD Scotland

Indicator of Relative Need

ioRN

Standard measure of functional needs & independence

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Principles of integration of health and social care, include:

Best anticipate needs and prevent them arising
Take account of the particular needs of different

service-users

Take account of the particular characteristics and

circumstances of different service-users

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➢ SHRUGS (circa 1990) ➢ SCRUGS (circa 1999)

➢ RUM/ioRN (circa 2002)

➢ ioRN for care homes (circa 2008)

➢ ioRN2 for the community

ISD Scotland’s ‘Family tree’ for

routine measurement of functional need/status

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Components of the ioRN2

Standard questions & answer options
ioRN2 Algorithm

Supported by:

Training pack (being finalised now)
Practitioner user resource pack
Guidance
Other resources on request

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Community ioRN questions

5

Minutes

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Community ioRN:

completion follows an outcome-focussed assessment

Personal themes

Mobility, transferring and

eating

Personal Care & Food Prep’n
Mental well-being,

behaviour and risk

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www.isdscotland.org/IoRN2

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Features of ioRN2 data

Person-centred Standardised & consistent Collectable by health and social care Shareable information Generates aggregate info

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10

0.5 1 1.5 2 2.5 3 3.5 4

ADL Q4 Washing hands and face Q7 Dressing Q5 Complete wash Q6 Wash hair Q8 Main meal Q9 Light snack Q10 Hot drink Mental well being / Behaviour Example 1 - initial and review for ADL, personal care and food and drink questions (Q4 to Q10) and mental well being.

initial

Note : ADL consists of: 1) eating a meal 2) mobilising an transferring 3) using the toilet

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11

0.5 1 1.5 2 2.5 3 3.5 4

ADL Q4 Washing hands and face Q7 Dressing Q5 Complete wash Q6 Wash hair Q8 Main meal Q9 Light snack Q10 Hot drink Mental well being / Behaviour Example 1 - initial and review for ADL, personal care and food and drink questions (Q4 to Q10) and mental well being.

initial review

Note : ADL consists of: 1) eating a meal 2) mobilising an transferring 3) using the toilet

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Percentage distribution of ioRN groups by named team

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5 10 15 20 25 30 35 40

A1 A2 A3 B1 B2 B3 C+E D F H I

% of total (N=693) ioRN2 group

Change in ioRN group: all teams

sample are people who have two ioRN groups

Initial

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5 10 15 20 25 30 35 40

A1 A2 A3 B1 B2 B3 C+E D F H I

% of total (N=693) ioRN2 group

Change in ioRN group: all teams

sample are people who have two ioRN groups

Initial Second

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Based on insight gained from an assessment Person-centred information Collectable across health, social care and housing Complements information on personal outcomes Provides information for a wide range of purposes Useful to practitioners...and to management

About me

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0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% A1+A2 A3 B1 B2 B3 C + E D F + G + H I ioRN Group

Estimated hours per week of informal care given by carers: cumulative percentages by ioRN Group; Clackmannanshire data

35+ hrs 20 - 34 hrs 5 - 19 hrs 1 - 4 hrs

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Common Tool, Common Language: Supporting Integration

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ioRN2 development report (July 2017) ‘Outcomes Count’

With a Foreword by Scotland’s Chief Nursing Officer, Chief Social Work Adviser (to the SG), and Chief Health Professions Officer

https://www.isdscotland.org/Health- Topics/Health-and-Social-Community- Care/Publications/2017-07-25/2017-07-25- IORN2-Report.pdf?40417116881 Or check webpage: http://www.isdscotland.org/Health- Topics/Health-and-Social-Community- Care/Dependency-Relative-Needs/In-the- Community/