Data sharing between home care professionals: a feasibility study using the RAI Home Care instrument.

Dawn M Guthrie,John P Hirdes,Katherine Berg,Helen Janzen Ezekiel,Alexandra Papaioannou,Jeffrey W Poss,Paula C Fletcher,Paul Stolee,Robyn Pitman

doi:10.1186/1471-2318-14-81

Abstract

BackgroundAcross Ontario, home care professionals collect standardized information on each client using the Resident Assessment for Home Care (RAI-HC). However, this information is not consistently shared with those professionals who provide services in the client’s home. In this pilot study, we examined the feasibility of sharing data, from the RAI-HC, between care coordinators and service providers.MethodsAll participants were involved in a one-day training session on the RAI-HC. The care coordinators shared specific outputs from the RAI-HC, including the embedded health index scales, with their contracted physiotherapy and occupational therapy service providers. Two focus groups were held, one with care coordinators (n = 4) and one with contracted service providers (n = 6). They were asked for their opinions on the positive aspects of the project and areas for improvement.ResultsThe focus groups revealed a number of positive outcomes related to the project including the use of a falls prevention brochure and an increased level of communication between professionals. The participants also cited multiple areas for improvement related to data sharing (e.g., time constraints, data being sent in a timely fashion) and to their standard practices in the community (e.g., busy workloads, difficulties in data sharing, duplication of assessments between professionals).ConclusionsHome care professionals were able to share select pieces of information generated from the RAI-HC system and this project enhanced the level of communication between the two groups of professionals. However, a single information session was not adequate training for the rehabilitation professionals, who do not use the RAI-HC as part of normal practice. Better education, ongoing support and timely access to the RAI-HC data are some ways to improve the usefulness of this information for busy home care providers.

Highlights

Across Ontario, home care professionals collect standardized information on each client using the Resident Assessment for Home Care (RAI-HC)
The in-home services are provided by external organizations that enter into a contractual agreement with the Community care access centre (CCAC)
The service providers reported that their overall involvement with the project itself was educational and that they appreciated the opportunity to meet as a group

Summary

Introduction

Across Ontario, home care professionals collect standardized information on each client using the Resident Assessment for Home Care (RAI-HC). This information is not consistently shared with those professionals who provide services in the client’s home. In Canada, approximately $3.4 billion was allocated in the public budget for home care, which represents roughly 4.3% of total Canadian health care expenditures [1]. Ontario alone spends roughly $1.9 billion on home and community support services annually [2]. Care Access Centres (CCACs) which represent a single point of entry for home-based services such as nursing, physiotherapy, occupational therapy, dietetics, social work and personal support, as well as admission to long-term care facilities. CCACs serve roughly 600,000 Ontarians, over half of whom are older adults (aged 65+) [2]

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Discussion

Conclusion