The Regina Risk Indicator Tool (RRIT) is used to identify how at risk clients are for requiring admission to long-term care. This study examined the potential use of this tool by case managers of older community dwelling clients receiving home care. The RRIT exhibited moderate to good inter-rater reliability, and good predictive validity as clients of varying degrees of risk differed in amount of case management and services used. Healthcare managers may wish to consider using the tool to support decision-making related to case management and home care service.
Get full access to this article
View all access options for this article.
References
1.
GillisLParsonsLNevilleSSteinG. A practical approach to understanding risk of institutionalization in two Canadian cities: The Regina Risk Indicator Tool. Healthcare Management Forum2004; 17(1): 12–7.
2.
ShapiroETateR. Who is really at risk of institutionalization?Gerontologist1988; 28: 237–45.
3.
RockwoodKStolleePMcDowellI. Factors associated with institutionalization of older people in Canada: Testing multifactorial definition of frailty. Journal of the American Geriatrics Society1996; 44: 578–82.
4.
FoleyDJOstfeldAMBranchLGWallaceRB. The risk of nursing home admission in three communities. Journal of Aging and Health1992; 4: 155–73.
5.
MustardCFinlaysonMDerksenSBerthelotJM. What determines the need for nursing home admission in a universally insured population?Journal of Health Services Research and Policy1999; 4: 197–203.
6.
WolinskyFDStumpTEClarkDO. Antecedents and consequences of physical activity and exercise among older adults. Gerontologist1995; 35: 451–62.
7.
JetteAMBranchLGSleeperLAFeldmanHSullivanLM. High-risk profiles for nursing home admission. Gerontologist1992; 32: 634–40.
8.
BorrayoESalmonJPolivkaLDunlopB. Utilization across the continuum of long-term care services. Gerontologist2002; 42: 603–12.
9.
Temkin-GreenerHMeinersMR. Transitions in Long-Term Care. Gerontologist1995; 35: 196–206.
10.
HanleyRJAlecxihLMBWienerJMKennelDL. Predicting elderly nursing home admissions. Research on Aging1990; 12: 199–228.
11.
HancockRArthurAJaggerCMatthewsR. The effect of older people's economic resources on care home entry under the United Kingdom's long-term care financing system. Journal of Gerontology2002; 57B: S285–93.
12.
TomiakMBerthelotMGuimondEMustardC. Factors associated with nursing-home entry for elders in Manitoba. Journal of Gerontology2000; 55A: M279–M87.
13.
HebertRDuboisMWolfsonCChambersLCohenC. Factors associated with long-term institutionalization of older people with dementia: Data from the Canadian Study of Health and Aging. Journal of Gerontology2001; 56A: M693–M699.
14.
FolsteinMFRobinsLNHelzerJE. The Mini-Mental State Examination. Archives of General Psychiatry1983; 40: 812.
15.
TombaughTNMcIntyreNJ. The Mini-Mental State Examination: A comprehensive review. Journal of Psychiatric Research1992: 12: 189–98.
16.
WareJEKosinskiMDeweyJEGandekB. How to score and interpret single-item health status measures: A manual for users of the SF-8 health survey. Lincoln, RI: Quality Metric Incorporated; 2001.
17.
KoenigHWestlundMGeorgeLHughesDBlazerDHybelsC. Abbreviating the Duke Social Support Index for use in chronically ill elderly individuals. Psychosomatics1993; 34: 61–9.
18.
DiwanSIvyCMerinoDBrowerT. Assessing need for intensive case management in long-term care. Gerontologist2001; 41: 680–86.
19.
BlackR. Priority setting in case management based on need and risk. Journal of Case Management1995; 4: 79–84.