Patchy IT. No computers. Older workforce resistance to changing from paper. Resistance from healthcare facility providers to moving away from their established systems.
Those were the conditions New Zealand Aged Care Association Deputy Chair Max Robins said existed before the ‘single system’ interRAI assessment tool was introduced.
He was talking to health professionals from Singapore here to investigate the interRAI assessment solution.
“Initially the interRAI rollout plan was inadequate,” said Max Robins, who is also Chief Executive of the CHT Healthcare Trust, said. CHT provides 1000 beds in Auckland, Bay of Plenty and Waikato. It employs 750 staff, including 130 registered nurses.
“Communication with providers was poor. Project planning was focused on an IT system rollout. The project required significant change management. Initial understanding of provider IT capability was poor. And training requirements were under scoped.”
Changes were made following feedback to the rollout. The project structure changed. Communication and the project team’s understanding of the sector improved. And training resources were increased, Max Robins said.
As a result, a “very complex project involving multiple government agencies and over 650 aged care facilities was implemented very effectively”, he said.
A high proportion of nurses in the sector are now trained. And a substantial database about older people now exists.
“CHT is a strong advocate for interRAI,” Max Robins said.
Assessments were valid and reliable. Integrated assessments formed a more complete understanding of resident needs.
At his organisation interRAI allowed internal benchmarking across 16 sites and external benchmarking.