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Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICF.

Berg K, Finne-Soveri H, Gray L, Henrard JC, Hirdes J, Ikegami N, Ljunggren G, Morris JN, Paquay L, Resnik L, Teare G - BMC Health Serv Res (2009)

Bottom Line: Considering all 3-digit ICF codes, interRAI items addressed 43.2% of Body Function and 50.6% of Activities and Participation codes.The conceptual overlap in content, offers an excellent opportunity to operationalize the ICF domains and the codes particularly in the areas of Body Function and Activities and Participation.Use of measures such as the interRAI assessments with common elements across settings facilitates standardized reporting for organizations, regions and nations.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Physical Therapy, University of Toronto, Toronto, Canada. katherine.berg@utoronto.ca

ABSTRACT

Background: The International Classification of Functioning, Disability and Health (ICF) is embraced as a framework to conceptualize human functioning and disability. Health professionals choose measures to represent the domains of the framework. The ICF coding classification is an administrative system but multiple studies have linked diverse clinical assessments to ICF codes. InterRAI-HC (home care) is an assessment designed to assist planning of care for patients receiving home care. Examining the relationship between the ICF and the interRAI HC is of particular interest because the interRAI assessments are widely used in clinical practice and research, are computerized, and uploaded to databases that serve multiple purposes including public reporting of quality in Canada and internationally. The objective of this study was to examine the relationship between the interRAI HC (home care) assessment and the ICF. Specifically, the goal was to determine the proportion of interRAI HC items that can be linked to each of the major domains of the ICF (Body Function, Body Structure, Activities and Participation, and the Environmental Factors), the chapters and the specific ICF codes.

Methods: Three coders who were familiar with both the home care assessment and the ICF independently assigned ICF codes to inter-RAI HC items. Subsequently, a series of teleconference meetings were held to reach consensus on the primary code and much later consensus was used to finalize codes for additional items added to the interRAI HC.

Results: Following exclusion of administrative and diagnostic sections, 175 interRAI items were examined for potential assignment of codes. Of these 52 were assigned codes related to body function, 43 to activities and participation, 34 to environment, 1 to body structure, 17 to not coded, and 26 to not defined. Considering all 3-digit ICF codes, interRAI items addressed 43.2% of Body Function and 50.6% of Activities and Participation codes.

Conclusion: The conceptual overlap in content, offers an excellent opportunity to operationalize the ICF domains and the codes particularly in the areas of Body Function and Activities and Participation. Use of measures such as the interRAI assessments with common elements across settings facilitates standardized reporting for organizations, regions and nations.

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Interactions between the components of ICF. Source: WHO, 2001.
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Figure 1: Interactions between the components of ICF. Source: WHO, 2001.

Mentions: The concepts underlying the International Classification of Functioning, Disability and Health (ICF) are widely embraced by health professionals and educators. The framework, as shown in Figure 1, depicts an interrelationship among body structures and functions; activities and participation, and acknowledges relevant contextual personal or environmental factors that influence functional status and outcome. The framework encourages a broad view of the components of health for a patient beyond diagnosis and survival, and, as such, serves as a guide for comprehensive assessment. The popularity of the ICF framework encourages everyone to reflect on their assessment methods and measures to consider the relationship with the ICF.


Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICF.

Berg K, Finne-Soveri H, Gray L, Henrard JC, Hirdes J, Ikegami N, Ljunggren G, Morris JN, Paquay L, Resnik L, Teare G - BMC Health Serv Res (2009)

Interactions between the components of ICF. Source: WHO, 2001.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2666676&req=5

Figure 1: Interactions between the components of ICF. Source: WHO, 2001.
Mentions: The concepts underlying the International Classification of Functioning, Disability and Health (ICF) are widely embraced by health professionals and educators. The framework, as shown in Figure 1, depicts an interrelationship among body structures and functions; activities and participation, and acknowledges relevant contextual personal or environmental factors that influence functional status and outcome. The framework encourages a broad view of the components of health for a patient beyond diagnosis and survival, and, as such, serves as a guide for comprehensive assessment. The popularity of the ICF framework encourages everyone to reflect on their assessment methods and measures to consider the relationship with the ICF.

Bottom Line: Considering all 3-digit ICF codes, interRAI items addressed 43.2% of Body Function and 50.6% of Activities and Participation codes.The conceptual overlap in content, offers an excellent opportunity to operationalize the ICF domains and the codes particularly in the areas of Body Function and Activities and Participation.Use of measures such as the interRAI assessments with common elements across settings facilitates standardized reporting for organizations, regions and nations.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Physical Therapy, University of Toronto, Toronto, Canada. katherine.berg@utoronto.ca

ABSTRACT

Background: The International Classification of Functioning, Disability and Health (ICF) is embraced as a framework to conceptualize human functioning and disability. Health professionals choose measures to represent the domains of the framework. The ICF coding classification is an administrative system but multiple studies have linked diverse clinical assessments to ICF codes. InterRAI-HC (home care) is an assessment designed to assist planning of care for patients receiving home care. Examining the relationship between the ICF and the interRAI HC is of particular interest because the interRAI assessments are widely used in clinical practice and research, are computerized, and uploaded to databases that serve multiple purposes including public reporting of quality in Canada and internationally. The objective of this study was to examine the relationship between the interRAI HC (home care) assessment and the ICF. Specifically, the goal was to determine the proportion of interRAI HC items that can be linked to each of the major domains of the ICF (Body Function, Body Structure, Activities and Participation, and the Environmental Factors), the chapters and the specific ICF codes.

Methods: Three coders who were familiar with both the home care assessment and the ICF independently assigned ICF codes to inter-RAI HC items. Subsequently, a series of teleconference meetings were held to reach consensus on the primary code and much later consensus was used to finalize codes for additional items added to the interRAI HC.

Results: Following exclusion of administrative and diagnostic sections, 175 interRAI items were examined for potential assignment of codes. Of these 52 were assigned codes related to body function, 43 to activities and participation, 34 to environment, 1 to body structure, 17 to not coded, and 26 to not defined. Considering all 3-digit ICF codes, interRAI items addressed 43.2% of Body Function and 50.6% of Activities and Participation codes.

Conclusion: The conceptual overlap in content, offers an excellent opportunity to operationalize the ICF domains and the codes particularly in the areas of Body Function and Activities and Participation. Use of measures such as the interRAI assessments with common elements across settings facilitates standardized reporting for organizations, regions and nations.

Show MeSH