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Computerized Adaptive Testing System of Functional Assessment of Stroke

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Computerized Client assessments: a change in practice.

Lisa Kraft¹, Peggy Scott

¹AIS Inc, Winnipeg, Manitoba.

The Canadian Nurse

|June 9, 2007

Summary

British Columbia mandated a shift from paper-based to computerized assessments for case-managed clients, improving home and community care data collection. This transition involved significant clinical practice changes, guided by Kotter

Area of Science:

Healthcare Management
Clinical Informatics
Health Services Research

Background:

Inconsistent home and community care data collection across Canada necessitated a standardized assessment process.
British Columbia's case-managed clients previously used a paper-based assessment tool.
A mandate required the implementation of the Resident Assessment Instrument – Home Care (RAI-HC) using a computerized system.

Purpose of the Study:

To describe the transition to a computerized Resident Assessment Instrument – Home Care (RAI-HC) in British Columbia's Interior Health Authority.
To analyze the clinical practice changes associated with implementing a new digital assessment tool.
To apply Kotter's model of change management to understand the transition process.

Main Methods:

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Overview of the implementation process in the Interior Health Authority.

Linking the observed phases of the transition to Kotter's eight-step model for leading change.

Qualitative analysis of the clinical practice shift.

Main Results:

The implementation of the Resident Assessment Instrument – Home Care (RAI-HC) represented a significant change in clinical practice.
The transition involved overcoming challenges related to data collection standardization and technology adoption.
Kotter's model provided a framework for understanding the stages and dynamics of the change process.

Conclusions:

The shift to a computerized Resident Assessment Instrument – Home Care (RAI-HC) addressed data collection inconsistencies in Canadian home and community care.
Successful implementation required managing significant clinical practice changes.
Kotter's model offers valuable insights for guiding large-scale clinical practice transitions in healthcare.