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Evaluation of a staff training programme to reimplement a comprehensive health assessment
  1. Luke A Turcotte1,
  2. Jake Tran2,
  3. Joshua Moralejo2,
  4. Nancy Curtin-Telegdi1,
  5. Leslie Eckel1,
  6. John P Hirdes1
  1. 1 School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
  2. 2 The Salvation Army Toronto Grace Health Centre, Toronto, Ontario, Canada
  1. Correspondence to Luke A Turcotte; luke.turcotte{at}


Background Health information systems with applications in patient care planning and decision support depend on high-quality data. A postacute care hospital in Ontario, Canada, conducted data quality assessment and focus group interviews to guide the development of a cross-disciplinary training programme to reimplement the Resident Assessment Instrument–Minimum Data Set (RAI-MDS) 2.0 comprehensive health assessment into the hospital’s clinical workflows.

Methods A hospital-level data quality assessment framework based on time series comparisons against an aggregate of Ontario postacute care hospitals was used to identify areas of concern. Focus groups were used to evaluate assessment practices and the use of health information in care planning and clinical decision support. The data quality assessment and focus groups were repeated to evaluate the effectiveness of the training programme.

Results Initial data quality assessment and focus group indicated that knowledge, practice and cultural barriers prevented both the collection and use of high-quality clinical data. Following the implementation of the training, there was an improvement in both data quality and the culture surrounding the RAI-MDS 2.0 assessment.

Conclusions It is important for facilities to evaluate the quality of their health information to ensure that it is suitable for decision-making purposes. This study demonstrates the use of a data quality assessment framework that can be applied for quality improvement planning.

  • decision support, clinical
  • health professions education
  • continuous quality improvement
  • implementation science
  • information technology

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See:

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  • Contributors JPH conceived the study and its design. JAT, JM, NCT and LE developed and delivered the reimplementation training programme. NCT and LE conducted the focus groups and analysed the results. LT conducted the data quality analysis and drafted the manuscript. Critical revisions were performed by all coauthors.

  • Funding Funding for this study was provided by Toronto Grace Health Centre.

  • Competing interests JAT and JM are employed by Toronto Grace Health Centre. JPH is a board member of interRAI, and chairs both the interRAI Network of Excellence in Mental Health and the interRAI Network of Canada.

  • Patient consent Not required.

  • Ethics approval University of Waterloo Office of Research Ethics (ORE 18132 and 18228) and the Joint Bridgepoint Health–West Park Healthcare Centre–Toronto Central Community Care Access Centre (CCAC)–Toronto Grace Health Centre Research Ethics Board (JREB)

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data sharing statement The data that support the findings of this study are available from Canadian Institute for Health Information and Toronto Grace Health Centre but restrictions apply to the availability of these data. Continuing Care Reporting System data were used under license, and so are not publicly available. Toronto Grace Health Centre RAI MDS 2.0 data contain sensitive patient health information and are also not publicly available.

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