MI Choice Algorithm - InterRAI

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MI Choice Algorithm. Nursing Home (NH) LOC: Seven or more of: •. Severely ... Intermittent Personal Care (IPC) LOC: Either : a) Five or more of the following six:.
MI Choice Algorithm

All Persons

Yes

13 criteria

No

No

Yes

2 criteria

Home Care

11 criteria

Interm. Personal Care

no Nursing Home (NH) LOC: Seven or more of: • Severely impaired decision-making • Agitated or disoriented • Making self understood • Verbal Abuse • Never/hardly ever left alone • Dependent in bed mobility • Dependent in dressing • Dependent in bathing • Uses wheelchair or does not ambulate indoors • Flare-up of current problem • Nutrition/hydration care or turning/positioning by others • Peripheral IV • Did move in with others (counts 2)

no

Homemaker (HM) LOC: All remaining clients

Yes

No

Yes

Nursing Home

5 criteria

No

Homemaker

Info & Refer

Information and Referral (I&R) LOC: Four or more of: • Independent decision-making • No difficulty in housework • Independent in bathing • 2+ hours physical activity in last week • No new skin problem in last 30 days no

Home Care (HC) LOC: Either: • •

RN monitoring daily/less than daily Meal preparation by others and dependent in locomotion in home no

Intermittent Personal Care (IPC) LOC: Either : a) Five or more of the following six: • Difficulty in: meal preparation, housework, medication management, shopping, or transportation; or assistance in bathing b) Two or more of the following five characteristics: • Current/prior use of home health aide • Current use of physical therapist • Current use of social worker • Client/caregiver feels client better off elsewhere • Difficult access to home

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