TY - JOUR
AU - B. E. Fries
AU - G. Heckman
AU - J. P. Hirdes
AU - H. Finne-Soveri
AU - A. Hirdes
AU - Y. J. S. Mashalla
AU - S. L. Stewart
A1 - 
AB - Fragmented healthcare systems worldwide struggle to support patient populations with complex health and social needs. System integration requires a standardized clinical health information system to better care for these populations. This review describes how interRAI systems evolved into powerful solutions to support healthcare system integration. In response to a care quality crisis in long-term care homes in the United States, Congress mandated a standardized Minimum Data Set (MDS) from which multiple outputs were derived to support care planning, care quality, and case-mix assessment. This work drew international attention, leading to the creation of interRAI. Three decades of extensive international research, stakeholder engagement, and implementation have led to the creation of comprehensive cross-sectoral assessment systems for diverse populations, including older adults, mental health patients, and children and youth. The interRAI assessment systems, widely used in Canada and internationally, constitute comprehensive clinical assessment systems capable of supporting health system integration.
AD - University of Michigan, Ann Arbor, Michigan, United States of America. RINGGOLD: 1259; Lawson Research Institute, London, Ontario, Canada.; Western University, London, Ontario, Canada. RINGGOLD: 6221; University of Waterloo, Waterloo, Ontario, Canada. RINGGOLD: 8430; Finnish Institute for Health and Welfare, Helsinki, Finland. RINGGOLD: 3837; Federal University of Rio Grande (FURG), Porto Alegre, Brazil. RINGGOLD: 28124; Hubert Kairuki Memorial University, Dar es Salaam, Tanzania. RINGGOLD: 108082
AN - 41145122
BT - Healthc Manage Forum
C5 - Healthcare Disparities
CP - 2
DA - Mar
DO - 10.1177/08404704251389190
DP - NLM
ET - 20251027
IS - 2
JF - Healthc Manage Forum
LA - eng
N2 - Fragmented healthcare systems worldwide struggle to support patient populations with complex health and social needs. System integration requires a standardized clinical health information system to better care for these populations. This review describes how interRAI systems evolved into powerful solutions to support healthcare system integration. In response to a care quality crisis in long-term care homes in the United States, Congress mandated a standardized Minimum Data Set (MDS) from which multiple outputs were derived to support care planning, care quality, and case-mix assessment. This work drew international attention, leading to the creation of interRAI. Three decades of extensive international research, stakeholder engagement, and implementation have led to the creation of comprehensive cross-sectoral assessment systems for diverse populations, including older adults, mental health patients, and children and youth. The interRAI assessment systems, widely used in Canada and internationally, constitute comprehensive clinical assessment systems capable of supporting health system integration.
PY - 2026
SN - 0840-4704 (Print); 0840-4704
SP - 75
EP - 84+
ST - Born from Crisis: The Evolution of interRAI and Its Relevance to Today's Healthcare Challenges
T1 - Born from Crisis: The Evolution of interRAI and Its Relevance to Today's Healthcare Challenges
T2 - Healthc Manage Forum
TI - Born from Crisis: The Evolution of interRAI and Its Relevance to Today's Healthcare Challenges
U1 - Healthcare Disparities
U3 - 10.1177/08404704251389190
VL - 39
VO - 0840-4704 (Print); 0840-4704
Y1 - 2026
ER -