The Health Risk Screening Tool (HRST)
The first point that must be stressed regarding the HRST is that it has a specific purpose and role in the care of individuals. The HRST is a screening instrument. It is vital that the difference between Health Screening versus Assessment is clearly understood and discerned.
The HEALTH RISK SCREENING TOOL (HRST) should not be confused with a more in-depth assessment process, but can be used to determine what types of further assessment or evaluation might be required. The HRST is not a nursing assessment instrument. The HRST is a screening device for detecting health destabilization in a vulnerable population. It was designed to prevent preventable deaths.
The HRST was developed to screen for health risks associated with a wide variety of disabilities, including developmental disabilities, physical disabilities, disabilities associated with aging, and many other conditions, which specifically affect systems of the body and the person's ability to engage in functional activities. Part of the instrument examines the health risks associated with psychiatric or behavioral disorders, particularly those that result from medications, self-injurious behavior or restriction of movement.
Outcomes and Uses
There are several potential outcomes and uses for the HRST results. The instrument assigns point scores to twenty two (22) specific rating items. The resulting numerical totals are assigned HEALTH CARE LEVELS associated with DEGREES OF HEALTH RISK. Each individual screened is assigned a health care level, ranging from one to six. (More information on rating system.)
The most important outcome of the HRST screening is to guide the provision of health care support and surveillance. The HRST supplies the provider/support team with guidance in determining the person's need for further assessment and evaluation to address identified health risks. It will also guide the team in determining the need for professional services as well as general and individual-specific staff training.
The HRST was designed for use by non-licensed staff, such as case managers and independent support coordinators, program staff and others who directly impact services and supports for individuals in specialized health care settings.
An important feature of the HRST is that it is now fully web-based, which offers consolidation of information in a centralized, online database. The HRST being web-based allows users to securely access and update the health risk information of individuals at any time, 24 hours a day, 7 days a week, from any location where internet access is available. Any update made to the online system is instantly visible and available to all users.
The Web-based HRST allows a state or organization to develop a health baseline on all of the individuals in its services. Each individual is assigned a health care level score, ranging from one to six. The initial ratings for a group serve the purposes of developing a health baseline and determining the range of clinical supports, services and surveillance needs.
With web-based functionality comes greatly increased data analysis and reporting capabilities, which provides a considerable ability for oversight by management and executives. HRST Online includes a plethora of standard reports available from the application menu and customized reports can be created for the specific needs of a state or organization. A manager can tell, for instance, exactly how many of his/her clients are receiving certain medications, or have feeding tubes or who require lifting equipment, or who have gotten better or worse over the rating periods, and much, much more.
Quantify the Healthcare Level of Any Given Population
Through use of the HRST Web-based Technology, health risk screenings can be done on individuals utilizing a specific on-line rating instrument. By entering data directly into the system, providers realize the following benefits:
- Tracking of data per client
- Tracking of data per facility (or otherwise-specified demographic parameters)
- Real-time data analysis
- Assignment of healthcare levels based on quantifiable criteria
- Management Reports: Overall risk status, delineation of health levels, tracking & trending, retrospective analysis, etc.
With the web-based system, healthcare providers can benchmark their healthcare levels and outcomes:
- Within a provider group
- Within a healthcare system
- Amongst other providers/systems
Licensing is simple and straightforward and consists of:
- One-time start-up fee
- Yearly per-consumer fee