Proactive Screening Tools


The purpose of proactive screening is to identify community-dwelling older adults who are at risk for loss of independence and who may benefit from a more comprehensive geriatric-focused assessment.  

Assessment Urgency Algorithm (AUA) Screening 

What:
The AUA screening tool can be administered using a freely available smartphone/tablet application, which can be found by searching for InterRAI ED Screener in your device’s App Store.

The AUA screener provides a score from 1-6.  This score indicates level of risk, and correlates to different sub-set of services that may be most beneficial in maintaining community independence.

An AUA score of 5 or 6 is associated with a higher risk for loss of independence, and indicates the need for a more comprehensive geriatric-focused assessment. An older adult scoring 5 or 6 would benefit from referral to a physician for further comprehensive clinical assessment, in addition to other services identified.

How: 
For more information and to download the screener app, visit:




 

Comprehensive Geriatric Assessment (CGA) 

What:
A Comprehensive Geriatric Assessment (CGA) is defined as a diagnostic and intervention process that identifies medical, psychosocial, and functional limitations of a frail older person in order to develop a coordinated plan to maximize overall health with aging. The health care of an older adult extends beyond the traditional medical management of illness. It requires evaluation of multiple issues including physical, cognitive, affective, social, financial, environmental, and spiritual components that influence an older adult's health. The CGA approach is based on the premise that a systematic evaluation of frail, older persons may identify a variety of treatable health-related problems and lead to better health outcomes.

How:
The South West Assess and Restore Team has developed a toolkit which provides an introduction to the assessment domains of the CGA, information on evidence based screening and assessment tools, and links to additional resources and online education modules for health care providers who want to learn more about Geriatric Syndromes and Comprehensive Geriatric Assessments. Visit cgatoolkit.ca to learn more.