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Clinical Healthcare Management Services

Cohesively coordinating healthcare services and Providing quality healthcare assessments for enhanced community healthcare outcomes

Ph: 716-688-1000         Fx: 716-688-1001

Patient Review Instrument (PRI) and Health Screens for the Next Stage of Life Healthcare

(PRI) is an assessment tool established by the New York State Department of Health to assess physical, medical, and mental characteristics of a person who may need nursing home care, and to document services that may needed for that individual. CHmS is certified by IPRO to provide PRI/ Health Screens and Community Health Assessment Screen’s. Services are offered within a 48 Hour Turnaround Time (Depending on Location). All Assessments are completed by Registered Nurses with over 25 years of Home Care, Community Health, and Hospital Service Experience.

The PRI includes assessment's in five key areas:

Administrative Data - used to identify and track both the individual being assessed (name, social security number, date of birth, etc.) and the facility in which the assessment takes place.

Medical Events, Conditions and Treatments - whether or not the individual has any of the listed conditions (for example, whether or not the individual has diabetes, or continuous dehydration), and whether or not the individual is receiving any medical treatments (for example, wound care, feed tube, Catheter (Indwelling or External or etc.);

Activities of Daily Living - the degree to which the individual is independent in each of four areas:

  1. Eating
  2. Mobility
  3. Ability to transfer between positions (for example, move from bed to chair)
  4. Toileting

Selected Behaviors - the frequency which the individual has displayed any of the following behaviors:

  • Verbally disruptive
  • Physically aggressive
  • Disruptive or socially inappropriate behavior
  • Has had hallucinations

Specialized Services - the frequency and level that the individual has received of any physical or occupational therapies, the frequency of physician visits in the past month, and the monthly average number of medications and psychoactive medications that have been ordered for the individual.

Diagnosis - the medical condition that requires that maximum amount of nursing care.

The PRI screening is typically good for 30 days and is performed by a nurse. The test is performed in one of two environments.

  1. The majority of PRIs are completed at a hospital as the result of an emergency room visit, or at an assisted living or rehabilitation facility due to a decline in healthcare needs. People with dementia or an advanced chronic illness are assessed before discharge in order to determine their cognitive and physical impairment. At this point, the CHMS nurse uses the tool to determine whether the person should be released to return home or whether skilled nursing care is appropriate.
  2. CHMS can also provide in home assessments. Families can call CHMS when a family member is needing more care than can be offered in home. This nurse will perform the PRI to determine whether skilled nursing is the next step.