Research Topics
| J P HirdesSummaryAffiliation: University of Waterloo Country: Canada Publications
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Detail Information
Publications
The MDS-CHESS scale: a new measure to predict mortality in institutionalized older peopleJohn P Hirdes
Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada
J Am Geriatr Soc 51:96-100. 2003..To develop a scale predicting mortality and other adverse outcomes associated with frailty...
The Method for Assigning Priority Levels (MAPLe): a new decision-support system for allocating home care resourcesJohn P Hirdes
Department of Health Studies and Gerontology, University of Waterloo, University Avenue West, Waterloo, Ontario, N2L 3G1, Canada
BMC Med 6:9. 2008..The aim of the present study was to develop and validate a methodology for prioritizing access to community and facility-based services for home care clients...
An evaluation of data quality in Canada's Continuing Care Reporting System (CCRS): secondary analyses of Ontario data submitted between 1996 and 2011John P Hirdes
School of Public Health and Health Systems, University of Waterloo, 200 University Avenue West, N2L 3G1, Waterloo, ON, Canada
BMC Med Inform Decis Mak 13:27. 2013..0) in Canada for more than 15 years. The present paper aims to evaluate data quality for the CCRS using an approach that may be generalizable to comparable data holdings internationally...
Predictors of caregiver distress among palliative home care clients in Ontario: evidence based on the interRAI Palliative CareJohn P Hirdes
School of Public Health and Health Systems, University of Waterloo, Waterloo, Ontario, Canada
Palliat Support Care 10:155-63. 2012..Analyses are based upon interRAI Palliative Care (interRAI PC) assessment data from palliative home care programs in three regions in Ontario, Canada...
Method for Assigning Priority Levels in Acute Care (MAPLe-AC) predicts outcomes of acute hospital care of older persons--a cross-national validationAnja Noro
Ageing and Services Unit, National Institute for Health and Welfare, Helsinki, Finland
BMC Med Inform Decis Mak 11:39. 2011....
Using machine learning algorithms to guide rehabilitation planning for home care clientsMu Zhu
Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, Canada
BMC Med Inform Decis Mak 7:41. 2007..We investigate the potential of machine learning algorithms - Support Vector Machine (SVM) and K-Nearest Neighbors (KNN) - to guide rehabilitation planning for home care clients...
Sharing clinical information across care settings: the birth of an integrated assessment systemLeonard C Gray
The University of Queensland, c Academic Unit in Geriatric Medicine, University Department of Medicine, Princess Alexandra Hospital, Brisbane, Australia
BMC Health Serv Res 9:71. 2009..Population ageing, the emergence of chronic illness, and the shift away from institutional care challenge conventional approaches to assessment systems which traditionally are problem and setting specific...
Relationship between interRAI HC and the ICF: opportunity for operationalizing the ICFKatherine Berg
Department of Physical Therapy, University of Toronto, Toronto, Canada
BMC Health Serv Res 9:47. 2009....
Development of the interRAI Pressure Ulcer Risk Scale (PURS) for use in long-term care and home care settingsJeff Poss
Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, Canada
BMC Geriatr 10:67. 2010....
Home care quality indicators (HCQIs) based on the MDS-HCJohn P Hirdes
Department of Health Studies and Gerontology, University of Waterloo and Homewood Research Institute, Ontario, Canada
Gerontologist 44:665-79. 2004....
Prevalence and predictors of sexual dysfunction in psychiatric inpatientsChristopher M Perlman
Department of Health Studies and Gerontology, University of Waterloo, 200 University Avenue West, Waterloo, ON Canada, N2L 3G1
Psychosomatics 48:309-18. 2007....
Reliability of the interRAI suite of assessment instruments: a 12-country study of an integrated health information systemJohn P Hirdes
University of Waterloo, 200 University Ave W, Waterloo, ON N2L 3G1, Canada
BMC Health Serv Res 8:277. 2008..This study examined the reliability of the items from five instruments supporting home care, long term care, mental health, palliative care and post-acute care...
Beyond the 'iron lungs of gerontology': using evidence to shape the future of nursing homes in CanadaJohn P Hirdes
Department of Health Studies and Gerontology, University of Waterloo
Can J Aging 30:371-90. 2011..Evidence from eight provinces and territories shows that the needs of persons in long-term care are highly complex, resource allocations do not always correspond to needs, and quality varies substantially between and within provinces...
Long-term care funding in Canada: a policy mosaicJ P Hirdes
Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, Canada, N2L 3G1
J Aging Soc Policy 13:69-81. 2001..This paper examines different approaches to funding long-term care with a particular emphasis on the impacts of regionalization and of the implementation of case-mix-based funding systems...
Identifying an appropriate case mix measure for chronic care: evidence from an Ontario pilot studyJ P Hirdes
Department of Health Studies and Gerontology, University of Waterloo, Ontario, Canada
Healthc Manage Forum 9:40-6. 1996..It was recommended that work continue on the basis that Ontario will implement the Resource Utilization Groups (RUG-III) system for activity measurement and funding of chronic care patients...
The K-nearest neighbor algorithm predicted rehabilitation potential better than current Clinical Assessment ProtocolMu Zhu
Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, Ontario, Canada
J Clin Epidemiol 60:1015-21. 2007..We aim to explore the potential to use an automatic, data-driven, machine-learning algorithm in clinical decision making...
Risk factors for falling among community-based seniors using home care servicesPaula C Fletcher
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada
J Gerontol A Biol Sci Med Sci 57:M504-10. 2002..Given that multiple falls have been found to be associated with negative outcomes, such as an increased risk of institutionalization, more research in this area is warranted...
Health-related quality of life measure based on the minimum data setWalter P Wodchis
Toronto Rehabilitation Institute and Institute for Clinical Evaluative Sciences, Queen Elizabeth Centre, Ontario, Canada
Int J Technol Assess Health Care 19:490-506. 2003..To introduce a health-related quality of life measure for home care and institutional long-term care settings based on the Minimum Data Set (MDS) and the Health Utilities Index Mark 2 (HUI2)...
Risk adjustment methods for Home Care Quality Indicators (HCQIs) based on the minimum data set for home careDawn M Dalby
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, ON, N2L 3C5, Canada
BMC Health Serv Res 5:7. 2005..The current paper explores the effects of risk adjustment for a set of home care quality indicators (HCQIs) based on the Minimum Data Set for Home Care (MDS-HC)...
Development of a crosswalk from the Minimum Data Set 2.0 to the Alberta Resident Classification SystemJ P Hirdes
Department of Health Studies and Gerontology, University of Waterloo, Ontario
Healthc Manage Forum 10:27-9, 32-4. 1997..This algorithm may be used to support a transitional approach to move to a funding system for long-term care based on Resource Utilization Groups (RUG-III)...
A profile of older community-dwelling home care clients with heart failure in OntarioA D Foebel
Department of Health Studies and Gerontology, University of Waterloo, Ontario, Canada
Chronic Dis Can 31:49-57. 2011..The aging of the Canadian population is associated with a rising burden of heart failure (HF), a condition associated with significant morbidity, mortality and health service use...
The Resident Assessment Instrument-Mental Health (RAI-MH): inter-rater reliability and convergent validityJohn P Hirdes
Homewood Research Institute, Department of Health Studies and Gerontology, University of Waterloo, Waterloo, Ontario, Canada
J Behav Health Serv Res 29:419-32. 2002..Data from the RAI-MH are intended to support care planning, quality improvement, outcome measurement, and case mix-based payment systems. The article provides the first set of evidence on the reliability and validity of the RAI-MH...
Restriction in activity associated with fear of falling among community-based seniors using home care servicesPaula C Fletcher
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario N2L 3C5, Canada
Age Ageing 33:273-9. 2004....
Validation of Resource Utilization Groups version III for Home Care (RUG-III/HC): evidence from a Canadian home care jurisdictionJeffrey W Poss
Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON, Canada
Med Care 46:380-7. 2008..The case-mix system Resource Utilization Groups version III for Home Care (RUG-III/HC) was derived using a modest data sample from Michigan, but to date no comprehensive large scale validation has been done...
Risk factors for hip fracture in older home care clientsPaul Stolee
Department of Health Studies and Gerontology, University of Waterloo, 200 University Avenue West, Waterloo, Ontario, Canada N2L 3G1
J Gerontol A Biol Sci Med Sci 64:403-10. 2009..Little information is available on hip fracture risks among community-dwelling persons receiving home care. Our aim was to identify risk factors for hip fracture from health information routinely collected for older home care clients...
Predictors of influenza immunization among home care clients in OntarioJohn P Hirdes
Department of Health Studies and Gerontology, University of Waterloo, Waterloo, ON N2L 3G1
Can J Public Health 97:335-9. 2006..This study examined factors associated with the receipt of influenza vaccination among Ontario home care clients...
Risk factor for accidental injuries within senior citizens' homes: analysis of the Canadian Survey on Ageing and IndependencePaula C Fletcher
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada
J Gerontol Nurs 31:49-57. 2005..Identification of risk factors provides health care professionals, particularly front line nurses, with insight into factors that, if modified, have the potential to decrease accidental injuries and improve or maintain quality of life...
Pain and cognitive status among nursing home residents in CanadaW R Proctor
Department of Health Studies and Gerontology, University of Waterloo, Ontario, Canada
Pain Res Manag 6:119-25. 2001..Nonetheless, the MDS may be a useful instrument for detecting pain in such populations, because it does not rely exclusively on self-report...
A care planning strategy for traumatic life events in community mental health and inpatient psychiatry based on the InterRAI assessment instrumentsKrista Mathias
University of Waterloo, ON, Canada
Community Ment Health J 46:621-7. 2010....
The relationship between agency characteristics and quality of home careDawn M Dalby
Department of Kinesiology and Physical Education, 75 University Avenue West, Wilfrid Laurier University, Waterloo, ON, Canada N2L 3C5
Home Health Care Serv Q 27:59-74. 2008..This project assessed the relationship between home care quality indicators (HCQIs) and agency characteristics...
Potentially inappropriate management of depressive symptoms among Ontario home care clientsDawn M Dalby
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario, Canada
Int J Geriatr Psychiatry 23:650-9. 2008..To examine the prevalence and correlates of potentially inappropriate pharmacotherapy (including potential under-treatment) for depression in adult home care clients...
Traffic-related fatalities among older drivers and passengers: past and future trendsM Bedard
Lakehead Psychiatric Hospital, Thunder Bay, Ontario, Canada
Gerontologist 41:751-6. 2001..This study was initiated to forecast the number of older drivers and passengers who may be fatally injured in traffic crashes in future years...
Predicting social isolation among geriatric psychiatry patientsTrevor Frise Smith
Department of Sociology, Nipissing University, North Bay, Ontario, Canada
Int Psychogeriatr 21:50-9. 2009..Specifically, it examines the associations of diagnoses, psychiatric history, and measures of current functioning with social isolation...
Risk factors for falling among community-based seniorsPaula C Fletcher
Department of Kinesiology and Physical Education, Wilfrid Laurier University, Waterloo, Ontario
J Patient Saf 5:61-6. 2009..Although a number of risk factors have been established within the literature for falling, limited work has differentiated risk factors for 1-time versus recurrent or multiple fallers...
The social and recreational characteristics of adults with intellectual disability and pica living in institutionsMelody Ashworth
Department of Human Development and Applied Psychology, Ontario Institute for Studies in Education, University of Toronto, 252 Bloor Street West, Toronto, Ontario, Canada
Res Dev Disabil 30:512-20. 2009..Implications for the community supports needed to ensure the successful transition of persons with pica from institutional to community settings is also discussed...
Predictors of a new depression diagnosis among older adults admitted to complex continuing care: implications for the depression rating scale (DRS)Lynn Martin
Health Studies and Gerontology, University of Waterloo, Homewood Health Centre, Homewood Research Institute, Waterloo, Ontario, Canada
Age Ageing 37:51-6. 2008..The Minimum Data Set 2.0 (MDS 2.0) assessment system provides a measurement scale for depression, the Depression Rating Scale (DRS), in addition to other items that may represent depressive phenomenology...
A review of evidence on the reliability and validity of Minimum Data Set dataJ W Poss
Department of Health Studies and Gerontology, University of Waterloo
Healthc Manage Forum 21:33-9. 2008..With other sectors such as home care and inpatient psychiatry using MDS for national reporting, these issues have importance in and beyond residential care management...
Acute health care service use among elderly home care clientsKatharine Paddock
Canadian Healthcare Association, Ottawa, ON
Home Health Care Serv Q 22:75-85. 2003..This study provides a profile of elderly home care clients who are at risk of using acute health care services, which may facilitate targeted efforts to prevent unplanned acute health care use...
Addressing the health needs of frail elderly people: Ontario's experience with an integrated health information systemJohn P Hirdes
Age Ageing 35:329-31. 2006
Standardizing assessment of elderly people in acute care: the interRAI Acute Care instrumentLen C Gray
Academic Unit in Geriatric Medicine, School of Medicine, University of Queensland, Brisbane, Australia
J Am Geriatr Soc 56:536-41. 2008..To examine the frequency distributions and interrater reliability of individual items of the interRAI Acute Care instrument...
A revised Index for Social Engagement for long-term careDebby L Gerritsen
Heyendaal Institute, Radboud University Nijmegen, Nijmegen, The Netherlands
J Gerontol Nurs 34:40-8. 2008..The RISE for long-term care improves the existing index by including additional dimensions of social engagement and by increasing the reliability of results for residents with cognitive impairment...
The prevalence and management of current daily pain among older home care clientsColleen J Maxwell
Department of Community Health Sciences, Faculty of Medicine, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, Canada
Pain 138:208-16. 2008..The findings provide evidence of both rational prescribing practices and potential treatment bias in the pharmacotherapeutic management of daily pain in older home care clients...
Nursing-sensitive outcomes data collection in acute care and long-term-care settingsDiane M Doran
Faculty of Nursing, Nursing Health Services Research Unit, University of Toronto, 215 155 College Street, Toronto, Ontario, Canada M5T 1P8
Nurs Res 55:S75-81. 2006..Most administrative databases do not contain good information about nursing-sensitive outcomes...
Convergent validity of minimum data set-based performance quality indicators in postacute care settingsJohn N Morris
Research and Training Institute, Hebrew Rehabilitation Center for Aged, Boston, MA 2131, USA
Am J Med Qual 19:242-7. 2004....
Pain among the oldest old in community and institutional settingsJolanta Zyczkowska
Department of Internal Diseases and Gerontology, Jagiellonian University, Krakow, Poland
Pain 129:167-76. 2007..In clinical settings, the oldest old appear to have lower levels of pain compared with the young old after adjusting for a variety of potential confounding variables...
