Susan Arcuri, RN, BS, CCM - PRI and Screen Certified
What is a Patient Review Instrument?
A Patient Review Instrument (PRI) is an assessment tool developed by the New York State Department of Health to assess selected physical, medical, and cognitive characteristics of nursing home residents, as well as to document selected services that they may receive. The PRI includes assessment items in each of the following general areas:
Administrative Data - used to identify and track both the resident being assessed (name, social security number, date of birth, etc.) and the facility in which the assessment takes place.
Medical Conditions and Treatments - whether or not the resident has any of twelve conditions (for example, whether or not the resident has diabetes or a urinary tract infection), and whether or not the resident is receiving any of thirteen medical treatments (for example, wound care, transfusions, etc.);
Activities of Daily Living - the degree to which the resident is independent in each of four areas: eating, mobility, ability to transfer between positions (for example, move from bed to chair), and toileting;
Selected Behaviors - the frequency which the resident has exhibited any of the following behaviors: verbally disruptive, physically aggressive, disruptive or socially inappropriate behavior, or has had hallucinations;
Specialized Services - the frequency and level that the resident has received of any physical or occupational therapies, the frequency of physician visits the resident has had in the past month, and the monthly average number of medications and psychoactive medications that have been ordered for the resident; and
Diagnosis - the medical condition that requires that largest amount of nursing time.
Why is a PRI and Screen needed?
The PRI is basically a 'picture' of a patient's current medical, physical and cognitive status. All NYS skilled nursing facilities require a PRI and Screen to enable them to determine a patient's condition for long term placement.
The information collected from the PRI is used to determine Medicare/Medicaid reimbursement for nursing homes in New York State. This data is audited after being submitted in order to ensure its accuracy.
The purpose of a Screen is to determine the patient's ability to return to the community or qualify for long term placement. This component is to be completed prior to admission to any long term care facility.
"They may forget your name but they will never forget how you made them feel." - Maya Angelou