NonAcute Rehabilitation Pathways (NARP) and interRAI

Under the Non-Acute Rehabilitation Pathways (NARP) agreement, Health NZ must use the interRAI Acute Care tool to assess and profile clients receiving inpatient NARP rehabilitation. Using interRAI helps reduce variation, improve consistency, and support accurate planning, funding, and delivery of NARP services.

Education and support for using the interRAI Acute Care tool is available within Health NZ. Staff can contact their local interRAI Clinical Lead or the Health NZ interRAI Education and Support Team for guidance.

What’s required 

For clients receiving inpatient NARP rehabilitation, interRAI Acute Care assessments must be completed as follows:

• admission and discharge from inpatient rehabilitation must include interRAI Acute Care Admission and Discharge assessments
• the Inpatient Profiling Tool, built into the Acute Care Admission assessment, automatically generates the inpatient caseweight
• the Community Profiling Tool, built into the Acute Care Discharge assessment, automatically generates the community or transitional care caseweight. 

 Using these tools correctly is essential to support the service, maintain data integrity, and contribute to the international interRAI dataset. 

 Admission assessment – key points

• The interRAI Acute Care Admission assessment can be completed multiple times at various points during an acute admission.
• When a client is ready to start inpatient NARP rehabilitation, the assessment must be completed using the ACC NARP inpatient service code.
• This step marks the start of the inpatient NARP episode, which is separate from the client’s acute admission.
• The assessment generates the correct inpatient casemix profile for the client, ensuring accurate and consistent profiling. 

 Discharge assessment – key points

• The interRAI Acute Care Discharge assessment must be completed at, or as close as possible to, discharge from the inpatient NARP service.
• This assessment includes the ACC NARP community profiling tool, which generates the community caseweight.
• To accurately show inpatient progress, and appear on reporting data, both an admission and a discharge assessment are required.  

Manual profiling

• If interRAI Acute Care Admission or Discharge assessments are not available, manual NARP profiling tools may be used as a backup.
• However, ACC expects providers to continue moving away from manual profiling as interRAI is adopted across services.