Leveraging Community Support Services to Support an Integrated Health and Social System Response to COVID-19: A Mixed Methods Study

Table 2

Outcome scales, risk stratification tools, and care flags included in the interRAI CVS.

Output	Description	Range	Reference
COVID-19 symptom count	Sum of potential COVID-19 symptoms^a	0–12 no symptoms to all symptoms present	Hirdes [18]
COVID-19 emergency care flag	Indicates the presence of one or more potential COVID-19 symptoms that may require emergency care	0-1 not triggered or triggered	Hirdes [18]
Major comorbidity count	Measures risk of mortality if infected with COVID-19	0–2 low to high risk	Canadian Institute for Health Information [28]
Assessment urgency algorithm	Frailty measure that prioritizes needs and urgency for a comprehensive assessment	1–6 lowest to highest urgency	Hirdes [29]; Costa [30]; Sinn et al. [31]
Self-reliance index	Measures self-reliance	0-1 self-reliant or not self-reliant	Hirdes [29]
ADL count	Sum of impairment in 4 basic activities of daily living^b	0–4 no impairment to high impairment	Hirdes [18]
Caregiver status	Family or friends felt overwhelmed by health needs	0-1 no or yes	Geffen et al. [21]; Iheme [20]
Financial trade-offs	Due to limited funds, made trade-offs among purchasing any of the following: adequate food, shelter, clothing, prescribed medications, sufficient home heat or cooling, or necessary health care or home care	0-1 no or yes	Geffen et al. [21]; Iheme [20]; Landi et al. [22]

^aSymptoms include new, continuing cough or worsened cough; sore throat; fever; persistent pressure or pain in chest; feeling confused (new or more than usual); difficulty waking up; diarrhea, vomiting or abdominal pain; chills; headache; new loss of taste or smell; shortness of breath; and fatigue. ^bActivities include bathing, personal hygiene, dressing the lower body, moving around inside the home.