HiRA-E_high-impact-risk-assessment-elder

High Impact Risk Assessment for Elders

Thank you. You now have access to our HiRA-E Assessment Form and the High Impact Clinical Risk Factsheets.

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HiRA-E Assessment

This Assessment form gives you a set of defined questions, enabling you or your organisation
to begin to understand a consumer/elders risk level.

Completion details











Decision Making






Clinical Risks (38)

Select 'Yes' or 'No' if the consumer/elder has any of the following signs, symptoms or care and/or support is being provided




























Physical and Environmental (6)

Select 'Yes' or 'No' if the consumer/elder has any of the following symptoms, care and/or support is being provided






Social and Meaningful Engagement (8)

Select 'Yes' or 'No' if the consumer/elder attends, requires and/or is involved in any of the following








Emotional and Psychological (15)

Select 'Yes' or 'No' if the consumer/elder has any of the following symptoms, care and/or support is being provided




















Once submitted, the consumer’s information will automatically be entered into your HiRA-E register. However, all mandatory fields must be completed.