Sun Country Health Region

1. Sun Country Health Region Home Care Falls Prevention Program

2. Background 1980’s – Home Care Presentations assessments – Falls 1992 – District wide incident reporting process that involved falls 1994 – Screening 2005 – TUGS started to be done May 2008 – TUGS in place Saskatchewan Falls Collaborative

3. Background • Sun Country Health Region’s Home Care was the first one to start a Falls Prevention program in our region. • Our region is geographically large but is not large in numbers. • In our region, Home Care is divided between South, West and East. • Sun Country Health Region’s vision: • “Healthy People in Healthy Communities”

4. Aim To reduce falls and injury from falls in Home Care clients with completed MDS by 20% by March 2012 Scope & Boundaries: All Home Care clients with MDS Assessment Objectives: Update Falls education booklet to include new information on Home Care change concepts. Develop tracking form to collect data on witnessed and unwitnessed falls. This included falls analysis. Develop an excel program to track falls prevention data. Increase the number of clients receiving falls education by increasing the number of falls education trainers Complete the SCHR Home Care Falls Prevention Policy Saskatchewan Falls Collaborative

5. Goals • 20% decrease in number of falls. • 20% decrease in number of injuries from falls. • 75% of staff have falls prevention inservice.

6. Team Members Pat May – Manager of Home Care West Colleen Scharnatta – Case Manager, Home Care South Deb Kennett-Russill – Clinical Coordinator of Therapies Laura Kehrig – Falls & Injury Prevention Coordinator Ellen Cairns – Assessor/Coordinator Home Care Amy Ryan – Quality Improvement and Patient Safety Manager Felecia Watson – Regional Director of Strategic Planning Donna Kitchen – Case Manager, Home Care Saskatchewan Falls Collaborative

7. Results • Falls Prevention is on our new staff orientation course. • Formed Regional Home Care working group with sub committees. • Our region has formed a Regional Falls Prevention Working Group made up of LTC, HC, AC, Mental Health, OTs, Nutition, Pharmacy, EMS, and Community. • Consistently tracking witnessed/unwitnessed falls. • Conducted two Vitamin D Telehealths to staff. Saskatchewan Falls Collaborative

8. Results • At every staff meeting we review falls prevention • Updated our Falls Prevention policies • Have started to collect data and using the measures set out by SHN!. Also recreated two more measures that we feel are appropriate for our region and our data collection.

9. Results Falls rate per 1,000 clients

10. ResultsPercentage of Falls causing Injury

11. ResultsPercentage of clients with a completed Falls Risk Screening on Admission

12. ResultsPercentage of Clients with a completed Falls Risk Reassessment following a Fall or change in condition

13. ResultsPercentage of “At Risk” Clients with a documented Falls Prevention Plan

14. Changes Tested Surveying one area for what happened after intervention. Reviewed if clients had made changes after education and interventions. Sent out calendars for clients to track their falls and falls tracking tool to Weyburn area Using a falls tracking tool in Weyburn and in East Sector Post falls tracking & analysis form in the East region Looking at data collection Saskatchewan Falls Collaborative

15. Lessons Learned Importance of collaborative concept – new idea Continually monitoring and training staff in Falls Prevention. Summer is harder to implement change with summer staff working and staff on holidays. Collaborative members think they haven’t been doing lots but little improvements every month add up. Falls Prevention to be on every staff meeting agenda (bringing more awareness). We need to discuss the benefits of vitamin D with all physicians in Sun Country Health Region. Saskatchewan Falls Collaborative

16. Next Steps Finalizing and implementing an Environmental Scan form. Finalizing and implementing a Post Fall Tracking and Analysis form. Saskatchewan Falls Collaborative