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Regina Qu’Appelle Health Region (RQHR) Home Care Falls Prevention Program Aim : reduce falls and injury from falls by 20% by March 2012 Objective : Establish baseline data Establish pilot Target education. Home Care - Changes Tested. Survey staff on their definition of a “fall”
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Regina Qu’Appelle Health Region (RQHR) Home Care Falls Prevention Program • Aim: reduce falls and injury from falls by 20% by March 2012 • Objective: • Establish baseline data • Establish pilot • Target education
Home Care - Changes Tested • Survey staff on their definition of a “fall” • Develop and trial a Home Safety Checklist • Develop a Falls Diary • Educate all Home Care staff on Fall prevention • Begin reporting all unwitnessed falls • Develop 2 pilots – this includes establishing the process of identifying clients at risk and implementing an intervention
Home Care - Measures Pilot area 82 (Fort Qu’Appelle/Belcarres) – • 3rd quarter (Oct/Nov/Dec 2011) reporting indicates that 166 clients were assessed during that time and 52 % triggered the falls cap Pilot area 45 (Downtown Regina) – • 3rd quarter (Oct/Nov/Dec 2011) reporting indicates that 386 clients were assessed and 57 % triggered the falls cap
Home Care - Measures Pilot area 82 – has been very successful. Clients are getting assessed by the case manager, when falls cap triggered – Home Health Aides (HHA) are sent out to complete Home Safety Checklist and Falls Diary. Referrals are being made from this to therapies for further assessment and education – numbers are not in yet but we know that several therapy referral have been made. Pilot area 45 – we know that barriers exist that are preventing the HHA from being referred to client. We are in the process of investigating these barriers.
Home Care - Measures Confidential Occurrence Reporting is on the increase • We have doubled the number of unwitnessed/witnessed falls being reported in the last quarter
Next steps: • review and revise pilots as needed • possibly implement Vitamin D • Implement the maple leaf with the 3 questions on the front of all Home Care in-home Charts • Implement post fall intervention • Continue with the Home Safety Checklist • Continue to Educate on Falls