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Experiences of Implementing the Caregiver Toolkit The Caregiver Toolkit Toronto Symposium: March 15, 2012

Knowledge Translation to Service Providers in Home Care & Mental Health Services for the Elderly Brandon Regional Health Authority – Brandon, Mb: Darlene Henry, RPN/RN & Cathy Gfellner-Donald, BN. Experiences of Implementing the Caregiver Toolkit

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Experiences of Implementing the Caregiver Toolkit The Caregiver Toolkit Toronto Symposium: March 15, 2012

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  1. Knowledge Translation to Service Providers in Home Care & Mental Health Services for the ElderlyBrandon Regional Health Authority – Brandon, Mb: Darlene Henry, RPN/RN & Cathy Gfellner-Donald, BN Experiences of Implementing the Caregiver Toolkit The Caregiver Toolkit Toronto Symposium: March 15, 2012

  2. Manitoba Regional Health Authorities Background:

  3. City of Brandon Background: • City of 50,000 people (catchment area 180,000) • Elderly in catchment area # over 20,000 • 2nd largest City in Manitoba • Agricultural • The Heart of the Prairies

  4. Background – Rural Health Care “Geography is in fact a determinant of health” (BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA - Romanow 2002) Manitoba’s population - 314,000 rural - 805,000 urban People living in rural communities: • have a poorer health status than other Canadians • have less than the Canadian average life expectancy • have higher disability rates • have higher rates for accidents, poisoning and violence,

  5. Background - Rural “Disparities in Access to Health Care” (BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA - Romanow 2002) Canadians in rural communities have: • difficulty accessing primary health care • difficulty keeping health care providers in their communities, • difficulty accessing diagnostic services and other more advanced treatments. • facilities that are sometimes limited and in serious need of upgrading. • the added burden of paying for the high costs of travel in order to access the care they need.

  6. Demonstration Project t. Deciding what to do>>>>

  7. Brandon Demonstration Project Focus: Knowledge translation, education and advocacy: Goal: “To strengthen the clinical partnership between Home Care Program and Mental Health Services for the Elderly by focusing on knowledge transfer about caregivers through familiarization with the following documents: “ • CGPL - “Supporting the Caregivers of Seniors Through Policy – The Caregiver Policy Lens” (Aug 2011); • SPRG - “Service Provider Resource Guide for Supporting Caregivers of Older Adults” (Aug 2011)

  8. Brandon Demonstration Project Knowledge translation, education and advocacy: Target Audience: • Organizational Management and Leaders • Clinical staff from: Mental Health Services for the Elderly • Clinical staff from: Home Care program • Affiliated others

  9. Brandon Demonstration Project Knowledge translation, education and advocacy: Implementation Objectives • To introduce the CGPL and SPRG to relevant leadership within the Brandon RHA • To share the SPRG toolkit with service providers in our two separate programs • To select tools for potential use within our two programs

  10. Brandon Regional Health Authority Caregiver Demonstration Project on Knowledge Translation to Service Providers - Nov2011 to Sept 2012 Home Care (HC) & Mental Health Services for the Elderly (MHSE)

  11. WHY?State the issue that needs to be addressed. Why do we need to work on it and why now? • There is a need for our staff to have a common minimal understanding of caregiver issues.

  12. WHAT?What specific action will be taken to make an Improvement? Using the SPRG (Aug 2011) – we will: • Provide a minimum of three educations sessions available to Home Care, C.M.H.W.s and others. Who: CGF; DH; KF; TH – When: Jan - March, 2012 • Identify minimum learning objectives and track/ acknowledge achievements or completion. Who: CGF; DH; KF; TH– When: by June 2012 • Plan strategies for new staff orientation. Who: CGF; DH; KF; TH– When:by June 2012

  13. WHAT? ...cont’d • Place information within the staff newsletter (Regional Responder) Who: CGF; DH; KF; TH –When: by June 2012 • Introduce CGPL, SPRG and the Website to Leaders, Planners and Community Program Managers. Who: CGF; DH; KF; TH– When: by March 2012 • Review/select guidelines and screening tools to sanction for use in our respective assessment protocols. Who: CGF; DH; KF; TH– When: by March 2012 June 2012

  14. HOW?How will we know if the action resulted in an improvement (comparator, benchmark & target)? • Telehealth Presentation provided to the MB Network of Psychogeriatric Program Specialists on January 13 - 30 attendees (approx) • Included on several meeting agendas. - 5 meetings (2 provincial, 1 partner and 3 RHA) • Three presentations provided to RHA community staff - (53)attendees. Feb 3/12 (30); Feb 23/12 (9); Mar.12/12 (14)

  15. Education sessions Commenced • February 2, 2012 - Community Program In-service • Guest Speaker (Marian Krawczyk) • 2 Introductory Sessions – overview of CGPL & SPRG • Invitations sent to additional partners • February 21, 2012: Home Care Monthly In-service • Presented by Darlene Henry • Invitations shared with Mental Health • March 12, 2012: MHSE In-service • Invitation shared with Home Care and others.

  16. “The Brandon Regional Health Authority (Brandon RHA) has taken its first step when it comes to recognizing informal, unpaid caregivers and the role they play. It is the first health authority in Manitoba to provide training to staff so they can better understand the role of caregivers and how the RHA can better support them.”

  17. community newsletter of theBrandon Regional Health Authority | March 2012

  18. TEAM WORK: Providing opportunities for Mental Health and Home Care to collaborate. • If it works, do more of it… • If it doesn’t work, try something else... • Share your successes with each other, and… • Use a common language and format for documentation of caregiver support plans.

  19. Challenges: We all have a tendency to re-invent the wheel. • 2

  20. Keep Building on Successes • Exploring webinar training for our staff educators, who in turn could provide education to staff. • Hoping to develop online format for education available on staff Intranet site. • Brandon University Psychology students are presenting using the Caregiver Policy Lens. • Meetings planned in April towards selecting tools to incorporate into the Electronic Health Record.

  21. Our Vision - for Seniors and their Caregivers “Setting a Clear Vision …”(BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA - Romanow 2002 “A vision where Canadians residing in rural and remote regions and communities are as healthy as people living in metropolitan and other urban centres.”

  22. People Don’t Care How Much We Know Until They Know How Much We Care Thank You Questions?

  23. Notes?

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