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Falls Virtual Learning Session # 4 Closing Congress Team Rapid Fire Presentation

Falls Virtual Learning Session # 4 Closing Congress Team Rapid Fire Presentation. Organization: RED CROSS-ONTARIO ZONE, Home Care Sector. Speaker: Jody Hales, Manager of Client Safety & Clinical Support. Red Cross Background.

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Falls Virtual Learning Session # 4 Closing Congress Team Rapid Fire Presentation

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  1. Falls Virtual Learning Session # 4 Closing Congress Team Rapid Fire Presentation Organization: RED CROSS-ONTARIO ZONE, Home Care Sector Speaker: Jody Hales, Manager of Client Safety & Clinical Support

  2. Red Cross Background........... Providing Home Care Services throughout the province of Ontario since 1925. Accredited program 2003 - Present.

  3. Red Cross Provincial Fall Event Analysis2010

  4. Red Cross Client Incident Analysis Client falls (outside of RC Service) were the highest reported incident in 2010.

  5. Our Falls VLC Pilot Site

  6. Falls VLC Team Members

  7. AIM • Reduce incidence of client (control group) fall rate by 40% from baseline by March 2011 (VLC set benchmark) • Reduce client (control group) injury from falls by 40% from baseline by March 2011 (VLC set benchmark)

  8. Change Ideas Tested • Review of existing validated Falls Risk Assessment Tools • MORSE training document for Supervisory Staff • Standardized list of Fall Intervention Strategies (low/high risk) • Revision of our existing Home Risk Analysis form • Revision of our frontline falls training document • Revision of our Client Safety Series – Falls Prevention document • Development of a Falls Report Tool for frontline staff

  9. Lessons Learned to Date... • It is of great benefit to have frontline staff involved in the process (developing/testing tools and providing feedback) • Variance in score values when MORSE tool completed during referral review (paper review) and when MORSE tool completed at the point of care (in the client home). • Change ideas need to be realistic and align with resources available in order to support process success. • Falls strategy needs to be embedded into routine operational practice ..... not just another form to fill out.

  10. Some of Our Challenges... CHALLENGES • Uncontrolled work environment (the client home) • The client’s right to choose to live at risk • Client/family Fear - perception; ‘if I tell - I will lose my independence’ ‘If I tell - I will be taken out of my home’ • Client cognitive issues • Service limitations (*we are not in the client’s home 24hrs a day) • Time and resources (workload, $$$, available health care professionals)

  11. Service/Sector Gaps • Structural barriers – Homecare Competitive bidding model • Communication among service providers (what a concept) • “Death by Assessment” Scopes of practice – Duplication of assessments/efforts between service providers • Timely access/availability of professional in-home services - OT/PT/Social Work/Physician, etc. The right service.. the right amount.. the right time. • Continuity of care providers for High Risk Clients – staff safety vs. client safety

  12. Next Steps

  13. RED CROSS Contact Information • Jody Hales • Manager of Client Safety & Clinical Support • jody.hales@redcross.ca • 905-328-6268

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