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Rapid Fire Team Presentation Edmonton Home Care

Rapid Fire Team Presentation Edmonton Home Care. Alberta Health Services Continuing Care Services Home Care, Geriatric Consult Team Edmonton , Alberta, Canada. Who We Are. Home Living Program consists of Home Care, Day Programs, and several specialty programs

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Rapid Fire Team Presentation Edmonton Home Care

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  1. Rapid Fire Team Presentation Edmonton Home Care

  2. Alberta Health ServicesContinuing Care ServicesHome Care, Geriatric Consult TeamEdmonton, Alberta, Canada Who We Are • Home Living Program consists of Home Care, Day Programs, and several specialty programs • Home Living serves 32,725 unique clients annually in Edmonton Zone • Geriatric Consult Team was created in August, 2011, in part to provide assessment and treatment of clients who have a risk or history of falls • 64clients have been served as of February 29, 2012

  3. Objective of Learning Series • Think critically about how the Geriatric Consult Team will achieve improvement in falls screening, falls prevention, and injury reduction • Learn strategies of sustainability and integrate into falls improvement plans within overall Home Living Falls Risk Management Strategy • Develop skills to sustain practice change for prevention of falls and injury reduction • Actively participate in data submission to SHN Falls Intervention and network with other teams in the national Falls Facilitated Learning Series (FFLS)

  4. Working Team • Team Lead: • Deb Payne, Manager, Quality Initiatives and Program Support • Team Sponsor: • Dennie Hycha, Director, Home Living • Team Members: • Shelley MacGregor, Area Manager, Geriatric Consult Team • Erin Meikle, Professional Practice Leader, PT, Home Living • Jennifer Russill, PT Amarjit Mann, PT • Sandy MacLean, OT Sharon Weleschuk, OT • Kelly Frazer, TA Richard Flierl, TA • Sharon Storey, RN Winona Mondor, RN • Susan Haggerty, Pharmacist Lesley MacGregor, NP • Joshua Running, NP Laura Murray, Recreation Therapist

  5. Changes tested to date

  6. Changes tested to date

  7. Baseline Measures • A chart review of Geriatric Consult Team clients was conducted in September, 2011 • Geriatric Consult Team adopted FFLS goals for study period

  8. Study Population

  9. Study Results

  10. Study Results

  11. Study Results

  12. Factors Affecting Monthly Data • Clients referred to Geriatric Consult Team are often already experiencing falls or have asignificant risk of falls • Geriatric Consult Team has no influence over the number of clients who have experienced a fall causing injury on admission to the team • Assessments may be delayed due to: • Client availability • Team availability • Increase referrals to Geriatric Consult Team • Monthly reporting does not provide trend data, only episodic data

  13. Ensuring Quality Data • Continue to visit new clients as soon as possible and include falls screening on initial visit • Aim to complete documentation about falls history and risks in a timely manner • Review reporting periods to mitigate effect of delayed assessment • Identify cases where external factors delayed falls screening • Periodic review with Geriatric Consult Team and peers to discuss processes to work towards relevant data collection and best practice • Create standardized template and database for reporting of Geriatric Consult Team clients’ falls

  14. Geriatric Consult Team Feedback: Falls • 18 out of 64 clients have experienced a fall while under the care of Geriatric Consult Team from inception to February 29. 2012 • Geriatric Consult Team is aware of the need to collect data about number and circumstances of falls in addition to Home Living falls reporting system • Family members and Home Care Case Managers report high satisfaction with Geriatric Consult Team’s interventions • Geriatric Consult Team members appreciate the benefit of an interdisciplinary approach to falls

  15. Plan, Do, Study, Act (PDSA) Cycle • Geriatric Consult Team evaluated its current comprehensive initial assessment tool to determine its usefulness in falls screening and evaluation • PDSA cycle determined that the assessment tool in combination with the screening questions and SPLATT was an adequate screening tool, but additional targeted assessments should be explored for further evaluation of falls and falls risk • Geriatric Consult Team is exploring documents available in Meditech to assist in interdisciplinary assessment of falls • Geriatric Consult Team is working in collaboration with Falls Risk Management Implementation and Evaluation Team to standardize interventions for clients at low and high risk for falls

  16. Sustaining Falls Improvement: Barriers • Competing priorities in Alberta Health Services • Geriatric Consult Team is a new entity, therefore, its processes and assessment forms are evolving • Uncertainty amongst Geriatric Consult Team members as to how to proceed following falls screening

  17. Sustaining Falls Improvement: Facilitators • Strong support of Alberta Health Services, Senior Management, and Falls Risk Management Implementation and Evaluation Committee • Involvement with Canadian Falls Prevention Curriculum has provided Canadian content and is evidence informed • Geriatric Consult Team is a small, interdisciplinary group of experienced professionals who can directly impact the multifactorial reasons clients fall • Geriatric Consult Team has the opportunity to create new processes without the change management challenges that occur in a larger organization

  18. Sustaining Falls Improvement: Moving Forward • Ensure timely assessment of clients, completeness of falls screening and appropriate, interdisciplinary evaluation of falls • Fully implement Standard of Care for falls • Determine an evaluation tool for Geriatric Consult Team clients who acknowledge a history of falls • Develop database and tracking form for Geriatric Consult Team to record clients’ falls • Collaboration with Falls Risk Management Implementation and Evaluation Committee

  19. Sustaining Falls Improvement: Key Insights • FFLS was beneficial in initiating discussion on a Standard of Care for falls • Participating in FFLS has reinforced that falls are a universal problem and Geriatric Consult Team has benefitted from other teams’ knowledge • Process needs to be straightforward and implemented by all team members • Initial Geriatric Consult Team’s success is facilitated by team members visiting clients frequently and responding in a timely manner • FFLS process has provided insight into Geriatric Consult Team’s role in Home Care at large

  20. Sustaining Falls Improvement: Advice to Teams • Keep working team small • Focus on one problem at a time • Align with larger organizational goals and find supportive leaders in management • Learn from other teams’ success and challenges

  21. 6 Month Post FFLS Sustainability Plans for Falls Improvement

  22. 6 Month Post FFLS Sustainability Plans for Falls Improvement

  23. Contact Information • Deb Payne, MScHP • Manager, Quality Initiatives and Program Support • Phone: (780)-735-3354 • Email: Deb.Payne@albertahealthservices.ca • Jennifer Russill, BScPT • Physical Therapist, Geriatric Consult Team • Phone: (780)-408-5973 • Email:Jennifer.Russill@albertahealthservices.ca

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