Transcript Brandon Regional Health Authority

Experiences of Implementing the Caregiver Toolkit
The Caregiver Toolkit Toronto Symposium:
March 15, 2012
Background:
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
Background – Rural Health Care
Manitoba’s population
- 314,000 rural
- 805,000 urban
“Geography is in fact
a determinant of health”
(BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA
- Romanow 2002)
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,
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.
Deciding what to do>>>>
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)
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
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
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)
WHY?
WHAT?
WHO?
WHEN?
HOW?
State the issue that
needs to be addressed.
Why do we need to
work on it and why
now?
What specific action will be taken to make an
Improvement?
Who is responsible for carrying out
the action and who will be involved
and who will be affected?
Timelines until action
is complete (start and
end dates)
How will we know if the
action resulted in an
improvement (comparator,
benchmark & target)?
There is a need
for staff to have a
common minimal
understanding of
caregiver issues.
Using the Service Provider Resource Guide for
Supporting Caregivers of Older Adults (Aug
2011) – we will.
Provide a minimum of three educations
sessions available to MHSE Community Mental
Health Workers and Home Care Case
Coordinators
Place information on the resource guide within
the staff newsletter (Regional Responder)
Identify minimum learning objectives for
involved staff and identify a mechanism for
tracking with acknowledging if their
achievements
Darlene Henry RPN/RN –
Manager; Mental Health
Services for the Elderly
Cathy Gfellner-Donald, RN
Director – Brandon Home
Care Program
Tanis Horkey, BScPN –
Community Mental Health
Worker
Kathy Foley, RPN/RN
Community Staff Educator
Identify potential strategies that could be
feasible for ongoing orientation with new staff.
Provide information on the Resource Guide,
the Service Provider Tool Kit and the website to
Community Program Managers, Leadership and
Planning Departments by placing on agendas of
at least two meetings and providing copies of
the materials.

Review and select relevant caregiver
assessment guidelines and screening
tools that could be recommended for
inclusion in our respective assessment
protocols.
- D. Henry RPN/RN – MHSE
- C. Gfellner-Donald, RN – HC
- T. Horkey, BScPN – MHSE
- K. Foley, RPN/RN –
Educator
Commence focus
on care giving
November 2012
• Agenda Items will be reflected
in meeting minutes
Introduce concepts • # of emails disseminated.
to management and
plan education
• # of staff attending # of
session by
sessions
January 31, 2012
• 2 Articles from Responder will
Staff Education
be available
sessions held by
March 31, 2012
• Staff Education Records will
be maintained.
Identify
accomplishments •Information on RHA Intranet
and benefits by
June 2012
• Survey to staff. pre and post
education
Complete summary
report by
September 2012
by
March 2012
• Tools recommended
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.
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
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
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)
 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.
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.
Challenges: We all have a tendency to re-invent the wheel.
•2
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.
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.”
People Don’t Care
How Much We Know
Thank You
Questions?
Until They Know
How Much We Care
Notes?