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

Name of Organization: PAPHR HOME CARE Name of Speaker: TBA Join the Falls Prevention Virtual Learning Collaborative

Who We Are

Prince Albert Parkland Health Region Home Care

Current Caseload for Prince Albert of Clients receiving service such as nursing, home support & Meals on Wheels is1015 clients .

Team Member

Linda Sims

Team Members

Role

Director of PAPHR Home Care Onnalee Stuckel Irene turner Donna Nahachewsky Tyla Young Joanne Hebblewaite Bryan Otte Debbie Skibinsky Tom Tilford Adrienne Vangool Lannie Mugleston Judy McNamee Community Team Manager Assessor/Coordinator Community Team Manager Assessor/Coordinator Assessor/Coordinator Assessor/Coordinator Assessor /Coordinator Assessor/Coordinator Physiotherapist Physio Aide Director of Physiotherapy

AIM

To reduce incidence of falls ( fall rate) by 40% from baseline by March 2011.

Reduce injury from falls by 40% from baseline by March 2011.

Change Ideas

List Changes you have tested during Falls VLC PDSA Cycles:

PDSA #1 Develop Risk Assessment Screening Tool My Falls Free Plan and trial PDSA #2 Create a Fax cover sheet to communicate plan to Client’s Physician PDSA#3 Develop a Post Fall Questionnaire and trial PDSA #4 Create an Algorithm for Falls Prevention Plan

Measures

Home Care Falls reported by clients on reassessment April 1, 2009-March 31 2010 APR May Jun Jul Aug Sep Oct Nov Dec Jan Number of clients who had a MDS (excluding initial)

27 28 32 25 31 35 37 42 29 43

Feb

27

Mar Total

43

399 Number of clients who reported falling (MDS) Number of falls reported (MDS)

13 16 5 13 15 48 9 20 13 13 47 32 19 42 24 43 15 34 10 28 6 14 16 42

158 379 Falls Rate per 1000 Clients: Calculation: Number of falls witnessed or reported during the measurement period divided by the total number of clients within the target population multiplied by 1000= 379/399 x 1000 = 949.87

Falls reported by clients on reassessment April 1, 2010-March 31, 2011 APR May Jun Jul Aug Sep Oct Nov Dec Jan Number of clients who had a MDS (excluding initial)

21 25 38 35 32 48 29 24 26 32

Feb Mar 25N/A Number of clients who reported falling (MDS) Number of falls reported (MDS)

11 27 9 16 15 56 11 22 14 17 30 31 9 26 13 42 10 28 15 30 8 16

335 132 324 Number of incident reports Falls incident reports April 1, 2009-March 31, 2010 APR May Jun Jul Aug Sep Oct Nov Dec Jan

3 1 1 1

Number of hospitalizations for falls following incident reports

0 0 0 0

Feb Mar

1 0

Number of incident reports Falls incident reports April 1, 2010-March 31, 2011 Number of hospitalizations for falls following incident reports APR May Jun Jul

1 ER

Aug Sep Oct Nov Dec Jan

2 0 5 1 ER

Feb

4 0

Mar

2 0

Lessons Learned

Lessons Learned/Key Insights

The RAI/MDS assessment already used as an assessment tool screens for Falls so it was determined to leave this in place and not create another screening tool. This helped to address concerns about lack of time and resources that our Assessor/Coordinators expressed and are experiencing.

We tried to make the screening process more difficult than it has to be for clients still living at home.

We can only recommend and assist with referrals but if the client refuses to follow up or make changes they will remain at risk.

Interventions were discussed and created to include in the care plan created for clients who are at risk for falls. Physiotherapy and Occupational therapy can be utilized to assist those at risk more that what they have been getting referrals for.

Every care provider has a responsibility to prevent falls and it was important to include all members of the care team.

Next Steps

What are some things you will do to sustain the work on reducing falls and injury from falls and by what date?

Key Sustainability Steps/Plan: Target Dates

Create a Falls Care plan template for care providers to use when care planning for a client to ensure Falls prevention is maintained as a standard of care.

Adopt the Falls Prevention Algorithm Plan to assist with care planning.

May 1, 2011 April 1, 2011 Roll out the entire program to all Home Care programs in the Region.

June 1, 2011 subject to change depending on resources.

Contact Information

Name: Onnalee Stuckel R.N. BScN. Email: [email protected]

Phone Number: 306 765 2462