HELP Manuals - Hamilton Health Sciences
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Transcript HELP Manuals - Hamilton Health Sciences
http://www.hospitalelderlifeprogram.org
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Central Website
Overview of delirium and the HELP program for Older
Adults/Caregiver and Clinicians
New sites can apply for access into the HELP Private
site (there are instructions on the website regarding
how to apply)
The private site holds all of the HELP materials
including manuals, instructional videos, tools and
resources
On the private site there is also instructions on how to
join the HELP Google Group
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Hamilton Health Sciences HELP
Resource Website
http://www.hhsc.ca/body.cfm?id=1015
Will include extra resources that have been developed
over the years for the program at our site
Some examples are
Volunteer Assignment sheet
Sample Volunteer Training Schedules
Sample Patient Education Handouts
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Organizational and
Procedural Manuals:
Overview & Structure Manual
This manual gives a broad understanding of the program,
the key elements of the program, and how they connect
Goals of the program
Description of staff – their qualifications, FTEs
Program costs
Administrative structure
Quality Assurance Procedures – Intervention adherence;
Working Group; Staff Performance Check; Patient/Family
Survey; HELP Outcomes
Strategies to improve adherence
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Overview & Structure Manual
Volunteer Component:
Role, position description
Training
Volunteer retention
Case Scenarios with
suggested responses
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
Organizational and Procedural Manuals:
The Clinical Process Manual
This manual is the “heart of HELP”, in that it contains
the activities from screening through discharge
MMSE – ensure that your organization has permission
to use the MMSE (at HHS, we utilize the SMMSE)
Overview of cognitive screening instruments
Screening and enrollment procedures
Patient enrollment form
Structure of patient assessment; includes scripts for
ELS/ELNS
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Clinical Process Manual
ELS Scope of Responsibilities
Volunteer coordination
Patient care
Program operations
Patient information package
Evaluations to identify risk factors
Confusion Assessment Method
ELS/Volunteer Intervention Summary Chart
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Clinical Manual
cont’d
Geriatric Nursing Assessment and Interventions
ELNS Protocols (Delirium, Dementia, Psychoactive Meds)
ELNS Scope of Responsibilities
Patient care
Staff education
Program operations
Additional areas of ELNS assessment (i.e. anxiety, continence,
skin)
List of top 10 Drug Interactions
Beers List
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Clinical Process Manual
Interdisciplinary Interventions
Rounds
Geriatrician consults
Community links
Interdisciplinary consultations
Discharge & Post-Discharge Planning
Patient/family satisfaction surveys
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Clinical Process Manual
Educational interventions to
improve geriatric expertise
References and resources for all
protocols
Chaplaincy protocol
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Database Manual
Sample forms and worksheets for ELS
Patient Enrollment Form – see our version in package
ELS intervention worksheet
Patient care plan
Volunteer assignment form – see our version in package
ELS Daily Evaluation Form
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Database Manual
cont’d
Tracking adherence of volunteer interventions
Master tracking log (worksheet)
Adherence codes
Tracking adherence of nursing interventions
Daily assessment (ELNS Patient Profile Sheet)
ELNS Interventions Master Tracking Log and
Intervention Codes
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Database Manual
Discharge Evaluation
Patient discharge assessment form
Patient/family satisfaction survey
ELNS telephone follow-up
Samples of completed forms
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
cont’d
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Volunteer Training Manual
Overview – program structure chart
Program goals
Role of the volunteer
Training process – classroom and shadowing
Separate sections cover each protocol
Expectations of the volunteer
Importance of documentation
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH
The Business Tools Manual
Introduction
Executive Summary
Background research & outcomes
Program design & tools
Program results – Clinical & Quality; Economic
Summary of Potential Business Impact
Overview of Potential Cost Savings
Financial worksheets
Data Collection Questionnaire
Power Point Slide Presentation
Evaluating the Volunteer Model – value of volunteer time
The Hospital Elder Life Program © 2000,
Sharon K. Inouye, MD, MPH