Falls Intervention Faculty: Call in InformationJanuary 25, 2012

TIME: 1:30 pm NT; 1 pm AT; 12 noon pm ET; 11am CT; 10 am MT ; 9 am PT• Go to:https://cpsi-icsp.webex.com/cpsi-icsp/j.php?J=963427288• Click “Join Now”• Follow the instructions that appear on the screen• To receive a call back, enter your phone number in the pop up box when you join

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and enter theAccess Code: 963427288

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Where are You From? Please use your pointer!

OÙ êtes-vous? Veuillez utiliser votre pointeur!

What Health Sector do you work in?

Hospital Long Term Care

Home Health Care

Othere.g.

Educationor

Research

What is it about Falls Improvement Initiatives that you are passionate about?

• Safer Healthcare Now! the flagship program of the Canadian Patient Safety Institute, invests in frontline providers and the delivery system to improve the safety of patient care throughout Canada by implementing interventions known to reduce avoidable harm.

History of Falls InterventionWho are teams enrolled across

Canada?Presenter: Theresa Fillatre

The Partnership and

JourneyPresenter: B. Dusek

Nat

iona

l Col

labo

rative

on

the

Prev

ention

of F

alls in

Lon

g-

Term

Car

e, 2

008

- 200

9

Falls

Virtu

al L

earn

ing

Colla

bora

tive

(Fa

lls V

LC)

2010

- 20

11

Falls

Fac

ilita

ted

Lear

ning

Series

(FFL

S)

2011

- 20

12

Canadian Falls Prevention and Injury Reduction IntiativesThe Registered Nurses’ Association of Ontario in

Partnership with Safer Healthcare Now!

Brenda Dusek = Program ManagerHeather McConnell = Associate DirectorAndrea Stubbs - Administrative Assistant

National Collaborative on the Prevention National Collaborative on the Prevention of Falls in Long-Term Careof Falls in Long-Term Care

• Thirty-one Improvement Teams from Long Term Care facilities across the country enrolled in the Collaborative, and made a one year commitment to implementing best practices and change concepts reduce falls and injury from falls by 40% by May 2009. This Collaborative consisted of four face to face in person learning sessions.

2008 - 2009

National Collaborative on the Prevention National Collaborative on the Prevention of Falls in Long-Term Careof Falls in Long-Term Care

National Falls Long Term Care Collaborative Planning Team

Heather McConnell

RNAO- Associate Director

Anne MacLaurinCPSI- Project

Manager

Dannie CurrieSHN SIA-Atlantic

Clara BallantineSHN- SIA Ontario

Rayma O’DonnellDirector of Care

ServicesYork Manor

Markirit ArmutluLeader QuebecCampaign

Stefania IapaoloRisk Manager, Geriatric Centre, Montreal, Quebec

Cynthia Majewski

Ontario Node Leader SHN

Irmajean Bajnok RNAO

Director

PatriciaO’Connor

Director/CNOMcGill University

Centre

Marie Owen Medication

Reconciliation Lead –Canada, CPSI

Edith RolkoDirector, Toronto

RehabilitationInstitute

Bruce HarriesPrincipal,

Improvement Associates Ltd

National Collaborative on the Prevention National Collaborative on the Prevention of Falls in Long-Term Careof Falls in Long-Term Care

Fall Metric Results

Final: Fall Metric Results

National Collaborative on the Prevention National Collaborative on the Prevention of Falls in Long-Term Careof Falls in Long-Term Care

Partnership Results: Development of Team Resources• Change Package

• Development of the Reducing Falls and Injury From Falls Getting Started Kit (GSK) post collaborative

Suggestions for change

initiatives for falls

improvement

Evidence Based Falls Best Practices

National Collaborative on the Prevention National Collaborative on the Prevention of Falls in Long-Term Careof Falls in Long-Term Care

Acute Care and Long Term Care: Six Measures

1. Falls Rate per 1000 Patient/Resident Days (Outcome Measure)

2. Percentage of Falls Causing Injury (Outcome Measure)

3. Percentage of Patients/Residents with Completed Falls Risk

Assessment on Admission (Process Measure)

4. Percentage of Patients/Residents with Completed Falls Risk

Assessment Following a Fall or Significant Change in Medical Status

(Process Measure)5. Percentage of "At Risk" Patients /Residents

with a Documented Falls Prevention/Injury Reduction Plan (Process Measure)

6. Restraint Use (Balancing Measure)

National Collaborative on the Prevention National Collaborative on the Prevention of Falls in Long-Term Careof Falls in Long-Term Care

Home Health Care: Five Measures1. Falls Rate per 1000 Clients (Outcome Measure)2. Percentage of Falls Causing Injury (Outcome

Measure)3. Completed Fall Risk Assessment on Admission

(Process Measure)4. Fall Risk Reassessment Completed Following a

Fall or Significant Change in Medical Status (Process Measure)

5. Percentage with Documented Falls Protection or Injury Reduction Plan (Process Measure)

Falls Metrics

• Forty-seven Improvement Teams from Long Term Care, Acute Care and Home Health Care facilities across the country enrolled in the Falls Virtual Learning Collaborative, and made a one year commitment to implementing best practices (Getting Started Kit) and conducting tests of change (Change Package) to reduce falls and injury from falls by 40%

by March 2011. Team used virtual technology to meet for four learning sessions.

Virtual Learning Collaborative Planning Team & Speakers

Clara BallantineSHN- SIA Ontario

Dannie CurrieSHN SIA-Atlantic

Heather McConnellRNAO- Associate Director

Brenda DusekRNAO-Program Manger

Chantal BelleroseSHN- SIA Quebec

Anne MacLaurinCPSI- Project Manager

Theresa FillatreCPSI- Senior Regional

Director

Andrea StubbsProject Assistant

Cheryl SadowskiUniversity of Alberta Associate Professor

Virginia FlintoftSHN- Project Manager, Central Measurement

Team

Kathy BeltonAssociate Director

University of Alberta

Lauma Stikuts Executive Director

Kristus Darzs Latvian Home

Rayma O’DonnellDirector of Care Services

York Manor

Laurie PorterDirector of Health Services

Calder Health Centre

Christine BidmeadDirector of Rehabilitation

Queensway Carleton Hospital

Key Resources:Change Package Reducing Falls and Injury From Falls(expanded to Acute/HHC) Getting Started Kit (GSK)

Available in English

and French

Results

*note nodes are now called regions*

*

Results

Summary Table

• Forty-three Improvement Teams from Long Term Care, Acute Care and Home Health Care facilities across the country enrolled in the Falls Facilitated Learning Series, and made a one year commitment to focus on implementing and sustaining falls best practices to reduce falls and injury from falls by 20% by March 2012.

Team Representation

Sustainability Workbook for FFLS:

•Self assessment components

• Model for Improvement•PDSA methodology

•Measurement

•Overview of change, leading change and sustainability concepts

• Tips/Tools/ Exercises & Worksheets for Action Periods & building sustainability

into falls improvement plans

FFLS Planning Team & Speakers

Denise SorelCPSI- Project Manager

Nadine GlennSHN- SIA Western Canada

Andrea StubbsProject Assistant

RNAO

Dannie CurrieSHN SIA-Atlantic

Theresa FillatreCPSI- Senior Regional Director

Chantal BelleroseSHN- SIA Quebec

Heather McConnellRNAO- Associate

Director

Brenda DusekRNAO-Program

Manger

Virginia FlintoftSHN- Project Manager, Central Measurement

Team

Alexandru TiteuSHN- Project Coordinator

Central Measurement Team

Dr Mahmood Adil National Quality & Efficiency Advisor

Department of Health (England)

Kim StelmacovichCPSI- Project Manger

Lynne MaherNHS- Interim Director