Experiences of Implementing the Caregiver Toolkit

The Caregiver Toolkit Toronto Symposium: March 15, 2012

Knowledge Translation to Service Providers

in Home Care & Mental Health Services for the Elderly

Brandon Regional Health Authority – Brandon, Mb: Darlene Henry, RPN/RN & Cathy Gfellner-Donald,

BN

Manitoba Regional Health Authorities

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

City of BrandonBackground:

Manitoba’s population - 314,000 rural - 805,000 urban

People living in rural communities: have a poorer health status than other Canadians have less than the Canadian average life

expectancyhave higher disability rateshave higher rates for accidents, poisoning and

violence,

Background – Rural Health Care

“Geography is in fact a determinant of health”

(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.

Background - Rural“Disparities in Access

to Health Care” (BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA

- Romanow 2002)

Demonstration Project t.

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

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 Demonstration Project Knowledge translation, education and advocacy:

WHY?State the issue that

needs to be addressed. Why do we need to work on it and why

now?

WHAT?What specific action will be taken to make an

Improvement?

WHO?Who is responsible for carrying out the action and who will be involved

and who will be affected?

WHEN?Timelines until action is complete (start and

end dates)

HOW?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

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.

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

Commence focus on care giving

November 2012

Introduce concepts to management and

plan education session by

January 31, 2012

Staff Education sessions held by March 31, 2012

Identify accomplishments and benefits by

June 2012

Complete summary report by

September 2012

• Agenda Items will be reflected in meeting minutes

• # of emails disseminated.

• # of staff attending # of sessions

• 2 Articles from Responder will be available

• Staff Education Records will be maintained.

•Information on RHA Intranet

• Survey to staff. pre and post education

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

byMarch 2012

• Tools recommended

Brandon Regional Health Authority Caregiver Demonstration Project on Knowledge Translation to Service Providers - Nov2011 to Sept 2012Home Care (HC) & Mental Health Services for the Elderly (MHSE)

There is a need for our staff to have a common minimal understanding of caregiver issues.

WHY?State the issue that needs to be addressed. Why do we need to work on it and why now?

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 2012Plan strategies for new staff orientation.

Who: CGF; DH; KF; TH – When: by June 2012

WHAT?What specific action will be taken to make an Improvement?

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

WHAT? ...cont’d

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)

HOW?How will we know if the action resulted in an improvement (comparator, benchmark & target)?

February 2, 2012 - Community Program In-service Guest Speaker (Marian Krawczyk)2 Introductory Sessions – overview of CGPL &

SPRGInvitations sent to additional partners

February 21, 2012: Home Care Monthly In-servicePresented by Darlene HenryInvitations shared with Mental Health

March 12, 2012: MHSE In-serviceInvitation shared with Home Care and others.

Education sessions Commenced

“The Brandon Regional Health Authority (Brandon RHA) has taken its first step when it comes to recognizing informal, unpaid caregivers and the role they play. It is the first health authority in Manitoba to provide training to staff so they can better understand the role of caregivers and how the RHA can better support them.”

community newsletter of theBrandon Regional Health Authority | March 2012

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.

•2

Challenges: We all have a tendency to re-invent the wheel.

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.

Keep Building on Successes

“A vision where Canadians residing in rural and remote regions and communities are as healthy as people living in metropolitan and other urban centres.”

Our Vision - for Seniors and their Caregivers “Setting a Clear Vision …”

(BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA - Romanow 2002

People Don’t Care How Much We Know

Until They Know How Much We Care

Thank YouQuestions?

Notes?