join the falls prevention virtual learning collaborative falls virtual learning session # 4 &...
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Join the Falls Prevention Virtual Learning Collaborative
Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template
Name of Organization: PAPHR HOME CARE
Name of Speaker: TBA
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 .
Who We Are
Team MembersTeam Member Role
Linda Sims
Onnalee StuckelIrene turner
Director of PAPHR Home Care
Community Team ManagerAssessor/Coordinator
Donna Nahachewsky Community Team Manager
Tyla Young Assessor/Coordinator
Joanne Hebblewaite Assessor/Coordinator
Bryan Otte Assessor/Coordinator
Debbie Skibinsky Assessor /Coordinator
Tom TilfordAdrienne VangoolLannie MuglestonJudy McNamee
Assessor/CoordinatorPhysiotherapistPhysio AideDirector 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
MeasuresHome Care
Falls reported by clients on reassessment April 1, 2009-March 31 2010APR May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Total
Number of clients who had a MDS (excluding initial) 27 28 32 25 31 35 37 42 29 43 27 43 399Number of clients who reported falling (MDS) 13 5 15 9 13 13 19 24 15 10 6 16 158Number of falls reported (MDS) 16 13 48 20 47 32 42 43 34 28 14 42 379
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, 2011APR May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Number of clients who had a MDS (excluding initial) 21 25 38 35 32 48 29 24 26 32 25N/A 335Number of clients who reported falling (MDS) 11 9 15 11 14 17 9 13 10 15 8 132Number of falls reported (MDS) 27 16 56 22 30 31 26 42 28 30 16 324
Falls incident reports April 1, 2009-March 31, 2010APR May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Number of incident reports 3 1 1 1 1Number of hospitalizations for falls following incident reports 0 0 0 0 0
Falls incident reports April 1, 2010-March 31, 2011APR May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Number of incident reports 1 2 0 5 1 4 2Number of hospitalizations for falls following incident reports ER ER 0 0
Lessons LearnedLessons Learned/Key InsightsThe 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.
What are some things you will do to sustain the work on reducing falls and injury from falls and by what date?
Next Steps
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.
May 1, 2011
Adopt the Falls Prevention Algorithm Plan to assist with care planning.
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.
Name: Onnalee Stuckel R.N. BScN.
Email: [email protected]
Phone Number: 306 765 2462
Contact Information