seniors and continuing care provincial advisory council ... · susan sommerfeldt john erkelens and...

Minutes – Seniors and Continuing Care Provincial Advisory Council

Saturday, October 05th, 2019 Beechcraft Room, Royal Hotel Leduc (8450 Sparrow Blvd)

Seniors & Continuing Care Provincial Advisory Council

R Della Robertson Gabrielle Kirk Joan Monson R Julie Kelndorfer R Ray Clark, CHAIR

R Diahann Polege-Aulotte Irene Pirie John Erkelens Linda Grant Susan Sommerfeldt

R Fred Bosma Jim Hubbard Judy Long R Lou Henderson Teresa Willigar

AHS Permanent Resource Persons

R David O’Brien Dennis Cleaver Jim Silvius, Dr. Max Jajszczok Scott Fielding

AHS Public

Nicole Merrifield, Director Community Engagement

Carol Anderson, Executive Director Edmonton Zone

Minutes are DRAFT and subject to change and approval at next meeting of the Seniors & Continuing Care Provincial Advisory Council

Agenda Item Discussion Action

Call to Order with Acknowledgement of Traditional Lands

Dr. Jim Silvius opened the meeting with an acknowledgement of gathering on traditional meeting place and home to Treaty 6 Indigenous peoples and Metis Region 4 and 2 territories.

Seniors & Continuing Care Provincial Advisory Council called to order at 0830h

1. Approval of Agenda Seniors & Continuing Care Provincial Advisory Council Agenda 05 Oct 2019 accepted as circulated.

Seniors & Continuing Care Provincial Advisory Council Agenda 22 Jun 2019 accepted as circulated

2. Approval of Minutes Seniors & Continuing Care Provincial Advisory Council Minutes 22 Jun 2019 accepted as circulated.

Seniors & Continuing Care Provincial Advisory Council

of 12 AHS Seniors & Continuing Care Provincial Advisory Council DRAFT Minutes: 2019 October 05 [email protected] www.ahs.ca/advisorycouncils


Minutes 22 Jun 2019 approved as circulated

3. Quarterly Reports

3.1. Seniors Health Community Seniors Addiction Mental Health (CSAMH)

Max Jajszczok

Updates provided on activities underway across CSAMH Seniors Health:

Home Care: policy work underway on Home Care Client Charges Guideline; Home Care Services Policy; Self-managed Care Policy; Added Care/Extraordinary Care Policy.

Supportive Housing & Residential Living: Integrated Health and Housing Services Strategy draft report completed, will come to SCC PAC Fall 2020.

Recording and Surveillance Devices Guideline under review by AH Privacy.

Continuing Care Technology & Innovation Working Group making recommendations regarding past pilots and push/pull technologies.

Medical Equipment and Supplies with AHS Clinical Ethics, final report and recommendations expected by December 2019.

Access to Designated Living Option Policy and Procedure launched June 2019. Significant increase in assessments in community, seeking to complete one-year review regarding process and client experience.

Continuing Care Facility Directory has been publically available for three months; great response from clients and families,

Max Jajszczok will bring ADLO rollout data to next SCC PAC meeting.

mailto:[email protected]

http://www.ahs.ca/advisorycouncils



operators. Continuing Care Health Service Standards (CCHSS) audit results will be posted by AH with a link from the Director to AH page when publically available. Next steps include addition of addiction/mental health (AMH) residential services, hospice.

Conversations Matter Guidebook available, included in Green Sleeve package provided to clients and families. Walks individuals through the process of advance care planning and provides information about Goals of Care in layman’s terms. Being translated into seven different languages.

Patient’s Death in the Home Setting Guideline one-year evaluation complete.

Continuing Care Connection website launched March 31, 2019 to very positive feedback.

AHS Connect Care Wave One launches November 2019, much education required for staff and physicians. Electronic medical record (EMR) will improve transitions with care plans carrying across settings (from acute care to community) and information will flow to primary care physicians. Connect Care will roll out in nine (9) waves through Summer 2023.

Recommendation from Council to translate into Cree, other Indigenous languages as locally appropriate.

Connect Care presentation to next Edmonton-based meeting.

3.2. Seniors Health Strategic Clinical Network™ (SCN™)

Dennis Cleaver

Updates provided on activities underway within Seniors Health SCN™:

Quality Improvement Project to Address Pain Management and Depressive Moods in Long Term Care and Designated Supportive Living three-year initiative seeking to improve quality of life for residents.





Primary Health Care Integrated Community Geriatric Service Initiative has held nine local events in eight rural communities seeking to education physicians to better support older people in community.

Elder-Friendly Care workshops held in Edmonton and Calgary; provincial strategy will be complete in the Fall of 2019.

Community-based Innovations in Dementia Care Grants 2019 new $1M grant is in-place to support implementation of community-based innovations in dementia care. Della Robertson is on the project evaluation/ advisory committee.

Research activities underway include identification of Quality Indicators to monitor/report on SH SCN™ activities that impact it’s Transformational Roadmap. Completed efforts include Priority Setting Partnerships and Alberta Dementia Research Futures.

Appropriate Prescribing and Medication Use for Older Albertans see 3.8 for Council member participants’ update.

SH SCN Update to Transformational Roadmap in development

3.3. AHS Advisory Councils’ Council of Chairs

AHS Nicole Merrifield for Ray Clark

Update provided by Nicole Merrifield in Ray Clark’s absence

Focus on HAC Review, more information will be shared across Councils at Fall Forum.

Narratives related to AHS key topics available online at www.ahs.ca/yourahs; also Conversations with Yiu vlog. This is a resource

Council members are encouraged to visit www.ahs.ca/yourahs for information on AHS activities underway including current topics of interest.



http://www.ahs.ca/yourahs

http://www.ahs.ca/yourahs



to all Albertans, Council members are encouraged to visit and take away key messages to inform respective communities on topics of interest.

3.4. Medical Equipment & Supplies in Continuing Care

Julie Kelndorfer

Creating recommendations specific to congregate living; linking with Continuing Care Technology Innovations (CCTI). Pilots undertaken with GPS and call-assist devices. Reviewing previous reports and evidence – not much practice change since then. Looking at technology to alert client, also at technology for the client to interact with.

3.5. Continuing Care Policy Review & Implementation Panel

Joan Monson

Review of AHS Safe Bathing Temperatures and Frequency Procedure for Provincial Continuing Care underway. Seek to meet safety requirements while satisfying resident preference.

3.6. Home Care Development Steering Committee

Self-Managed Care Policy Review and Feedback Provision

Della Robertson

Home Care Development Steering Committee meeting Minutes circulated 01/02 Oct under separate cover.

Self-managed Care Policy link to survey circulated 20 Sep 2019; SMC Policy Revisions document circulated 25 Sep 2019 for review and discussion at 05 Oct 2019 SCC PAC meeting.

Self-Managed Care (SMC) is a funding option for clients with stable health care needs that may not be met by locally-available Home Care service providers and for whom traditional continuing care congregate living options are not an ideal solution. Discussion and feedback will be provided to CSAMH Seniors Health.

Recommend strengthening definition of ‘Accountable Leader’ within Policy.

Crystal Stewart to provide Self-Managed Care Policy review and feedback to CSAMH Seniors Health.





3.7. Social Media

Julie Kelndorfer

Crystal Stewart reported Community Engagement Social Media is shifting focus to local stories, either geographic or area of focus. Members are encouraged to share ideas for Social Media posting.

Additional ideas can be forwarded for consideration. Content will be vetted and not all submitted will be posted.

Members are asked to provide a brief caption describing the event/activity when providing link or photo.

SCC PAC Members encouraged to share captioned local events or activities for AHS Social Media posting. Submissions can be provided to [email protected].

3.8. Appropriate Prescribing and Medication Use Strategy for Older Albertans Advisory Committee

Judy Long, Susan Sommerfeldt

Appropriate Prescribing Medication Use Strategy for Older Adults presented to SCC PAC Spring 2019; feedback to Discussion Paper incorporated.

High volume of medication use by seniors identified; more prescriptions mean more side effects, interactions, hospitalizations and cost.

Physicians identified potential work in acute care, primary care and long-term care/DSL. Implementation is dependent on funding.

Where are we?

Socialized discussion paper and finalize strategy

Dusty’s Story published https://youtu.be/t3R7SApn17k

Formed Advisory Committee

Building communities of practice – Benzo Interest Group in DSL/SL

Partnerships being formed to explore potential work

Actively seeking funding opportunities (Choosing Wisely)

Recommendation for language more inclusive than ‘medication’ to imply inclusion of supplements, herbals, vitamins, OTCs, etc.

Council members are encouraged to view Dusty’s Story at https://youtu.be/t3R7SApn17k

Council members are asked to assist in creating awareness about this project; to raise the topic as individuals amongst friends, family and other community groups; share




https://youtu.be/t3R7SApn17k

https://youtu.be/t3R7SApn17k



Next Steps:

Website development at AHS.ca including resources with links to resources

Working with MyHealthAlberta to develop resources for patients and families to initiate conversations about medications with their healthcare providers

Develop work plans to implement actions (pending funding)

Establish evaluation parameters ( pending funding)

Council members are asked to assist in creating awareness about this

project; to raise the topic as individuals amongst friends, family and

community groups; share Dusty’s Story and support or advocate for older

adults and their families to ask questions about medications.

Dusty’s Story and support or advocate for older adults and their families to ask questions about medications.

Council may share slide deck; request from Crystal Stewart.

3.9. CCHSS and Quality Improvement Policies and Education

John Erkelens, Susan Sommerfeldt

John Erkelens and Susan Sommerfeldt participated in education sessions including self-assessment checklist and staff training/just-in-time education that utilized design thinking posing ‘how might we’ questions to stimulate conversation. Discussion around use of Game Theory that looks at how players collaborate and navigate.

Seeking additional topics for presentation – Council members are asked to provide ideas to Susan Sommerfeldt.

Provide ideas for Quality Improvement education sessions to Susan Sommerfeldt at [email protected].

3.10. Continuing Care Technology Innovation (CCTI)

Julie Kelndorfer

Deferred






3.11. Best Practice Review: Housing Model for Young Adults with Physical Disabilities

Julie Kelndorfer

Deferred

4. Council Business

4.1. Advance Care Planning Alberta – pan-Alberta meeting to co-create a public action plan

Joan Monson, Susan Sommerfeldt

18 Sep 2019 at Edmonton Federal Building – seeking to integrated Green Sleeve for all Albertans. Representatives attended from across the province, seeking to develop Action Plan – funder for future work remains to be confirmed. Discussion around opportunities to share Green Sleeves recommended focus on individuals more imminently requiring Personal Directive. Need to consider differing cultural components around death. Centre for Public Legal Education Alberta (www.cplea.ca) provides information on personal directives, power of attorney and wills – Green Sleeve. Next steps include scheduling of next meeting; activities on-hold pending release of budget.

4.2. Government of Alberta Financial Committee recommendations and potential

The McKinnon Panel findings have been released; Ernst & Young hired to complete review of AHS and AH to identify opportunities to streamline and reduce costs. Budget will be released in October; 2020 Budget will come in the spring.



http://www.cplea.ca/



impact to health system

Jim Hubbard, SCC PAC All

4.3. Seniors & Continuing Care Provincial Advisory Council Top Concerns

SCC PAC All

Revised Template released in September; further revisions will follow.

Concerns are local with systematic considerations being more immediate and complex.

Feedback provided on template format and language captured in-document for provision to Community Engagement for consideration for next iteration. Feedback provided within Advisory Council Advice to AHS will be provided to Community Engagement.

Explore mechanisms to achieve integration across sectors.

Take on topic and explore in home communities, bring back for discussion/ Council recommendation to AHS for potential action.

Council members will explore community-based wellness strategies in their respective home communities and bring back examples of services and gaps for discussion at January 2020 Seniors & Continuing Care Provincial Advisory Council meeting.

4.4. Future Presentations (standing)

SCC PAC All

Alberta Dementia Strategy & Action Plan presentation from AH Suzanne Maisey confirmed for January 2020 meeting.

Additions:

Connect Care (Carol Anderson presenter) to next Edmonton-based meeting

Health Quality Council of Alberta Long Term Care series and role in continuing care in Alberta. Recommended for January 2020 meeting.

Noted recommendations will be added to the Presentations for Future Meetings document; HQCA will be contacted for January 2020 availability.





Revise Power of Attorney to reflect Advance Care Planning & Goals of Care – Green Sleeve, Office of the Public Guardian Barb Martini or AHS Maureen Douglas potential presenters.

Expanded use of Nurse Practitioners in Seniors Care – Dr. Jim Silvius or Max Jajszczok to identify potential presenters.

Connect Care Phase One Rollout – Carol Anderson presenter to next Edmonton-local meeting.

4.5. Advisory Councils Fall Forum 2019

SCC PAC All

Documentation circulated for review with meeting package

4.6. Advisory Council Member Profile

SCC PAC All

Standing

Next Meeting 11 January 2020

Alberta Room, Sheraton Cavalier Calgary Hotel (2620 32 Ave NE)

Adjournment Seniors & Continuing Care Provincial Advisory Council meeting adjourned at 12:00p




Meeting Evaluation MEETING EVALUATION 10 received of 11 possible Strongly

Agree Agree

Neither Agree nor Disagree

Disagree Strongly Disagree

Topics were related to the purpose of our Council 9

Topics were an effective use of time 7 2

Topics were enjoyable / interesting 7 2

Council member participation was 8 1

FEEDBACK

What was the most valuable thing accomplished?

Very positive discussions on a number of subjects (2)

Selecting one of the Council’s top concerns and assigning it as a research topic for discussion at the next meeting.

Age Friendly Cold Lake (5) o Hearing the story of elder friendly o The Age Friendly Cold Lake presentation which led to discussion and consequent action of us

all going back to our communities to get info on community wellness initiatives. o Inspiring to see possible things communities can do

Appropriate Prescribing & Medication Use Strategy for Older Albertans

Discussion about Canadian Patient Safety Week

Discussion on Community Care

What did you enjoy most at this meeting?

I enjoy the openness and the discussions on the very important topics (2)

The presentation on Age Friendly Cold Lake (4) o Big thanks to Diane for attending and presenting o Discussion on ageism




Appropriate Prescribing & Medication Use Strategy for Older Albertans

Engaging and informative discussions on the Agenda.

Seeing everyone and formal and informal discussions

Hearing from AHS leaders/spokespersons

What would you recommend to improve future meetings?

More time for discussions, I would like to hear more!

Ensure enough time for robust discussions.

Other comments:

Excellent information from different Agencies/Government

These meetings are very informative

Meeting together supports individual members in their own committee work and interactions. We are starting to get to know each other as we work on different projects, etc.

Great to see everyone. Discussion feels good!



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