viha.ca implementing evidence-based care: falls prevention across island health excellent health and...
TRANSCRIPT
viha.ca
Implementing Evidence-Based Care: Falls Prevention
Across Island Health
Excellent health and care for everyone, everywhere, every time.
Catherine HodginsDirector, Clinical Governance, Measurement & Evaluation
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Disclosure
None
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Who We Are
• 18,000 Health Care Professionals• 1,900 Physician Partners• 150 + Facilities• 1,565 Acute Care and Rehabilitation Beds• 6,370 Residential Care and Assisted Living
Beds• 1,075 Mental Health & Substance Abuse Beds
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Legend of the Falls
• We’ve done this before• Multiple Strategies• 2008 – 09 2,353• 2009 – 10 1,968
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Things Going On2010 - 2013
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Perspective
2013 -14: 3,274 falls reported
2014-15 YTD: 2819 falls reported 3,331 annualized
$13,300 per fall6.27 additional days
Source: Wong, C. A., and others. The cost of serious fall-related injuries at three Midwestern hospitals. The Joint Commission Journal on Quality and Patient Safety. 37(2):81-87, February 2011.
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• Falls Prevention Policy• Local Procedures• Falls Learning Hub• Evaluation Framework
Falls Working Group
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• Falls Prevention Policy• Local Procedures• Falls Learning Hub• Evaluation Framework
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PSLS implemented for usFalls Prevention PolicyLocal ProceduresFalls Learning HubEvaluation Framework
• Falls Prevention Policy
• Local Procedures• Falls Learning Hub• Evaluation Framework
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Success
The 2 South team at Royal Jubilee
knows how devastating falls
canbe for patients
and everyone on the team works hard to prevent
them.
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viha.ca
Surgical Services
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Mental Health & Substance Use Falls Algorithm
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PSLS implemented for usFalls Prevention PolicyLocal ProceduresFalls Learning HubEvaluation Framework
• Falls Prevention Policy• Local Procedures
• Falls Learning Hub• Evaluation Framework
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Reality Check
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How We Are Doing?Completion of Falls Risk Assessment
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How We Are Doing?Completion of Falls Risk Assessment
74%
26%
YesNo
87%
13%
YesNo
2013-14 2014-15 YTD
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Jan 2013
Feb 2013
Mar 2013
Apr 2013
May 2013
Jun 2013
Jul 2013
Aug 2013
Sep 2013
Oct 2013
Nov 2013
Dec 2013
Jan 2014
Feb 2014
Mar 2014
Apr 2014
May 2014
Jun 2014
Jul 2014
Aug 2014
Sep 2014
Oct 2014
Nov 2014
Dec 2014
0
50
100
150
200
250
300
350
400
PSLS Falls - South Island - 1JAN2013-31DEC2014All Statuses Except Rejected
DataMean
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• Falls Prevention Policy• Local Procedures• Falls Learning Hub
• Evaluation Framework
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Measurement and EvaluationExisting measures• # of Falls per Month• # of Falls per Month with Moderate or Higher Degree of Harm• Of reported Falls,
– % with risk assessment completed– Use of strategies – i.e. hip protectors, nonslip footwear– Time of day; day of week
To be implemented• % of Risk of Falls Screening completed on Admission to service area• % of positively screened patients with a completed falls risk assessment• % of high risk patients with documented interventions noted on the Interdisciplinary Care
Plan
Feedback Loop to service areas for purposes of improvement with specific targets for improvementReport to Program Quality Councils on progress
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• Implement Strategy• Identify Population at Risk• Address Specific Needs of
Populations at Risk• Establish Measures• Use Evaluation Information for
Improvement
Accreditation
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Electronic Health Record
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Expand the Success
Story