Regina Qu’Appelle Health Region (RQHR) Home Care Falls Prevention Program Aim: reduce falls and injury from falls by 20% by March 2012 Objective: Establish baseline data Establish pilot Target education

Home Care - Changes Tested Survey staff on their definition of a “fall” Develop and trial a Home Safety Checklist Develop a Falls Diary Educate all Home Care staff on Fall prevention Begin reporting all unwitnessed falls Develop 2 pilots – this includes establishing the process of identifying clients at risk and implementing an intervention

Home Care - Measures Pilot area 82 (Fort Qu’Appelle/Belcarres) – 3 rd quarter (Oct/Nov/Dec 2011) reporting indicates that 166 clients were assessed during that time and 52 % triggered the falls cap Pilot area 45 (Downtown Regina) – 3 rd quarter (Oct/Nov/Dec 2011) reporting indicates that 386 clients were assessed and 57 % triggered the falls cap

Home Care - Measures Pilot area 82 – has been very successful. Clients are getting assessed by the case manager, when falls cap triggered – Home Health Aides (HHA) are sent out to complete Home Safety Checklist and Falls Diary. Referrals are being made from this to therapies for further assessment and education – numbers are not in yet but we know that several therapy referral have been made. Pilot area 45 – we know that barriers exist that are preventing the HHA from being referred to client. We are in the process of investigating these barriers.

Home Care - Measures Confidential Occurrence Reporting is on the increase We have doubled the number of unwitnessed/witnessed falls being reported in the last quarter 1 st quarter reports (Apr/May/June 2011) 2 nd quarter reports (July/Aug/Sept 2011) 3 rd quarter reports (Oct/Nov/Dec 2011)

Next steps: review and revise pilots as needed possibly implement Vitamin D Implement the maple leaf with the 3 questions on the front of all Home Care in-home Charts Implement post fall intervention Continue with the Home Safety Checklist Continue to Educate on Falls