OIPRC Injury Prevention Forum March 3, 2010

 Mississauga Falls Prevention Initiative  Funded projects  Lessons learned  Recommendations

 Peel, Halton, & Toronto Public Health  Mississauga Halton LHIN  Credit Valley Hospital  Trillium Health Centre  Halton Health Care Services  MH CCAC  Supportive Housing  Long Term Care  Private sector

 Worked together for a year to develop a framework for falls prevention in Mississauga Halton and a companion resource guide.  Purpose of the framework is to guide, inform and connect efforts across an integrated continuum of services.

 Provides a consistent reference point  Documents a common commitment  Guides efforts for collaboration – all sectors  Comprehensive  Client focus  Evidence – universal best practice E’s of injury prevention

 Goal: Reduce falls and falls related injuries in older adults.  Reduce the rate of emergency department visits, hospitalizations and long term care admissions among seniors in the Mississauga Halton LHIN.

 Enhancement of Hospital Falls Prevention Clinic – Credit Valley Hospital  Falls Clinics at Halton Healthcare and Trillium Health Centre.  Home Support Exercise Program  Stand – Up program  Mississauga Halton Falls Prevention Coordinator role.

 Credit Valley Clinic became the model for the others  A lot of work went into documentation of program and processes  Lessons learned ◦ Systems, skills and capacity for expected outcomes may not be in place. ◦ Program improvements are ongoing. ◦ LHIN expectations and reporting

 10 simple exercises for frail seniors  Funding was to implement via personal support workers ◦ CCAC clients & one supportive housing agency  Lessons learned  Don’t put all your eggs in 2 baskets  It takes a long time for uptake in these environments  Engage others who work with Seniors

 Community based initiative  Plan was to implement with parks and recreation.  Lessons learned  Make sure your partners can implement  Find out what they need to contribute to falls prevention.  Be flexible and advocate for changes

 Admin & direct support to funded projects  Chair – Steering Committee  Resource  Knowledge broker  Identify new opportunities  Monitor & report on budget  Track indicators for the LHIN  Provide evaluation support

 Applied for funding for a full time coordinator  Evaluation framework  Implementation of falls risk screening in LHIN agencies  Communication mechanism to keep management informed

 Connect with all who service seniors  Ask for participation  Show them how they can participate  Connect the dots for everyone – and do it often  Share what you know  Don’t waste time trying to engage those who are not interested.  Be flexible

 Monica Marquis BScHE CHES  