1. Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Name of Organization: YHSSA Name of Speaker: Cathy-Jo Doyle HSW Supervisor Karin Bucher RN BN

2. Home and Community Numbers Vary, approx 550/year Young to Elderly Services Provided: Wound Care, Ostomy Care, IV, Chronic Conditions, Acute Conditions, Palliative, Foot Care Service Providers: Nursing Home Support Dietary OT/PT Social Work Resident Care Coordinator Who We Are HOME CARE YHSSA Communities of Yellowknife,N’Dilo,Dettah

3. Team Members Team MemberRole Cathy-Jo DoyleCo-Team Leader, HSW Supervisor Karin BucherCo-Team Leader, RN,BN Liza GaudetRCC, Intake Coordinator Rachel MullenOT Erica BowiePT

4. AIM From Team Charter Find a screening tool for falls screening Reduce falls by 40% 100% of all new clients will have a falls risk screening completed upon admission 100% of clients with documented falls will have a prevention and or injury reduction plan

5. Change Ideas List Changes you have tested during Falls VLC PDSA Cycles: 1- Initiated trial of the Morse Falls Scale on all new admissions and continue to use for all new admissions 2- PT trialed the Tinetti Balance tool with 1-2 clients who scored moderate to high risk on the MFS 3- OT reviewed an environmental tool and trialed with 1-2 clients who scored moderate to high risk on the MFS 4- Correlated the PST score and the MFS score for October and November client intakes where both tools used 5- Educated all Nursing staff on the MFS

6. Measures Related to Aim Use Morse Falls Scale on 100% of all new admissions Identify clients with moderate to high risk factors for injury/falls Initiate OT/PT referral for clients who scored moderate to high Implement care plans and target interventions to reduce risks specific to those individuals Link to other programs: Elders In Motion, Remember When Review, Review, Review

7. Lessons Learned Lessons Learned/Key Insights This has been a huge learning experience That whatever we do, no matter how small, will benefit our clients, their families, our program and our community Feel proud of what we have accomplished With each PDSA worksheet, another 2 ideas are generated Work as a team, not alone!

8. Next Steps Key Sustainability Steps/Plan:Target Dates Continue to complete a MFS on all new admissions Ongoing ID a process for Client reporting of fallsJune 2011 Formalize a pathway for Falls Prevention and those at risk and how to track falls September 2011 Formalize a Falls Team consisting of HSW, Nursing, RCC, Rehab September 2011

9. Next Steps Key Sustainability Steps/Plan:Target Dates Complete MFS on all current clients during yearly chart reviews December 2012 Formalize a Home Care Falls Prevention Program for YHSSA 2012 Incorporate into Policy of YHSSA2012 Knowledge translation and incorporation for NWT Home Care Program 2012

10. Name: Cathy-Jo Doyle, HSW Supervisor Cathy-Jo_Doyle@gov.nt.ca Karin Bucher RN, BN Karin_bucher@gov.nt.ca Phone Number: 867-920-3338 Contact Information