1. Experiences of Implementing the Caregiver Toolkit The Caregiver Toolkit Toronto Symposium: March 15, 2012

2. Background:

3. City of 50,000 people (catchment area 180,000) Elderly in catchment area # over 20,000 2 nd largest City in Manitoba Agricultural The Heart of the Prairies Background:

4. Manitoba’s population - 314,000 rural - 805,000 urban People living in rural communities: have a poorer health status than other Canadians have less than the Canadian average life expectancy have higher disability rates have higher rates for accidents, poisoning and violence, Background – Rural Health Care “Geography is in fact a determinant of health” (BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA - Romanow 2002)

5. Canadians in rural communities have: difficulty accessing primary health care difficulty keeping health care providers in their communities, difficulty accessing diagnostic services and other more advanced treatments. facilities that are sometimes limited and in serious need of upgrading. the added burden of paying for the high costs of travel in order to access the care they need. Background - Rural “Disparities in Access to Health Care” (BUILDING on VALUES: THE FUTURE OF HEALTH CARE IN CANADA - Romanow 2002)

6. Deciding what to do>>>>

7. Brandon Demonstration Project Focus: Knowledge translation, education and advocacy: Goal: “To strengthen the clinical partnership between Home Care Program and Mental Health Services for the Elderly by focusing on knowledge transfer about caregivers through familiarization with the following documents: “ CGPL - “Supporting the Caregivers of Seniors Through Policy – The Caregiver Policy Lens” (Aug 2011); SPRG - “Service Provider Resource Guide for Supporting Caregivers of Older Adults” (Aug 2011)

8. Target Audience: Organizational Management and Leaders Clinical staff from: Mental Health Services for the Elderly Clinical staff from: Home Care program Affiliated others

9. Implementation Objectives To introduce the CGPL and SPRG to relevant leadership within the Brandon RHA To share the SPRG toolkit with service providers in our two separate programs To select tools for potential use within our two programs

10. WHY? State the issue that needs to be addressed. Why do we need to work on it and why now? WHAT? What specific action will be taken to make an Improvement? WHO? Who is responsible for carrying out the action and who will be involved and who will be affected? WHEN? Timelines until action is complete (start and end dates) HOW? How will we know if the action resulted in an improvement (comparator, benchmark & target)? There is a need for staff to have a common minimal understanding of caregiver issues. Using the Service Provider Resource Guide for Supporting Caregivers of Older Adults (Aug 2011) – we will.  Provide a minimum of three educations sessions available to MHSE Community Mental Health Workers and Home Care Case Coordinators  Place information on the resource guide within the staff newsletter (Regional Responder)  Identify minimum learning objectives for involved staff and identify a mechanism for tracking with acknowledging if their achievements  Identify potential strategies that could be feasible for ongoing orientation with new staff.  Provide information on the Resource Guide, the Service Provider Tool Kit and the website to Community Program Managers, Leadership and Planning Departments by placing on agendas of at least two meetings and providing copies of the materials. Darlene Henry RPN/RN – Manager; Mental Health Services for the Elderly Cathy Gfellner-Donald, RN Director – Brandon Home Care Program Tanis Horkey, BScPN – Community Mental Health Worker Kathy Foley, RPN/RN Community Staff Educator Commence focus on care giving November 2012 Introduce concepts to management and plan education session by January 31, 2012 Staff Education sessions held by March 31, 2012 Identify accomplishments and benefits by June 2012 Complete summary report by September 2012 Agenda Items will be reflected in meeting minutes # of emails disseminated. # of staff attending # of sessions 2 Articles from Responder will be available Staff Education Records will be maintained. Information on RHA Intranet Survey to staff. pre and post education  Review and select relevant caregiver assessment guidelines and screening tools that could be recommended for inclusion in our respective assessment protocols. - D. Henry RPN/RN – MHSE - C. Gfellner-Donald, RN – HC - T. Horkey, BScPN – MHSE - K. Foley, RPN/RN – Educator by March 2012 Tools recommended Brandon Regional Health Authority Caregiver Demonstration Project on Knowledge Translation to Service Providers - Nov2011 to Sept 2012 Home Care (HC) & Mental Health Services for the Elderly (MHSE)

11. There is a need for our staff to have a common minimal understanding of caregiver issues.

12. Using the SPRG (Aug 2011) – we will: Provide a minimum of three educations sessions available to Home Care, C.M.H.W.s and others. Who: CGF; DH; KF; TH – When: Jan - March, 2012 Identify minimum learning objectives and track/ acknowledge achievements or completion. Who: CGF; DH; KF; TH – When: by June 2012 Plan strategies for new staff orientation. Who: CGF; DH; KF; TH – When: by June 2012

13. Place information within the staff newsletter (Regional Responder) Who: CGF; DH; KF; TH –When: by June 2012 Introduce CGPL, SPRG and the Website to Leaders, Planners and Community Program Managers. Who: CGF; DH; KF; TH – When: by March 2012 Review/select guidelines and screening tools to sanction for use in our respective assessment protocols. Who: CGF; DH; KF; TH – When: by March 2012 June 2012

14. Telehealth Presentation provided to the MB Network of Psychogeriatric Program Specialists on January 13 - 30 attendees (approx) Included on several meeting agendas. - 5 meetings (2 provincial, 1 partner and 3 RHA) Three presentations provided to RHA community staff - ( 53) attendees. Feb 3/12 (30); Feb 23/12 (9); Mar.12/12 ( 14 )

15. February 2, 2012 - Community Program In-service Guest Speaker (Marian Krawczyk) 2 Introductory Sessions – overview of CGPL & SPRG Invitations sent to additional partners February 21, 2012: Home Care Monthly In-service Presented by Darlene Henry Invitations shared with Mental Health March 12, 2012: MHSE In-service Invitation shared with Home Care and others.

16. “The Brandon Regional Health Authority (Brandon RHA) has taken its first step when it comes to recognizing informal, unpaid caregivers and the role they play. It is the first health authority in Manitoba to provide training to staff so they can better understand the role of caregivers and how the RHA can better support them.”

18. TEAM WORK: Providing opportunities for Mental Health and Home Care to collaborate. If it works, do more of it… If it doesn’t work, try something else... Share your successes with each other, and… Use a common language and format for documentation of caregiver support plans.

19. 2 Challenges: We all have a tendency to re-invent the wheel.

20. Exploring webinar training for our staff educators, who in turn could provide education to staff. Hoping to develop online format for education available on staff Intranet site. Brandon University Psychology students are presenting using the Caregiver Policy Lens. Meetings planned in April towards selecting tools to incorporate into the Electronic Health Record.

21. “A vision where Canadians residing in rural and remote regions and communities are as healthy as people living in metropolitan and other urban centres.”

22. People Don’t Care How Much We Know Until They Know How Much We Care Thank You Questions?