1. The Cedarview Lodge CLeAR Project Success One Resident at a Time Quality Forum 2015 Paula Rozanski, Manager Ameneh (Amy) Fallahi, RN Peter Marin, RCA 1

2. Ben Ridout BC Patient Safety Quality Council Deborah Lorimer Director of Residential Care, Coastal Community of Care, VCHA 2 Thank You

3. 3 Introduction 89 Beds 22 Special Care Beds 6 Respite Beds

4. Call for Less Antipsychotics in Residential Care “The aim of CLeAR is to achieve a reduction in the number of seniors in residential care on antipsychotic medications by 50% across BC by December 31, 2014 through a province-wide, voluntary initiative that supports participating sites.” 4 CLeAR

5. Improve care for residents who have BPSD by reducing the number of residents who are on antipsychotics Create opportunities for initiatives to work together Build new skills and knowledge* for improvement in residential care 5 Goals *Capacity - “Give a man a fish and he eats for a day. Teach a man to fish and he eats for a lifetime”

6. 6 Our Journey Charter! Roles & Responsibilities! Process Mapping 1 2 3 4 5 6 7 8 Early Identification Tool 

7. 7 Process Map

8. 8 Successes 47% improvement Percent of residents on an antipsychotic

9. 9 Successes 88% improvement Percent of residents on a PRN antipsychotic

10. 10 Successes 50% improvement Percent of residents on regular & PRN antipsychotic

11. 11 Successes Outcome Grouping Scale 2013/20142014/2015 Q4Q1Q2Q3 Aggressive Behavior Scale None78%80%83%90% Depression Rating Scale Low (0-2)86%93% 95% MDS Pain Scale Low (0-1)96%98%96%100%

12. 12 Successes

13. 13 Successes

14. Leadership Clear vision & goal Unit champions Project & communication plan Dedicated resources 14 Lessons Learned

15. 15 Next Steps Developed standards of practice to sustain the gains Continue to engage families of residents Culture change

16. 16 Questions