1. viha.ca Implementing Evidence-Based Care: Falls Prevention Across Island Health Excellent health and care for everyone, everywhere, every time. Catherine Hodgins Director, Clinical Governance, Measurement & Evaluation

2. Page 2 Disclosure None

3. Page 3 Who We Are 18,000 Health Care Professionals 1,900 Physician Partners 150 + Facilities 1,565 Acute Care and Rehabilitation Beds 6,370 Residential Care and Assisted Living Beds 1,075 Mental Health & Substance Abuse Beds

4. Page 4 Legend of the Falls We’ve done this before Multiple Strategies 2008 – 092,353 2009 – 101,968

5. Page 5 Things Going On 2010 - 2013

6. Page 6 Perspective 2013 -14: 3,274 falls reported 2014-15 YTD:2819 falls reported 3,331 annualized $13,300 per fall 6.27 additional days Source: Wong, C. A., and others. The cost of serious fall-related injuries at three Midwestern hospitals. The Joint Commission Journal on Quality and Patient Safety. 37(2):81-87, February 2011.

7. Page 7 Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework Falls Working Group

8. Page 8 Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework

9. Page 9 PSLS implemented for us Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework

10. Page 10 Success The 2 South team at Royal Jubilee knows how devastating falls can be for patients and everyone on the team works hard to prevent them.

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12. viha.ca Surgical Services

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14. Page 14 Mental Health & Substance Use Falls Algorithm

15. Page 15 PSLS implemented for us Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework

16. Page 16 Reality Check

17. Page 17 How We Are Doing? Completion of Falls Risk Assessment

18. Page 18 How We Are Doing? Completion of Falls Risk Assessment 2013-14 2014-15 YTD

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20. Page 20 Falls Prevention Policy Local Procedures Falls Learning Hub Evaluation Framework

21. Page 21 Measurement and Evaluation Existing measures # of Falls per Month # of Falls per Month with Moderate or Higher Degree of Harm Of reported Falls, – % with risk assessment completed – Use of strategies – i.e. hip protectors, nonslip footwear – Time of day; day of week To be implemented % of Risk of Falls Screening completed on Admission to service area % of positively screened patients with a completed falls risk assessment % of high risk patients with documented interventions noted on the Interdisciplinary Care Plan Feedback Loop to service areas for purposes of improvement with specific targets for improvement Report to Program Quality Councils on progress

22. Page 22 Implement Strategy Identify Population at Risk Address Specific Needs of Populations at Risk Establish Measures Use Evaluation Information for Improvement Accreditation

23. Page 23 Electronic Health Record

24. Page 24 Expand the Success Story