1. www.saferhealthcarenow.ca Rapid Fire Team Presentation Template Name of Presenter:

2. www.saferhealthcarenow.ca Falls Facilitated Learning Series Name of Organization: Cypress Health Region Location of Facility: South West Corner of Saskatchewan  12 LTC Facilities  484 LTC beds Who We Are

3. www.saferhealthcarenow.ca Falls Facilitated Learning Series Who We Are Swift Current Care Centre 63 Beds 1 Respite Bed

4. www.saferhealthcarenow.ca Falls Facilitated Learning Series AIM To engage fall prevention/injury reduction improvement team members in the National Falls Facilitated Learning Series (FFLS) to learn strategies and plan for sustained improvement in reducing falls and injury from falls.

5. www.saferhealthcarenow.ca Falls Facilitated Learning Series Team Members Team MemberRole/Responsibilities Gloria IllebrunTeam Sponsor Diane BroksTeam Lead Jackie VanstoneFacility Manager Elaine GariesLPN Angela MuzykaQI Coordinator Kari ReichQI Coordinator

6. www.saferhealthcarenow.ca Falls Facilitated Learning Series Review Falls Change Ideas tested to date in your organization Changes Implemented within Organization Working/Not WorkingFacilitators/Barriers identified Scott Fall Risk ToolWorkingF: Screening tool used across the Cypress Health Region Mapping FallsWorkingF: Visual tool for staff to see where falls are occurring Hip ProtectorsWorking/Not WorkingB: compliance by resident and by staff

7. www.saferhealthcarenow.ca Falls Facilitated Learning Series Falls MatNot WorkingB: Became a OHS issue for ESW Tread SocksWorking/Not workingF: Beneficial for at risk residents that get up often during rest periods and don’t put shoes on B: Sizing is difficult

8. www.saferhealthcarenow.ca Falls Facilitated Learning Series Measures Swift Current Care Centre –Falls Rate per 1000 Resident Days

9. www.saferhealthcarenow.ca Falls Facilitated Learning Series Measures Swift Current Care Centre – Percentage of Falls Causing Injury

10. www.saferhealthcarenow.ca Falls Facilitated Learning Series Measures Swift Current Care Centre – Percentage of Residents with Completed Falls Risk Assessment on Admission

11. www.saferhealthcarenow.ca Falls Facilitated Learning Series Measures Swift Current Care Centre – Percentage of “at Risk” Residents with a Documented Falls Prevention/Injury Reduction Plan

12. www.saferhealthcarenow.ca Falls Facilitated Learning Series Lessons Learned on Sustaining Falls Improvement Work during Action Period What advice would you give to other teams? Start small – don’t try to incorporate too many changes at once. Make sure that you have support form Senior Leadership Investigate budget options Don’t let one or two people carry the weight of a program. It needs to be a team approach What are your key insights? Our data showed that we were not in a place to try and sustain change. No improvements were evident yet.

13. www.saferhealthcarenow.ca Falls Facilitated Learning Series What were some barriers? Financial Barriers (LTC facility and Resident) Family, Staff and Physician Resistance Regional Policies – education on restraint policy MDS Data show variance compared to data we are collecting What are some facilitators? Staff were engaged through Provincial Falls Collaborative Management and Senior Leader Support Ministry Target to decrease falls by 20% Challenges to Sustaining Falls Improvement

14. www.saferhealthcarenow.ca Falls Facilitated Learning Series How do you propose to move forward? Continue to collect data Continue to work with staff to find improvement strategies that work the best for the staff Continue to audit Fall Risk Assessment is completed on Admission Continue to audit a Care Plan is completed for “High Risk Residents” Bring another LTC facility on board in the Health Region

15. www.saferhealthcarenow.ca Falls Facilitated Learning Series 6 Month Post FFLS Sustainability Plans for Falls Improvement Work Goal Description (What is AIM) Action (What STEPS are to be taken to achieve) Timeframe (When to be done by) Person Responsible Metrics: What is to be monitored to identify achievement Continue to monitor data Continue monthly data collection OngoingJackie, KariAll metrics Decrease the injury rate from falls. Goal of 0% Continue to trial interventions to reduce falls and injury rates OngoingTeamInjury rate Maintain 100% - Falls Risk Assessment and Care Planning for High Risk Fall Residents. Continue to monitor Audit monthly – Charts OngoingTeam Fall Risk Assessment Care Planning Monitor and minimize restraint use. Begin to address this issue with Leadership of the CHR. HIM Student to gather baseline data Sept 30/2012Kari/Ang HIM Student LTC Directors Executive Director Health Services Restraint Use

16. www.saferhealthcarenow.ca Falls Facilitated Learning Series Name: Kari Reich and Angela Muzyka Email: kari.reich@cypressrha.ca & angela.muzyka@cypressrha.cakari.reich@cypressrha.ca angela.muzyka@cypressrha.ca Phone Number: 1-306-741-9028 1-306-741-3669 Contact Information