1. Join the Falls Prevention Virtual Learning Collaborative Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template Name of Organization: PAPHR HOME CARE Name of Speaker: TBA

2. Prince Albert Parkland Health Region Home Care Current Caseload for Prince Albert of Clients receiving service such as nursing, home support & Meals on Wheels is1015 clients. Who We Are

3. Team Members Team MemberRole Linda Sims Onnalee Stuckel Irene turner Director of PAPHR Home Care Community Team Manager Assessor/Coordinator Donna NahachewskyCommunity Team Manager Tyla YoungAssessor/Coordinator Joanne HebblewaiteAssessor/Coordinator Bryan OtteAssessor/Coordinator Debbie SkibinskyAssessor /Coordinator Tom Tilford Adrienne Vangool Lannie Mugleston Judy McNamee Assessor/Coordinator Physiotherapist Physio Aide Director of Physiotherapy

4. AIM To reduce incidence of falls ( fall rate) by 40% from baseline by March 2011. Reduce injury from falls by 40% from baseline by March 2011.

5. Change Ideas List Changes you have tested during Falls VLC PDSA Cycles: PDSA #1 Develop Risk Assessment Screening Tool My Falls Free Plan and trial PDSA #2 Create a Fax cover sheet to communicate plan to Client’s Physician PDSA#3 Develop a Post Fall Questionnaire and trial PDSA #4 Create an Algorithm for Falls Prevention Plan

6. Measures Home Care Falls reported by clients on reassessment April 1, 2009-March 31 2010 APRMayJunJulAugSepOctNovDecJanFebMarTotal Number of clients who had a MDS (excluding initial)272832253135374229432743399 Number of clients who reported falling (MDS)13515913 19241510616158 Number of falls reported (MDS)161348204732424334281442379 Falls Rate per 1000 Clients: Calculation: Number of falls witnessed or reported during the measurement period divided by the total number of clients within the target population multiplied by 1000= 379/399 x 1000 = 949.87 Falls reported by clients on reassessment April 1, 2010-March 31, 2011 APRMayJunJulAugSepOctNovDecJanFebMar Number of clients who had a MDS (excluding initial)2125383532482924263225N/A335 Number of clients who reported falling (MDS)1191511141791310158132 Number of falls reported (MDS)2716562230312642283016324 Falls incident reports April 1, 2009-March 31, 2010 APRMayJunJulAugSepOctNovDecJanFebMar Number of incident reports31111 Number of hospitalizations for falls following incident reports00000 Falls incident reports April 1, 2010-March 31, 2011 APRMayJunJulAugSepOctNovDecJanFebMar Number of incident reports1205142 Number of hospitalizations for falls following incident reportsER 00

7. Lessons Learned Lessons Learned/Key Insights The RAI/MDS assessment already used as an assessment tool screens for Falls so it was determined to leave this in place and not create another screening tool. This helped to address concerns about lack of time and resources that our Assessor/Coordinators expressed and are experiencing. We tried to make the screening process more difficult than it has to be for clients still living at home. We can only recommend and assist with referrals but if the client refuses to follow up or make changes they will remain at risk. Interventions were discussed and created to include in the care plan created for clients who are at risk for falls. Physiotherapy and Occupational therapy can be utilized to assist those at risk more that what they have been getting referrals for. Every care provider has a responsibility to prevent falls and it was important to include all members of the care team.

8. What are some things you will do to sustain the work on reducing falls and injury from falls and by what date? Next Steps Key Sustainability Steps/Plan:Target Dates Create a Falls Care plan template for care providers to use when care planning for a client to ensure Falls prevention is maintained as a standard of care. May 1, 2011 Adopt the Falls Prevention Algorithm Plan to assist with care planning. April 1, 2011 Roll out the entire program to all Home Care programs in the Region. June 1, 2011 subject to change depending on resources.

9. Name: Onnalee Stuckel R.N. BScN. Email: ostuckel@paphr.sk.ca Phone Number: 306 765 2462 Contact Information