customised home modifications education - amazon...
TRANSCRIPT
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Customised Home
Modifications Education
Achieving Best practice Standards & Functional
Environments for clients
Alison FinneyAlison Finney
Calvary Health Care Kogarah
April 2016
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OT & Home modifications
• Plays a role in maximising independence in ADL’s• Plays a role in maximising independence in ADL’s
• Training is often not funded or specific to area
policies
• OT skill levels & access to training varies, having a • OT skill levels & access to training varies, having a
direct impact on accuracy & patient outcomes
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OT Services in SESLHD
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Home Modifications Working Party
• Formed in 2012
• Representatives from three sites across the LHD –
Calvary Health Care Kogarah, The Sutherland
Hospital & The St George Hospital.
• To provide a consistent approach to provision of • To provide a consistent approach to provision of
home modification prescription for clients across the
LHD.
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Determining Current Practice
• Review of existing policies & procedures across
individual sites
• Inconsistencies identified between sites
▫ Business processes
▫ OT skill levels▫ OT skill levels
▫ Training exposure
▫ Frequency of HMODS prescription and
▫ Resources available e.g. manuals and skilled peers
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Objectives
• Business rules to ensure
consistency
• Documentation template
• Minor home modifications
manualmanual
• Customised minor home
modifications training program
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Developing standardisation in business
processes
• Business Rules developed
▫ Follow up of home
modifications
▫ Release of Information
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Business Rules – Follow Up
• Details the required processes for
reviewing minor and major home
modifications
• Home Modifications Follow Up
Form producedForm produced
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Business Rules – Release of Information
• Details the required process for
releasing information to builders,
client’s and/or relatives
• Ensure appropriate information is
provided to private builders,
clients and/or relatives wishing to clients and/or relatives wishing to
carry out minor or major
modifications independently
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Minor Home Mods TemplateLetter head
Client details
OT contact details
Date
Client details
Location of modification
Photo with dimensions
Written SpecificationsWritten Specifications
Drawing not to scaleDisclaimer
Page Number
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Minor Home Modifications Manual
• Standards AS1428• Standards AS1428
• Grabrails
• Assessment Process
• Toilet rails
• Shower rails
• Bath rails
• Handrails and Stairs
• Ramps• Ramps
• Waterproofing
• Electrical Standards
• Documentation
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Determining training requirements
• Staff surveys across the four sites
were conducted to determine:
▫ OT training needs
▫ Previous courses attended
▫ Topics to be included in future
trainingtraining
▫ Method of training, frequency
& duration
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Are training needs being met?
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Would therapists attend training if
provided?
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Program Content
• Application of the Australian
Standards
• OT / Builder responsibilities
• Handrails/grabrails• Handrails/grabrails
• Threshold & steps ramps
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Program Content
• Electrical Standards
• Miscellaneous Modifications
• Documentation
▫ Introduction to template▫ Introduction to template
▫ Scope of work examples
▫ Referrals processes (e.g. under
65 years & over 65 years)
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Program Content
• Alternatives to home
modifications
• Business Processes
▫ Follow up
▫ Release of Information▫ Release of Information
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Program Content
• 2 local Service Providers
▫ Intro to service
▫ Referral requirements
▫ Expectations of OT’s
▫ Funding available
▫ Q&AQ&A
• Demonstration of frequently
used materials
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Program Content
• Practical Sessions
▫ Handrails
▫ Grabrails
• Case studies
• Documentation & referral
example
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Pilot Program
• Piloted in November 2014
• 20 therapists attended
• Varying levels of experience
• Full day session
• Affordable and accessible
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Training Program Feedback
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Training Program Feedback
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Ongoing training
• Additional two courses run
• Refinement of program content & resources
• Support from Heads of Department
• Expectation that all new staff attendExpectation that all new staff attend
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Training Program Feedback
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Where to from here?
• Ongoing minor modifications
education
• Ongoing review of best practice
guidelines to ensure relevance
and accuracy
• Survey of clients and local service
providers
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Major Bathroom Modifications Training
• Major Bathroom Modifications
Manual
• Major bathroom modifications
training program
▫ Clinical reasoning▫ Clinical reasoning
▫ Report writing
▫ Diagram specifications
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Training Program Benefits
• Positive impact on patient outcomes
• Accuracy and effectiveness of minor modification
recommendations
• Cost effectiveness for clients
• Consistency across LHD in relation to local policies
and procedures
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Training Program Benefits
• Increased collaboration across sites & with external
service providers
• Therapist empowerment by having access to
education & resources
• Mutual respect for each others roles and
professional boundaries
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