"do you want to be here?" listening to our long-term care residents
TRANSCRIPT
Do you want to live here? Listening to our Residents in Long Term Care
www.seniorsadvocatebc.ca 1-877-952-3181
British Columbia
Patient-Centred Measurement Working Group
The Office of the Seniors Advocate
5 mandated areas:
• Health care
• Housing
• Income support
• Personal support
• Transportation
First Seniors Advocate appointed March 31, 2014
Role and Responsibilities:
Monitor & Analyze seniors’ services
Provide information and referral
Report to the Minister and the public
Residential Care Survey: Objectives
To survey every resident about their experience of care and health related quality of life. Every long term care facility that receives public funding will be included.
To survey the most frequent visitor of residents about their perceptions of their loved one’s care and their own experience of care
To publicly report the survey results in a way that permits comparisons of the characteristics of facilities
To identify systemic issues in long term care
Methodology
Resident Most Frequent Visitor
Sampling Census Matched Sample
Mode In-person interview
Mailed (paper-based or online)
# of Respondents Approx. 27,000 Approx. 27,000
The Survey Instruments The interRAI Resident and Family experience of care tools were selected by a Consultation Group, following an extensive review of the literature:
• Strong psychometric properties
• Opportunities for benchmarking nationally and internationally
• Parallel tools allow comparison resident and family/frequent visitor ratings
The VR-12, a Patient Reported Outcomes tool, is being adapted for residential care
Survey Dimensions
Privacy
Food
Safety and Security
Comfort
Daily Decisions
Respect
Responsive Staff
Staff-Resident Bonding
Activities
Personal Relationships
Medications
Overall Ratings
The survey will include items evaluating the resident’s experience of:
Includes additional made and tested-in-BC questions
The Resident Interview Will be conducted as:
In-person structured interviews hosted by trained volunteer interviewers, who are independent from the facility
Conducted as an interview; quantitative and qualitative data will be recorded
Conducted in the language in which the resident is most comfortable communicating
Every resident has a voice
All residents will be approached to participate in the survey
Interviewers will use numerous strategies to maximize inclusion, including:
• use of visual analogue boards
• standardized prompts
• soft skill communication strategies
• up to three approaches to participate
Example of an interview item:
“I get my favourite foods here. How often would you say this statement is true for you? Never, Rarely, Sometimes, Most of the time, or Always?”
The Volunteer Model
Model developed together with leaders of volunteer resources across BC
Centralized and standardized recruitment, application, screening, including criminal record check, and deployment to be done externally to existing volunteer resources
Projected need of 900 to 1,500 volunteers (range will depend on response rate) across BC
Minimum of a 30 hour commitment from each volunteer, which includes:
• Mandatory 1-day training session
• Completion of 10 resident interviews
How will the survey results be used?
To provide information about the quality of residential care in BC from the perspective of residents and their most frequent visitors/families
• at a system level
• for local quality improvement
To understand resident self-reported experiences of care and quality of life in relationship to other indicators from the RAI-MDS
To learn how well residents’ most frequent visitors and residents’ own self assessments compare
Next Steps
Late April/May 2016: • Begin recruitment, training, and
deploying volunteer interviewers • Onsite administration of the surveys
begins
May to October 2016: • Rolling administration of the surveys on
a predetermined site by site schedule • Ongoing recruitment and training of
volunteer interviewers • Reporting of results within 30 days of the
completion of surveying at each facility
December 2016: • Public release of provincial results • Evaluation of project
Contact
www.seniorsadvocatebc.ca
Toll-free: 1-877-952-3181
facebook.com/SeniorsAdvocateBC
@SrsAdvocateBC
Lena Cuthbertson Provincial Director, BC Ministry of Health
Lillian Parsons Project Manager, BC Patient Centred Measurement Working Group [email protected]