join the falls prevention virtual learning collaborative
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Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template. Name of Organization: Halton Healthcare Services. Name of Speaker: Jacqueline Minezes. Join the Falls Prevention Virtual Learning Collaborative. Who We Are. - PowerPoint PPT PresentationTRANSCRIPT
Join the Falls Prevention Virtual Learning Collaborative
Falls Virtual Learning Session # 4 & Closing Congress Team Rapid Fire Presentation Template
Name of Organization: Halton Healthcare Services
Name of Speaker: Jacqueline Minezes
Halton Healthcare Services – Three Community Hospitals
Location : Oakville, Milton and Georgetown, Ontario
Units Participating: Complex Continuing Care (all 3 sites), Acute Rehab, Transitional Re-activation Unit, Med Surg (Georgetown Site).
Number of Patients/Clients beds: All three sites = 459
Who We Are
Team Members
Team Member Role
Anne Tompkins & Judy Montgomery
Leads on Rehab at the Oakville Site
Genny Cho, Heather Hetherington & Cathy Rose
Leads on Complex Continuing Care (Oakville and Milton Sites) and Transitional Reactivation Unit (Oakville Site) respectively
Deb Hansen and Barbara Tassone
Leads on Med Surg at the Georgetown Site
Deb Hansen and Georgia Pavlinek
Leads on Complex Continuing Care at the Georgetown Site
Jacqueline Minezes Team Lead
Kim Kohlberger Team Sponsor
AIM
Reduce incidence of falls (fall rate) by 40% from baseline by March 2011
Reduce injury from falls by 40% from baseline by March 2011
Change Ideas
List Changes you have tested during Falls VLC PDSA Cycles:
Optimize the inventory of fall prevention resources on all units participating in the collaborative
Introduce, implement and consistently utilize the Morse Falls Risk Assessment Tool on all units participating in the collaborative on initial admission.
Communicate re falls risk during transition of care (e.g. discharge from hospital, internal & external transfers).
Measures
Variable September 2010 Dec 2010
Fall rate per 1000 patient days
Acute Rehab:5.3TRU (Oakville):6.3Complex Continuing Care (Oakville):0Complex Continuing Care (Milton): 0Complex Continuing Care (Georgetown): 16.5Med Surg (Georgetown):4.4
Acute Rehab:5.11TRU (Oakville):6.5Complex Continuing Care (Oakville):4.64Complex Continuing Care (Milton): 8.65Complex Continuing Care (Georgetown): 18.21Med Surg (Georgetown):5.43
Percentage of Falls causing Injury
Acute Rehab: 50%TRU (Oakville):0Complex Continuing Care (Oakville):0Complex Continuing Care (Milton):0Complex Continuing Care (Georgetown):0Med Surg (Georgetown):0
Acute Rehab: 0TRU (Oakville):0Complex Continuing Care (Oakville):0Complex Continuing Care (Milton):0Complex Continuing Care (Georgetown):0Med Surg (Georgetown):0
Measures (Cont’d)
Variable September 2010 Dec 2010
Percentage of patients with a completed Falls Risk assessment on admission
Acute Rehab: 1.8TRU (Oakville):41.7Complex Continuing Care (Oakville): 28.5Complex Continuing Care (Milton):77.8Complex Continuing Care (Georgetown): 69.2Med Surg (Georgetown): 53.8%
Acute Rehab:6.8%TRU (Oakville):44.4%Complex Continuing Care (Oakville):50%Complex Continuing Care (Milton): 27.8%Complex Continuing Care (Georgetown): 69.2%Med Surg Georgetown):53.2%
Lessons LearnedList any “key” advice or insights you would like to share with other teams?
Lessons Learned/Key Insights
EDUCATION! In order to ensure uptake and sustainability of a new tool, spending time with front line staff and educating them on the use of a measure is imperative.
DOCUMENTATION! Front line staff may implement the recommended falls preventation strategies in reality; but if it is not documented on record, information required when conducting an audit may be lost.
RESOURCES! To ensure uptake and sustainability, investing in human resources to roll out a strategy is essential.
FEEDBACK! Providing staff with feedback during PDSA’s or when data is collected on a unit will help them get a better understanding of the bigger picture.
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
Continue to educate staff on the consistent implementation of the MORSE Falls Risk Assessment Tool on all patients admitted to the unit.
July 2011
Complete audits on units and share results with the staff during monthly meetings if possible
Ongoing
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
Seek support from the Safer Elder Committee to assist with roll out on units
Dependent on availability of resources
Audit adherence to the Falls Risk Assessment Tool following a reported Falls Incident on the Unit
Ongoing
Name: Jacqueline Minezes
Email:[email protected]
Phone Number:905-845-2571 ext 6051
Contact Information