sun country health region
DESCRIPTION
Sun Country Health Region. Home Care Falls Prevention Program. Background. 1980’s – Home Care Presentations assessments – Falls 1992 – District wide incident reporting process that involved falls 1994 – Screening 2005 – TUGS started to be done May 2008 – TUGS in place. Background. - PowerPoint PPT PresentationTRANSCRIPT
Sun Country Health Region
Home Care Falls Prevention Program
Apr 19, 2023 Saskatchewan Falls Collaborative 2
Background
1980’s – Home Care Presentations assessments – Falls
1992 – District wide incident reporting process that involved falls
1994 – Screening 2005 – TUGS started to be done May 2008 – TUGS in place
Background Sun Country Health Region’s Home Care
was the first one to start a Falls Prevention program in our region.
Our region is geographically large but is not large in numbers.
In our region, Home Care is divided between South, West and East.
Sun Country Health Region’s vision: “Healthy People in Healthy Communities”
Apr 19, 2023 Saskatchewan Falls Collaborative 4
Aim
To reduce falls and injury from falls in Home Care clients with completed MDS by 20% by March 2012
Scope & Boundaries: All Home Care clients with MDS Assessment
Objectives:1. Update Falls education booklet to include new
information on Home Care change concepts.2. Develop tracking form to collect data on witnessed and
unwitnessed falls. This included falls analysis.3. Develop an excel program to track falls prevention data.4. Increase the number of clients receiving falls education
by increasing the number of falls education trainers5. Complete the SCHR Home Care Falls Prevention Policy
Goals
1. 20% decrease in number of falls.2. 20% decrease in number of
injuries from falls.3. 75% of staff have falls prevention
inservice.
Apr 19, 2023 Saskatchewan Falls Collaborative 6
Team Members
Pat May – Manager of Home Care West Colleen Scharnatta – Case Manager, Home Care
South Deb Kennett-Russill – Clinical Coordinator of
Therapies Laura Kehrig – Falls & Injury Prevention Coordinator Ellen Cairns – Assessor/Coordinator Home Care Amy Ryan – Quality Improvement and Patient Safety
Manager Felecia Watson – Regional Director of Strategic
Planning Donna Kitchen – Case Manager, Home Care
Apr 19, 2023 Saskatchewan Falls Collaborative 7
Results
Falls Prevention is on our new staff orientation course.
Formed Regional Home Care working group with sub committees.
Our region has formed a Regional Falls Prevention Working Group made up of LTC, HC, AC, Mental Health, OTs, Nutition, Pharmacy, EMS, and Community.
Consistently tracking witnessed/unwitnessed falls.
Conducted two Vitamin D Telehealths to staff.
Results At every staff meeting we review
falls prevention Updated our Falls Prevention policies Have started to collect data and
using the measures set out by SHN!. Also recreated two more measures that we feel are appropriate for our region and our data collection.
Falls rate per 1,000 client
0
1
2
3
4
5
6
7
8
9
August September October
Months
Percentage Series1
ResultsFalls rate per 1,000 clients
ResultsPercentage of Falls causing Injury
Percentage of Falls causing Injury
0
20
40
60
80
100
120
August September October
Months
Percentage Series1
ResultsPercentage of clients with a completed Falls Risk Screening on Admission
Percentage of clients with a completed Falls Risk Screening on Admission
0
20
40
60
80
100
120
August September October
Months
Percentage Series1
ResultsPercentage of Clients with a completed Falls Risk Reassessment following a Fall or change in condition
Percentage of Clients with a completed Falls Risk Reassessment following a fall or change in medical status
0
20
40
60
80
100
120
August September October
Months
Percentage Series1
ResultsPercentage of “At Risk” Clients with a documented Falls Prevention PlanPercentage of "At Risk" Clients with a documented Falls Prevention Plan
0
20
40
60
80
100
120
August September October
Months
Percentage Series1
Apr 19, 2023 Saskatchewan Falls Collaborative 14
Changes Tested
Surveying one area for what happened after intervention. Reviewed if clients had made changes after education and interventions.
Sent out calendars for clients to track their falls and falls tracking tool to Weyburn area
Using a falls tracking tool in Weyburn and in East Sector
Post falls tracking & analysis form in the East region
Looking at data collection
Apr 19, 2023 Saskatchewan Falls Collaborative 15
Lessons Learned
Importance of collaborative concept – new idea Continually monitoring and training staff in Falls
Prevention. Summer is harder to implement change with
summer staff working and staff on holidays. Collaborative members think they haven’t been
doing lots but little improvements every month add up.
Falls Prevention to be on every staff meeting agenda (bringing more awareness).
We need to discuss the benefits of vitamin D with all physicians in Sun Country Health Region.
Apr 19, 2023 Saskatchewan Falls Collaborative 16
Next Steps
Finalizing and implementing an Environmental Scan form.
Finalizing and implementing a Post Fall Tracking and Analysis form.