Saskatoon Health Region Home Care

1. Saskatoon Health Region Home Care Falls Prevention Strategy

2. Background Site: SHR Saskatoon Urban Home Care Team: Representatives from Home Care, Community Services and Client Patient Access Services Saskatchewan Falls Collaborative

3. Background Continued Patient Population: South East Home Care Quadrant case managed clients over the age of 80, excluding residents of personal care homes Rationale for Improvement: Reduce falls and injuries from falls of community based clients by 20%

4. Aim • Aim: To reduce falls and injuries from falls among participating SHR Home Care clients by 20% by March 2012 while promoting independence and quality of life for Home Care clients. Saskatchewan Falls Collaborative

5. Goals/Objectives Define valid and reliable measurement data • Establish baseline date to capture frequency of falls and severity of injury for SHR Home Care clients • Establish outcome goals for SHR Home Care Falls Collaborative • To increase Vitamin D3 use in the target populations

6. Team Members Core Team Members: • Tri-Site Leaders: Kathy Bell (Home Care Manager) Shari Cherepacha (Community Services Manager), Sandra Thompson (Client Patient Access Services Manager) • Jackie Holsten, Holly McHolm,Michelle Dyck, Stacey Bilawchuk Saskatchewan Falls Collaborative

7. Multi-Disciplinary Committee Members Representation from CPAS, PT, OT, Home Care Nursing and Home Service, Dietician, Pharmacy and Social Work

8. Falls memo sent to staff re: new reporting protocol for falls New Falls Record developed and implemented, with staff training beginning in July 2011 Home Care Managers began follow up of each client fall Marked improvement in falls reporting ResultsResults Saskatchewan Falls Collaborative

9. Results Continued • Updated TLR Process Map • New Falls Prevention Strategy Algorithm • Developed a Home Safety Checklist, including TUGS measurements • Training for TLR staff in TUGS measurements • Training for 200 Home Services staff in universal falls precautions

10. Results continued • Falls Prevention Data visual display provided for Home Care staff • Falls Prevention added to orientation for new Home Care staff

11. Changes Tested • Understanding staff comfort with asking clients re: falls • Increased reporting of falls with staff education • Establishing baseline data for falls reporting • Improve staff awareness of falls prevention Saskatchewan Falls Collaborative

12. Changes Tested continued • Assess CAPS from MDS as effective falls screening tool within a pilot project client group

13. Lessons Learned • Falls were underreported • Unwitnessed falls were not being reported • Staff are engaged in learning about falls prevention, and readily embrace intervention strategies • Falls prevention multidisciplinary components were already in place, but needed a formalized framework and staff education implemented

14. Lessons Learned continued • Work is still needed to connect and enhance the multidisciplinary resources that currently exist • That the MDS tool can be used to assess for falls risks if multiple CAPS are used (the falls CAP alone does not capture all the risk factors)

15. Next Steps • Assess current Vit D use in pilot project clients and awaiting further direction from collaborative faculty re: Vit D education • Trial falls calendar in our pilot project clients • Develop further connections between multidisciplinary team members as it relates to falls prevention within our pilot project

16. Next Steps