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Five Hills Health Region

Five Hills Health Region. Falls Prevention in Home Care. Background. Site: Moose Jaw Union Hospital Team: Home Care and Community Therapies Patient Population: Home Health Service Clients, Team 1 and 2 Rationale:

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Five Hills Health Region

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  1. Five Hills Health Region Falls Prevention in Home Care

  2. Background Site: • Moose Jaw Union Hospital Team: • Home Care and Community Therapies Patient Population: • Home Health Service Clients, Team 1 and 2 Rationale: • These clients receive more long term service that typically involves personal care support • Higher needs client base, higher risk for falls Saskatchewan Falls Collaborative

  3. Aim Purpose: • To decrease falls by 20% or more by March 2010 Goals/Objectives • To have 100% of falls reported to Client Service Managers • To establish a process to identify at risk clients • To ensure that all at risk clients have falls prevention intervention Boundaries: • Exclude Team 3 home services clients Saskatchewan Falls Collaborative

  4. Aim • Challenges: • Identifying that falls have occurred • Documenting/tracking of falls reports • Communicating falls between disciplines • Implementing timely falls interventions Saskatchewan Falls Collaborative

  5. Team Members • Home Care • Pauline Osemlak, DNS (Team Leader) • Tracey Macfarlane, RN • Corrie Hordick, HHA • Jennifer Erbach, HHA. • Community Therapies • Lisa Benson, PT • Dana Philipation, PT • Team Sponsor • Bert Linklater, EDCC Saskatchewan Falls Collaborative

  6. Results1. BERG Score Analysis From the analysis (wilcoxon & sign tests) there is a significant difference between initial scores and FU scores. Saskatchewan Falls Collaborative

  7. Results2. Falls rate per 1000 (%) Saskatchewan Falls Collaborative

  8. Results3.Percentage of falls causing injury (%) Saskatchewan Falls Collaborative

  9. Changes Tested1. Cards clipped to name tags: Ask these 3 questions before you leave a client’s home: • Have you had a slip, trip or fall since I last saw you? • Do you have your lifeline or phone with you? • Do you need anything before I leave (above on the front, below on the back) • Prevent Falls: Keep your clients safe in their homes! • Asking these simple questions will reduce risk of falls and injury due to falls. • Look for environmental hazards and encourage clients to reduce these hazards. • Remember to report all falls to your supervisor. Saskatchewan Falls Collaborative

  10. 2. Falls RecordsDoc Book and tracking by Client Services Managers

  11. 3. Community Therapies Falls Prevention Tracking

  12. 4. Community Therapies Falls Prevention Algorithm Saskatchewan Falls Collaborative

  13. 5. Presentations: To Home Health Aids, Moose Jaw EMS, ER department at MJUH Five Hills Health Region Community Therapy Falls Prevention Program

  14. Refer all clients with mobility impairments that you do not transport Referral process: Write in instruction area that info has been given to Therapies Ensure client signs form Fax to Therapies 694-8710 6. Moose Jaw EMS referral process

  15. Lessons Learned • Communication is key • Need a process to deal with volume of referrals/amount of falls • Falls prevention requires ongoing support from many disciplines and agencies: - Quality Improvement - Epidemiology - Primary Health Care - Home Care - Access Centre - Therapies - Physicians - EMS/ER Saskatchewan Falls Collaborative

  16. Next Steps • Review data collection processes • Formally track the volume of falls referrals to Therapies from all sources: ER, EMS, Home Care, Access Centre, inpatient wards, self/family, physicians. • Connect with Primary Health Care and the Falls Steering Committee? • Presentations to local physicians? • How do we implement timely interventions with the same amount of staff? Saskatchewan Falls Collaborative

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