LeadingAge MN Opinion Leaders – Feb. 5, 2019

1. LeadingAge MN Opinion Leaders – Feb. 5, 2019

2. Why Safe Care for Seniors • Consumer Confidence • Consumer concerns regarding elder abuse as a significant problem and questioning quality and value of care. • (Source: Long-Term Care Imperative Poll, July 2018) • Serving More People, Seeing Higher Level of Acuity • Serving more people in assisted living/housing with services, and seeing more residents with higher level of acuity, including dementia, mental health and other severe conditions. Rising consumer voice and increased expectations from seniors and families. • Growth in Maltreatment Complaints • 25,226 allegations of neglect, physical abuse, unexplained serious injuries and thefts. • (Source: Star Tribune, Left to Suffer, November 2017)

3. What is Safe Care for Seniors? A comprehensive approach that provides the structure and support for individuals and organizations to keep those they serve safe from harm and to provide care with respect and dignity - always.

4. Our Call to Action Harm in any form strikes at the very heart – at the very core – of what we do. • Own the responsibility to look upstream of any tragedy to try to understand its root causes. • Consider the perspective of our residents and their families, whose trust and confidence may be in doubt. • Assess our culture to ensure we are supporting our staff and empowering them to respond appropriately in difficult situations. • Work in partnership to find solutions to prevent potential harm beforeit occurs.

5. What the Data is Telling Us

6. Substantiated Events • Top Events: • Falls • Medication Errors • Mechanical Lifts • Nursing Home • 68% Neglect • 13% Abuse • 12% Drug Diversion • 7% Financial Exploitation • Home Care/Assisted Living • 50% Neglect • 11% Abuse • 13% Drug Diversion • 25% Financial Exploitation • Top Events: • Medication Errors • Falls • Neglect of Care Source: Substantiated OHFC Reports - 1/1/16-6/30/18

7. Action Suggested Most Often in OHFC Substantiated Reports

8. STRONGER ACTIONS More likely to lead to effective and sustained improvement WEAKER ACTIONS When used alone are unlikely to lead to sustained improvement Department of Veterans Affairs National Center for Patient Safety

9. Identifying Strong Solutions

10. What Are Strong Solutions? Gather Actionable Data for Learning & Improvement Create Strong Safety Foundation Create an Effective Response to Reckless Behavior Collaborate to Address Top Events

11. GoalObjectivesThe PledgeAction Plan

12. Objectives: Eliminate unintended instances of serious harmin the course of caregiving in nursing homes, assisted living/housing with services and adult day. Eliminate Preventable Harm in the Course of Caregiving Eliminate cases of abuse, drug diversion and financial exploitation in nursing homes, assisted living/housing with services settings and adult day.

13. Making a Public Commitment____________THESAFE CARE PLEDGE & ACTION PLAN 1 Require all staff to take an Individual Safe Care for Seniors pledge. Commit – as an organization - to Implement the Safe Care for Seniors Action Plan. 2 3 Provide training, resources, opportunities and recognition to support Our Individual Pledge Pledge and Organization Action Plan.

15. ACTION #1: Leadership Training & Engagement • Demonstrate organizational leadership is engaged in Safe Care. • Sample Actions: • Participate in Safe Care for Seniors Training or complete the virtual training sessions • Conduct regular rounds seeking input from staff on Safe Care issues • Include Safe Care as a standing board agenda item

16. ACTION #1: Leadership Training & Engagement ACTION #2: Designated Safety Champion(s) • Demonstrate organizational leadership is engaged in Safe Care. • Sample Actions: • Participate in Safe Care for Seniors Training or complete the virtual training sessions • Conduct regular rounds seeking input from staff on Safe Care issues • Include Safe Care as a standing board agenda item • Designate a Safety Champion to coordinate your Safe Care efforts. • Sample Actions: • A designated champion(s) is identified • Safety Champion receives education/ training in Safe Care • Safety Champion has support to participate in Virtual Peer-Peer Support Sessions

17. ACTION #3: Collaborative Learning & Improvement ACTION #4: Partner with Residents & Families • Participate in opportunities for members to participate in learning collaboratives or safe table discussions focused on top safety issues. • Sample Actions: • Assisted Living Falls Prevention Collaborative • Safe Table discussion on Mechanical Lifts • Drug Diversion Prevention Collaborative • Establish effective on-going communication channels with residents and families, and engage them in safety and quality initiatives. • Sample Actions: • Effective On-going communication. • Know when, how, who, and what related to apology and disclosure to resident and/or family when event occurs. • Appoint resident/family advisors to participate on safety project teams. • Facilitate active resident and/or family advisory councils.

18. ACTION #5: Safety Culture: Just Culture • Establish a culture that is fair and just and encourages speaking up, learning and improvement • Sample Actions: • Process to manage human error, risky, and reckless behavior. • Non-punitive process and expectation for reporting events and near misses. • Process to conduct a root cause analysis. • Identify strong solutions to root causes. • Continuous improvement process. Our Safe Care for Seniors Action Plan will align with our existing safety, prevention and quality improvement initiatives.

19. How Safe Care Works • Make the Safe Care for Seniors Pledge • Make Organizational Commitment • Designate a Safety Champion(s) • Complete Assessment to Identify Gaps, Opportunities and Alignment with Existing Safety and Quality Improvement Initiatives • Implement Action Plan • Track Progress • Recognize Staff who go ABOVE AND BEYOND to honor the pledge and take action. • Embed in all we do Resources, Training and Support from Your Peers & Our Entire Field via LeadingAge MN

20. Our Next Steps • Insert information on how your organization will roll out Safe Care for Seniors in your community. • This could include a Make the Pledge event, presentations to all staff, resident/family councils, boards and other organizations, as well as what your leadership teams will be doing to implement the action plan.