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How to Get There: A Regional Approach to Senior Friendly Hospitals Kathleen Graham RN MN CHE VP Patient Care CNO

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How to Get There: A Regional Approach to Senior Friendly Hospitals Kathleen Graham RN MN CHE VP Patient Care CNO

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    1. 1 How to Get There: A Regional Approach to Senior Friendly Hospitals Kathleen Graham RN MN CHE VP Patient Care & CNO Queensway Carleton Hospital Ottawa

    2. 2 Genesis of the SFH Initiative

    3. 3 Implementing a Strategy for SFHs What are we really talking about? What is important?What are we really talking about? What is important?

    4. 4 5 Major Elements and Key Questions

    5. 5 Major Elements (con’t)

    6. 6 Major Elements (con’t)

    7. 7 Senior Friendly Hospital Major Elements

    8. 8 Getting Started— Building Organizational Commitment

    9. 9 Physical Environment Criteria

    10. 10 From Theory to Practice… (Embedding the Environment Work) Creative a.k.a devious strategies Drawbacks building and functional plans developed—too late in cycle to make as much impact as desired Creative a.k.a devious strategies Drawbacks building and functional plans developed—too late in cycle to make as much impact as desired

    11. 11 Emotional & Behavioural Environment

    12. 12 Merging SFH with Quality

    13. 13 Building on NRC Patient Satisfaction

    14. 14 Evaluation Strategies: Building on Existing Tools Tell your board and senior admin about this one! Get data releases signed by participants Develop proposal for Ethics Review Identify resources needed Tell your board and senior admin about this one! Get data releases signed by participants Develop proposal for Ethics Review Identify resources needed

    15. 15 Comparison of Hospital Patient Satisfaction Survey with SFH Guidelines

    16. 16 Comparison of Hospital Patient Satisfaction Survey with SFH Guidelines

    17. 17 NRC Results – NRC Canadian Average– NRC Canadian Average

    18. 18 SFH Dimensions of Quality

    19. 19 Other Quality Initiatives/Measures

    20. 20 More Evaluation Building on Existing Tools

    21. 21 Other Quality Indicators-Skin Related elements are level of activity, mobility and nutrition. These elements can be controlled with good clinical practice. (2003 data collection completed in Sept.) Related elements are level of activity, mobility and nutrition. These elements can be controlled with good clinical practice. (2003 data collection completed in Sept.)

    22. 22 Other Indicators- Falls and Restraints

    23. 23 Care Processes

    24. 24 Where to Go From Here?

    25. 25 Benefits of Being Senior Friendly

    26. 26 The Pitch To Boards and Administration their total charitable contributions in Ottawa equal the annual budget of the largest teaching hospital their total charitable contributions in Ottawa equal the annual budget of the largest teaching hospital

    27. 27 In Closing…. Hospitals need a systemic approach to orient towards the needs of older patients Hospitals need a systemic approach to orient towards the needs of older patients

    28. 28 Other Initiatives Built strategies to enhance nursing education re geriatric principles - created awareness for need for change Volunteers to follow isolated patient for 6 weeks at home post discharge Built strategies to enhance nursing education re geriatric principles - created awareness for need for change Volunteers to follow isolated patient for 6 weeks at home post discharge

    29. 29 Other Initiatives

    30. 30 Senior Friendly Hospital Major Elements

    31. 31 Remember…A Senior Friendly Hospital…

    32. 32

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