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Falls Virtual Learning Session # 4 Closing Congress Team Rapid Fire Presentation. Organization: RED CROSS-ONTARIO ZONE, Home Care Sector. Speaker: Jody Hales, Manager of Client Safety & Clinical Support. Red Cross Background.
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Falls Virtual Learning Session # 4 Closing Congress Team Rapid Fire Presentation Organization: RED CROSS-ONTARIO ZONE, Home Care Sector Speaker: Jody Hales, Manager of Client Safety & Clinical Support
Red Cross Background........... Providing Home Care Services throughout the province of Ontario since 1925. Accredited program 2003 - Present.
Red Cross Client Incident Analysis Client falls (outside of RC Service) were the highest reported incident in 2010.
AIM • Reduce incidence of client (control group) fall rate by 40% from baseline by March 2011 (VLC set benchmark) • Reduce client (control group) injury from falls by 40% from baseline by March 2011 (VLC set benchmark)
Change Ideas Tested • Review of existing validated Falls Risk Assessment Tools • MORSE training document for Supervisory Staff • Standardized list of Fall Intervention Strategies (low/high risk) • Revision of our existing Home Risk Analysis form • Revision of our frontline falls training document • Revision of our Client Safety Series – Falls Prevention document • Development of a Falls Report Tool for frontline staff
Lessons Learned to Date... • It is of great benefit to have frontline staff involved in the process (developing/testing tools and providing feedback) • Variance in score values when MORSE tool completed during referral review (paper review) and when MORSE tool completed at the point of care (in the client home). • Change ideas need to be realistic and align with resources available in order to support process success. • Falls strategy needs to be embedded into routine operational practice ..... not just another form to fill out.
Some of Our Challenges... CHALLENGES • Uncontrolled work environment (the client home) • The client’s right to choose to live at risk • Client/family Fear - perception; ‘if I tell - I will lose my independence’ ‘If I tell - I will be taken out of my home’ • Client cognitive issues • Service limitations (*we are not in the client’s home 24hrs a day) • Time and resources (workload, $$$, available health care professionals)
Service/Sector Gaps • Structural barriers – Homecare Competitive bidding model • Communication among service providers (what a concept) • “Death by Assessment” Scopes of practice – Duplication of assessments/efforts between service providers • Timely access/availability of professional in-home services - OT/PT/Social Work/Physician, etc. The right service.. the right amount.. the right time. • Continuity of care providers for High Risk Clients – staff safety vs. client safety
RED CROSS Contact Information • Jody Hales • Manager of Client Safety & Clinical Support • email@example.com • 905-328-6268