Falls Prevention Virtual Learning Collaborative

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Rapid Fire Team Presentation. Virtual Learning Session # 4. Name of Presenter: Barbie Cook. Falls Prevention Virtual Learning Collaborative. Who We Are. Name of Organization: Lillian Fraser Memorial Hospital Location of Facility: Tatamagouche, N.S. - PowerPoint PPT Presentation

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<ul><li><p>Falls Prevention Virtual Learning CollaborativeRapid Fire Team Presentation Virtual Learning Session # 4Name of Presenter: Barbie Cook </p></li><li><p>Name of Organization: Lillian Fraser Memorial Hospital</p><p>Location of Facility: Tatamagouche, N.S.Number of Patients/Residents/Clients: 10 short stay inpatient beds and 2 observation beds. On average we have 1 palliative and 2-4 alc. Who We Are</p></li><li><p>AIMReduce incidence of falls (fall rate) by 40% from baseline at Lillian Fraser Memorial Hospital by March 2011Reduce injury from falls by 40% from baseline at Lillian Fraser Memorial Hospital by March 2011 </p></li><li><p>Team Members</p><p> Barbie Cook: Site ManagerBrenda Mackinnon: LPNJanet Mattatall: Patient Care LeaderBecky McCarthy:Occupational TherapistNancy Smith: Physiotherapist Erin Pope: LPNShannon Anderson: CEHHA Director of Rehab Services</p></li><li><p>Change IdeasSafety Huddles</p><p>Implementation of a Falls Care Plan</p></li><li><p>Measures</p><p>Chart</p><p>0.50.3</p><p>00.3</p><p>00.3</p><p>0.33333333330.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>0.50.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>0.33333333330.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>0.33333333330.3</p><p>00.3</p><p>00.3</p><p>0.250.3</p><p>00.3</p><p>10.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>10.3</p><p>10.3</p><p>00.3</p><p>10.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>00.3</p><p>Actual</p><p>Goal</p><p>Month</p><p>Percentage of Harmful Falls</p><p>Falls-Acute 2 - Percent of of Falls Causing Injury</p><p>Data Entry Sheet</p><p>Falls-Acute 2 - Percentage of Falls Causing Injury - Measurement Worksheet</p><p>Prevention of falls and injury from falls in Acute CareAcute CareAcute Care</p><p>InterventionPrevention of falls and injury from falls in Acute CareLong Term CareLong Term Care</p><p>DefinitionA Fall is defined as an event that results in a person coming to rest inadvertently on the ground or floor or other lower level with or without injury. This is a measure of the percentage of falls categorized as 2, 3, 4, 5 or 6 on the Severity of Harm Sc</p><p>GoalAnnual reduction of 40%</p><p>Data Collection Details</p><p>Facility NamelfmhTeam #</p><p>Health Regioncehha</p><p>Sample (Describe the source of the sample population e.g. Entire Acute or LTC facility or per unit)acute care</p><p>2008200920102011</p><p>Apr2008May2008Jun2008Jul2008Aug2008Sep2008Oct2008Nov2008Dec2008Jan2009Feb2009Mar2009Apr2009May2009Jun2009Jul2009Aug2009Sep2009Oct2009Nov2009Dec2009Jan2010Feb2010Mar2010Apr2010May2010Jun2010Jul2010Aug2010Sep2010Oct2010Nov2010Dec2010Jan2011Feb2011Mar2011Apr2011May2011Jun2011Jul2011Aug2011Sep2011Oct2011Nov2011Dec2011</p><p>Calculation of Denominator</p><p>2.1What is the total number of falls for the Acute Care facility or unit this month?21132112132262142131211111</p><p>Calculation of Numerator</p><p>2.2What is the total number of falls categorized as #2 , 3, 4, 5, or 6 on the Severity of Harm Scale?10010001010020010101201000</p><p>FINAL CALCULATION for OVERALL FALLS IN CATEGORIES 2, 3, 4, 5 OR 6</p><p>2.3Percentage of falls causing injury. Divide #2.2 by #2.1. Multiply by 100.50.0%0.0%0.0%33.3%0.0%0.0%0.0%0.0%0.0%50.0%0.0%0.0%0.0%33.3%0.0%0.0%0.0%0.0%0.0%33.3%0.0%0.0%25.0%0.0%100.0%0.0%0.0%0.0%100.0%100.0%%100.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%</p><p>GOAL*:30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%30.0%</p><p>Submitted By</p><p>Data YearData MonthCompleted ByEmailPhone NumberDate of Submission (dd/mm/yyyy)</p><p>2008AprBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>MayBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>JunBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>JulBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>AugBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>SeptBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>OctBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>NovBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>DecBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>2009JanBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>FebBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>MarBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>AprBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>MayBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>JunBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>JulBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>AugBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>SeptBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>OctBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>NovBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>DecBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>2010JanBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>FebBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>MarBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>AprBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>MayBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>JunBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>JulBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>AugBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>SeptBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>OctBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>NovBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12015/12/2010</p><p>DecBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12017/02/2011</p><p>2011JanBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12017/02/2011</p><p>FebBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext - 12020/03/2011</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p><p>Chart</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>0.06896551721</p><p>11</p><p>11</p><p>11</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>Actual</p><p>Goal</p><p>Month</p><p>Percentage with Implemented Falls Prevention/Injury Reduction</p><p>Falls-Acute 5 - Percentage of "At Risk" Patients with Falls Prevention/Injury Reduction Plan Documented</p><p>Data Entry Sheet</p><p>Falls-Acute 5 - Percentage of "At Risk" Patients with a Documented Falls Prevention/Injury Reduction Plan - Measurement Worksheet</p><p>Prevention of falls and injury from falls in Acute CareAcute Care</p><p>InterventionPrevention of falls and injury from falls in Acute CareLong Term Care</p><p>DefinitionThe percentage of patients for whom a Falls Risk Assessment has identified them as being "At Risk" and for whom a Falls Prevention and/or Injury Reduction Plan e.g. hip protectors has been documented. Report data on a monthly or quarterly basis dependi</p><p>Goal100%</p><p>Data Collection Details</p><p>Facility NamelfmhTeam #</p><p>Health Regioncehha</p><p>acute care</p><p>2008200920102010</p><p>Apr2008May2008Jun2008Jul2008Aug2008Sep2008Oct2008Nov2008Dec2008Jan2009Feb2009Mar2009Apr2009May2009Jun2009Jul2009Aug2009Sep2009Oct2009Nov2009Dec2009Jan2010Feb2010Mar2010Apr2010May2010Jun2010Jul2010Aug2010Sep2010Oct2010Nov2010Dec2010Jan2011Feb2011Mar2011Apr2011May2011Jun2011Jul2011Aug2011Sep2011Oct2011Nov2011Dec2011</p><p>Calculation of Denominator</p><p>5.1What is the total number of current patients identified as "At Risk" on a Falls Risk Assessment for this reporting period (month or quarter)?1429131016</p><p>Calculation of Numerator</p><p>5.2What is the total number of patients in #5.1 with a documented "Falls Prevention and/or Injury Reduction Plan" for this reporting period (month or quarter)?02131016</p><p>Final Calculation</p><p>5.3Percentage of "At Risk" patients with a documented Fall Prevention or Injury Reduction Plan. Divide # 5.2 by # 5.1. Multiply by 100.0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%6.9%100.0%100.0%100.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%</p><p>GOAL*:100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%</p><p>Submitted By</p><p>Data YearData MonthCompleted ByEmailPhone NumberDate of Submission (dd/mm/yyyy)</p><p>2008Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p><p>2009Jan</p><p>Feb</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p><p>2010Jan</p><p>Feb</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>OctBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12015/12/2010</p><p>NovBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12015/12/2010</p><p>DecBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12017/02/2011</p><p>2011JanBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12017/02/2011</p><p>FebBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12020/03/2011</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p></li><li><p>MeasuresMeasures</p><p>Chart</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>0.06896551721</p><p>11</p><p>11</p><p>11</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>01</p><p>Actual</p><p>Goal</p><p>Month</p><p>Percentage with Implemented Falls Prevention/Injury Reduction</p><p>Falls-Acute 5 - Percentage of "At Risk" Patients with Falls Prevention/Injury Reduction Plan Documented</p><p>Data Entry Sheet</p><p>Falls-Acute 5 - Percentage of "At Risk" Patients with a Documented Falls Prevention/Injury Reduction Plan - Measurement Worksheet</p><p>Prevention of falls and injury from falls in Acute CareAcute Care</p><p>InterventionPrevention of falls and injury from falls in Acute CareLong Term Care</p><p>DefinitionThe percentage of patients for whom a Falls Risk Assessment has identified them as being "At Risk" and for whom a Falls Prevention and/or Injury Reduction Plan e.g. hip protectors has been documented. Report data on a monthly or quarterly basis dependi</p><p>Goal100%</p><p>Data Collection Details</p><p>Facility NamelfmhTeam #</p><p>Health Regioncehha</p><p>acute care</p><p>2008200920102010</p><p>Apr2008May2008Jun2008Jul2008Aug2008Sep2008Oct2008Nov2008Dec2008Jan2009Feb2009Mar2009Apr2009May2009Jun2009Jul2009Aug2009Sep2009Oct2009Nov2009Dec2009Jan2010Feb2010Mar2010Apr2010May2010Jun2010Jul2010Aug2010Sep2010Oct2010Nov2010Dec2010Jan2011Feb2011Mar2011Apr2011May2011Jun2011Jul2011Aug2011Sep2011Oct2011Nov2011Dec2011</p><p>Calculation of Denominator</p><p>5.1What is the total number of current patients identified as "At Risk" on a Falls Risk Assessment for this reporting period (month or quarter)?1429131016</p><p>Calculation of Numerator</p><p>5.2What is the total number of patients in #5.1 with a documented "Falls Prevention and/or Injury Reduction Plan" for this reporting period (month or quarter)?02131016</p><p>Final Calculation</p><p>5.3Percentage of "At Risk" patients with a documented Fall Prevention or Injury Reduction Plan. Divide # 5.2 by # 5.1. Multiply by 100.0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%6.9%100.0%100.0%100.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%0.0%</p><p>GOAL*:100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%100%</p><p>Submitted By</p><p>Data YearData MonthCompleted ByEmailPhone NumberDate of Submission (dd/mm/yyyy)</p><p>2008Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p><p>2009Jan</p><p>Feb</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p><p>2010Jan</p><p>Feb</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>OctBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12015/12/2010</p><p>NovBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12015/12/2010</p><p>DecBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12017/02/2011</p><p>2011JanBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12017/02/2011</p><p>FebBarbie Cookbarbara.cook@cehha.nshealth.ca657-0211 ext -12020/03/2011</p><p>Mar</p><p>Apr</p><p>May</p><p>Jun</p><p>Jul</p><p>Aug</p><p>Sept</p><p>Oct</p><p>Nov</p><p>Dec</p></li><li><p>Lessons Learned Make sure everyone is educated prior to the implementation of a new form or process.</p><p>Allow time to regroup often, to monitor how things are going.</p><p>Start Small</p><p>Make your goals and progress visible so that staff can see that what they are doing is making a difference.</p><p>Keep people involved!</p></li><li><p>Barriers:Our forms were not very user-friendlyStaff resistance to change. its just another piece of paper.Moving Forward:Continuously working on care plan to make it more user friendly.Make the benefit visibleStaff educationCommunication </p><p>Challenges</p></li><li><p> Whiteboards by each patient bed. Methods of communication. Coming up with a logo.</p><p>Next Steps</p></li><li><p>Name: Barbie Cook</p><p>Email: barbara.cook@cehha.nshealth.ca</p><p>Phone Number: 657-0211 ext- 120Contact Information</p><p> ey</p></li></ul>

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