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Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
Ensuring Quality Care for our Residents at EVERY site
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Ensuring Quality Care for our Residents at EVERY site

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Presented at Optimizing Medications workshop in Vancouver by Sandy Psiurski

Presented at Optimizing Medications workshop in Vancouver by Sandy Psiurski

Published in: Health & Medicine
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  • 1. “Ensuring Quality Care for our Residents at EVERY site – how do health authorities and affiliates work together to ensure quality of care?” Sandra Psiurski, RPC, RPN, CCPCP Interior Health Authority January 16, 2013
  • 2. Quality of Relationships  Interior Health (IHA)  Private Partners (P3)  Division of Family Practice (DOFP)  “Shared Care: Partners in Care”  “Transitions in Care”  SOK Residential Care Program Prototype
  • 3. How do we spread knowledge across the spectrum? Acute ER Community Specialists Residential
  • 4. Who has the knowledge we need to spread  Physicians    Physicians want to be engaged Staff have the perception that physicians are engaged in the decision making Physicians have felt they had little influence at the site level THIS IS CHANGING WITH THE DOFP PARTNERSHIP
  • 5. How to engage physicians in initiatives  Clearly defined directives and processes  Gather input from the physicians/DOFP  Roll out initiatives in conjunction with DOFP
  • 6. How to engage physicians at the facility level  Communication comprehensive  Family/Resident needs to be clear and RCA Physicians Nurses
  • 7. Projects & Pilots to improve communication  IDCC – Interdisciplinary Care Conference       SBAR – Situation, Background, Assessment, Recommendations Communication at Points of Transfer     Medication Reconciliation MOST RAI Outcomes Care Plan History Mental Health Records Acute stay summary Facility Quality Review Process
  • 8. Interior Health Authority  Quality  All P3 and IHA facilities have an annual quality review      Review Process Self Assessment Review Process Action Plan Follow up reviews are conducted at 3 - 6 months Multidisciplinary teams accompany quality review coordinator – the team includes staff from both P3 and IH facilities
  • 9. Self Assessments & Pre-review   Facilities complete a self assessment document which is reviewed by the QRC QRC also reviews information from the following areas:     PSLS Licensing PCQO Contracting Information is reviewed with the facility and discussions are held on-site with all departments
  • 10. Tracers  Tracers       are in the process of development Pressure Ulcer Wound Care Aggression/Behavior Antipsychotic Use Medication pass process and documentation … There are currently 24 tracers …
  • 11. TRACER SAMPLE (DRAFT)
  • 12. Private Partners (P3)  Differences in organizational strategies and philosophy    P3’s felt they had limited access to information P3’s felt they had little influence over IH policy or practice Engagement of the P3’s include     Meetings Initiative education Project participation – including leading the project Committee participation
  • 13. How do we engage P3 in initiatives  Invite P3 as a partner in developing strategies  Quality Forum – IDCC  MHSU / Residential Care transition committee  Include information already developed at the P3 in IH projects  Provide specialized leads for the projects to help develop tools based on best practice
  • 14. What has been working with P3 engagement  Quality    Reviews – P3 managers and RCC’s are participants in reviewing other facilities P3 sites are provided opportunities to share their struggles and achievements with other facilities through the review process Tools and reference materials are shared among the P3 and IH facilities
  • 15. P3 Engagement cont’    IH Clinical Practice Educators are available to the P3 sites for support South Okanagan Providers Meetings bring P3 and IH facilities together for open discussion about initiatives, struggles, regulations, and other issues relevant to providing quality care RAI Outcome scores and benchmark reports allow P3 to compare their standing and collaborate with other facilities to improve indicators scores
  • 16. SOK Outcome Scales - RAI
  • 17. SOK Antipsychotic Indicator
  • 18. Medication Reconciliation  Medication reconciliation is part of the review process  RAI outcomes and indicators are reviewed for correlation, in/out of facility
  • 19. Post Review  Post review a report summary is provided to the HSA, QRC supervisor for review  The report is reviewed with the facility  Facility develops an action plan based on recommendations  QRC provide support, suggestions, and connections with resources in relation to items on the facility action plan.  Follow up reviews are conducted to encourage ongoing engagement in quality improvement
  • 20. Going Forward – Engaging partners  Building Trust through open and honest dialogue  Commitment to collaboration and cooperation  Accountability to implement best practice  Follow through and follow up
  • 21. Winds may blow Directions may change but partnerships are the foundations that will weather the storms - Sandra Psiurski, 2014
  • 22. Questions?  Sandra Psiurski  sandra.psiurski@interiorhealth.ca  250.488.3429

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