“Ensuring Quality
Care for our
Residents at
EVERY site – how
do health
authorities and
affiliates work
together to
ensure ...
Quality of Relationships
 Interior

Health (IHA)
 Private Partners (P3)
 Division of Family Practice (DOFP)
 “Shared

...
How do we spread knowledge
across the spectrum?
Acute

ER
Community

Specialists
Residential
Who has the knowledge we
need to spread
 Physicians




Physicians want to be engaged
Staff have the perception that p...
How to engage physicians in
initiatives
 Clearly

defined directives and processes

 Gather

input from the physicians/D...
How to engage physicians at
the facility level
 Communication

comprehensive
 Family/Resident

needs to be clear and
RCA...
Projects & Pilots to improve
communication


IDCC – Interdisciplinary Care Conference









SBAR – Situation, Ba...
Interior Health Authority
 Quality


All P3 and IHA facilities have an annual
quality review







Review Process
...
Self Assessments & Pre-review



Facilities complete a self assessment
document which is reviewed by the QRC
QRC also re...
Tracers
 Tracers







are in the process of development

Pressure Ulcer
Wound Care
Aggression/Behavior
Antipsycho...
TRACER SAMPLE (DRAFT)
Private Partners (P3)


Differences in organizational strategies and
philosophy





P3’s felt they had limited access...
How do we engage P3 in
initiatives
 Invite

P3 as a partner in developing
strategies
 Quality

Forum – IDCC
 MHSU / Res...
What has been working with
P3 engagement
 Quality





Reviews –

P3 managers and RCC’s are participants in
reviewing ...
P3 Engagement cont’





IH Clinical Practice Educators are available to
the P3 sites for support
South Okanagan Provid...
SOK Outcome Scales - RAI
SOK Antipsychotic Indicator
Medication Reconciliation
 Medication

reconciliation is part of the
review process
 RAI outcomes and indicators are
rev...
Post Review
 Post

review a report summary is provided
to the HSA, QRC supervisor for review
 The report is reviewed wit...
Going Forward –
Engaging partners
 Building

Trust through open and honest
dialogue
 Commitment to collaboration and
coo...
Winds may blow
Directions may change
but partnerships are the
foundations that will weather
the storms
- Sandra Psiurski, ...
Questions?
 Sandra

Psiurski
 sandra.psiurski@interiorhealth.ca
 250.488.3429
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

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Ensuring Quality Care for our Residents at EVERY site

  1. 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. 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. 3. How do we spread knowledge across the spectrum? Acute ER Community Specialists Residential
  4. 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. 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. 6. How to engage physicians at the facility level  Communication comprehensive  Family/Resident needs to be clear and RCA Physicians Nurses
  7. 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. 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. 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. 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. 11. TRACER SAMPLE (DRAFT)
  12. 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. 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. 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. 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. 16. SOK Outcome Scales - RAI
  17. 17. SOK Antipsychotic Indicator
  18. 18. Medication Reconciliation  Medication reconciliation is part of the review process  RAI outcomes and indicators are reviewed for correlation, in/out of facility
  19. 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. 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. 21. Winds may blow Directions may change but partnerships are the foundations that will weather the storms - Sandra Psiurski, 2014
  22. 22. Questions?  Sandra Psiurski  sandra.psiurski@interiorhealth.ca  250.488.3429

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