CommuniCARE

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This presentation was delivered in session A1 of Quality Forum 2014 by:

Michelle Merkel
Project Leader, Residential Care, Assisted Living and Specialized Populations
Fraser Health

Published in: Health & Medicine
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CommuniCARE

  1. 1. CommuniCARE Improving Patient Information Sharing and Discharge Planning Elizabeth Findlay, Director Residential Care, Assisted Living & Specialized Populations Michelle Merkel, Project Leader Residential Care, Assisted Living & Specialized Populations 1 1
  2. 2. Disclosure Statement  As presenters we have no involvement with commercial interests and we are unable to identify any potential conflict of interest. Liz Findlay Michelle Merkel 2
  3. 3. Fraser Health (Burnaby to Boston Bar)  Residential Care  15 owned & operated sites (1726 beds)  71 contracted sites (6088 beds)  Assisted Living  31 sites (1413 suites)  Acute Care  12 sites  Vancouver Coastal Health  31 VCH sites in BH catchment area 3
  4. 4. The Communication Challenge 4
  5. 5. The Issue  Clinical information lacking  Lack of preparation time  Not perceived as a team 5
  6. 6. What We Want to Achieve  Improve communication at transition points  Ensure timely returns  Enhance seamless care 6
  7. 7. CommuniCARE as a Solution What is CommuniCARE?  A process to identify RCAL population with an ID wrist band when transferred to hospital  Standardized written and verbal communication tools and processes 7
  8. 8. Key Processes  Coloured wrist bands  Coloured Information Sheets with Discharge Criteria  Standardized Transfer to ER Form  Standardized ER to Residential Care Form  Verbal Contact 8
  9. 9. Measurement  Issue Reports Analysis  85 submitted reports  62% Lack of clinical information  54% Unannounced arrival  Focus Groups  RCAL fully compliant  Marginal improvement  Strong support to continue 9
  10. 10. Lessons Learned  Verbal communication difficult  Tracking issues insufficient  Occasional confusion about who qualifies for CommuniCARE 10
  11. 11. Ongoing Challenges  Numerous Sites/Programs  Collaboration with VCH  Assisted Living  Sustaining the gains 11
  12. 12. Questions? 12 12
  13. 13. Contact Information Residential Care, Assisted Living & Specialized Populations Elizabeth Findlay, Director Email: elizabeth.findlay@fraserhealth.ca Phone: 604-793-7142 Michelle Merkel, Project Leader Email: michelle.merkel@fraserhealth.ca Phone: 604-651-3032 13

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