The home care safety improvement collaborative aimed to reduce preventable harm for home care clients through a collaborative model. Teams from various home care organizations participated in learning sessions, received coaching, and conducted quality improvement projects. Wave 1 focused on falls reduction and showed initial success. Wave 2 involved various topics like dementia care and advanced care planning. One team worked to increase advanced care planning conversations and documentation. Through staff training, tools, and process changes, they increased client satisfaction and staff confidence in addressing end-of-life care. Lessons included allowing sufficient time and resources for projects and ensuring clear roles and leadership development.
Purpose of the Call:
Change is challenging and getting staff clinicians and physicians to participate in quality improvement initiatives is often a struggle. Understanding the clinical perspective and developing effective change strategies can help.
By the end of this session participants will:
•understand why it is often difficult to engage with clinicians and physicians
•learn how to assess their change strategies for adoptability
•gain experience with the Highly Adoptable Improvement Model and Toolkit
Watch the webinar http://bit.ly/1A0mxOR
5 Details to Include in Every Communication Project Plan to Maximize SuccessSpok
Statistics from the Project Management Institute show that 56% of IT projects deliver less value than expected, and only 64% meet their goals. Each health IT project should have clear goals and objectives that deliver measurable value to their hospital, care team members, and the patients the technology is intended to support. Learn about the five important details that should be considered critical to the success of your next project.
Evaluation of the NZGG Self-Harm & Suicide Prevention Collaborative MHF Suicide Prevention
The evaluation describes the collaborative methodology, reviews quality of project implementation, impacts achieved, and stakeholder satisfaction of the New Zealand Guidelines Group Self-Harm and Suicide Prevention Collaborative. The collaborative was designed to improve crisis care in emergency departments and mental health services while recognising local situations, people and resources. Presented by Julian King and Michelle Moss. View this presentation from the 2010 SPINZ World Suicide Prevention Day Forum on YouTube: http://www.youtube.com/watch?v=FbY1QpBubtk
This presentation described the experience of the University of South Carolina School of Medicine's Rehabilitation Counseling program in implementing an SBIRT curriculum in an interdisciplinary setting.
Purpose of the Call:
Change is challenging and getting staff clinicians and physicians to participate in quality improvement initiatives is often a struggle. Understanding the clinical perspective and developing effective change strategies can help.
By the end of this session participants will:
•understand why it is often difficult to engage with clinicians and physicians
•learn how to assess their change strategies for adoptability
•gain experience with the Highly Adoptable Improvement Model and Toolkit
Watch the webinar http://bit.ly/1A0mxOR
5 Details to Include in Every Communication Project Plan to Maximize SuccessSpok
Statistics from the Project Management Institute show that 56% of IT projects deliver less value than expected, and only 64% meet their goals. Each health IT project should have clear goals and objectives that deliver measurable value to their hospital, care team members, and the patients the technology is intended to support. Learn about the five important details that should be considered critical to the success of your next project.
Evaluation of the NZGG Self-Harm & Suicide Prevention Collaborative MHF Suicide Prevention
The evaluation describes the collaborative methodology, reviews quality of project implementation, impacts achieved, and stakeholder satisfaction of the New Zealand Guidelines Group Self-Harm and Suicide Prevention Collaborative. The collaborative was designed to improve crisis care in emergency departments and mental health services while recognising local situations, people and resources. Presented by Julian King and Michelle Moss. View this presentation from the 2010 SPINZ World Suicide Prevention Day Forum on YouTube: http://www.youtube.com/watch?v=FbY1QpBubtk
This presentation described the experience of the University of South Carolina School of Medicine's Rehabilitation Counseling program in implementing an SBIRT curriculum in an interdisciplinary setting.
This presentation by Gelb Consulting performed during the annual NACCDO-PAN conference outlines howto manage referrer relationships. In this presentation, the case study revolves around OSUCCC-James - The James began an initiative to seek insight on the experience provided to referring physicians as well as glean key drivers for referrals and satisfaction. The James' goals included an action-based physician relations management program and ultimately increasing referrer loyalty.
Physician experience management requires an understanding of functional and emotional needs, key activities and touchpoints. This case study highlights the successes at Cleveland Clinic in creating an exceptional physician experience.
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...CHC Connecticut
Join us as we discuss the drivers and processes of implementing a postgraduate nurse practitioner residency program at your health center, the benefits of implementing a postgraduate residency program, and the residency tracks for Family, Psychiatric/Mental Health, Pediatric, and Adult-Gerontology Nurse Practitioners.
We will be joined by Charise Corsino, Program Director of the Nurse Practitioner Residency Program, and Nicole Seagriff, Clinical Program Director of the Primary Care Nurse Practitioner Residency Program, from the Community Health Center Inc.
Objectives
1.Understand the importance of measurement in driving improvement
2.Introduce Patient Safety Metrics: a cloud-based tool for data collection and performance monitoring.
3.Demonstrate new auditing tools designed to reduce the burden of measurement
4.Outline the application of Patient Safety Metrics beyond Safer Healthcare Now!
University of Utah Health Wellness Champion Poster Session 2019University of Utah
University of Utah Health is committed to tackling a major problem in health care today: burnout. Last year, 40 teams spread across an enormous health system took on the challenge. We're sharing the final posters here.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
If you want to learn more about how and why Saskatchewan is using Lean in health care, join us for this introductory session. During the Quality Summit, you will hear about various Lean tools, concepts and principles, and this session will serve as a quick primer for you, covering some “lean essentials” to enhance your Summit experience!
There are many examples of evidence-informed decision making (EIDM) among public health professionals and organizations in Canada. However, there are limited mechanisms in place to facilitate the sharing of these stories within the public health community. The National Collaborating Centre for Methods and Tools (NCCMT) seeks to address this gap with an interactive, peer-led webinar series featuring a collection of EIDM success stories in public health.
These success stories will illustrate what EIDM in public health practice, programs and policy looks like across the country.
Join us to engage with public health practitioners across Canada as they share their success stories of using or implementing EIDM in the real world. Learn about the strategies and tools used by presenters to improve the use of evidence.
Featuring:
Knowledge broker training for evidence-informed decision making: Building capacity in public health
Lori Greco and Dr. Megan Ward, Region of Peel Public Health
Region of Peel Public Health has identified evidence-informed decision making as a strategic priority, termed End-to-End Public Health Practice. Learn more about how this health unit is building internal capacity for knowledge brokering and evidence-informed decision making.
Making evidence-informed decisions about the Alberta Public Health well-child visit: The art and the science
Farah Bandali and Maureen Devolin, Alberta Health Services
In Alberta, there was decreasing time available for non-immunization well-child clinic visit activities and these activities varied at clinics across the province. Learn more about how these authors used evidence-informed decision making to decide on which routine activities to include in non-immunization well-child clinic activities.
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Bringing Lean to Life" provides a basic introduction and overview of Lean; the culture, principles and tools to understand, tackle and resolve issues within healthcare. It is not intended as a complete guide to implementing Lean as a management system. (May 2010).
Healthcare organizations in Canada are making great strides in promoting safer patient care through engagement and partnership. Now the best of these organizations would like to share their successes and lessons learned with you!
Full details:
https://goo.gl/NukquA
This presentation by Gelb Consulting performed during the annual NACCDO-PAN conference outlines howto manage referrer relationships. In this presentation, the case study revolves around OSUCCC-James - The James began an initiative to seek insight on the experience provided to referring physicians as well as glean key drivers for referrals and satisfaction. The James' goals included an action-based physician relations management program and ultimately increasing referrer loyalty.
Physician experience management requires an understanding of functional and emotional needs, key activities and touchpoints. This case study highlights the successes at Cleveland Clinic in creating an exceptional physician experience.
2021-2022 NTTAP Webinar: Building the Case for Implementing Postgraduate NP R...CHC Connecticut
Join us as we discuss the drivers and processes of implementing a postgraduate nurse practitioner residency program at your health center, the benefits of implementing a postgraduate residency program, and the residency tracks for Family, Psychiatric/Mental Health, Pediatric, and Adult-Gerontology Nurse Practitioners.
We will be joined by Charise Corsino, Program Director of the Nurse Practitioner Residency Program, and Nicole Seagriff, Clinical Program Director of the Primary Care Nurse Practitioner Residency Program, from the Community Health Center Inc.
Objectives
1.Understand the importance of measurement in driving improvement
2.Introduce Patient Safety Metrics: a cloud-based tool for data collection and performance monitoring.
3.Demonstrate new auditing tools designed to reduce the burden of measurement
4.Outline the application of Patient Safety Metrics beyond Safer Healthcare Now!
University of Utah Health Wellness Champion Poster Session 2019University of Utah
University of Utah Health is committed to tackling a major problem in health care today: burnout. Last year, 40 teams spread across an enormous health system took on the challenge. We're sharing the final posters here.
Postgraduate residency presentation #2 from recruitment to graduationCHC Connecticut
What does the 12-month Nurse Practitioner Residency program look like? This webinar will delve into the details of the structure, design, and content of a 12-month, Federally Qualified Health Center (FQHC) based, postgraduate nurse practitioner residency program. Topics such as recruitment, screening and selection of candidates, core programmatic and curricula elements, and the essential contributions of other staff will be discussed. This webinar will feature speakers from the Community Health Center, Inc.’s first-in-the-nation nurse practitioner residency program and guests from other exemplary programs around the country.
If you want to learn more about how and why Saskatchewan is using Lean in health care, join us for this introductory session. During the Quality Summit, you will hear about various Lean tools, concepts and principles, and this session will serve as a quick primer for you, covering some “lean essentials” to enhance your Summit experience!
There are many examples of evidence-informed decision making (EIDM) among public health professionals and organizations in Canada. However, there are limited mechanisms in place to facilitate the sharing of these stories within the public health community. The National Collaborating Centre for Methods and Tools (NCCMT) seeks to address this gap with an interactive, peer-led webinar series featuring a collection of EIDM success stories in public health.
These success stories will illustrate what EIDM in public health practice, programs and policy looks like across the country.
Join us to engage with public health practitioners across Canada as they share their success stories of using or implementing EIDM in the real world. Learn about the strategies and tools used by presenters to improve the use of evidence.
Featuring:
Knowledge broker training for evidence-informed decision making: Building capacity in public health
Lori Greco and Dr. Megan Ward, Region of Peel Public Health
Region of Peel Public Health has identified evidence-informed decision making as a strategic priority, termed End-to-End Public Health Practice. Learn more about how this health unit is building internal capacity for knowledge brokering and evidence-informed decision making.
Making evidence-informed decisions about the Alberta Public Health well-child visit: The art and the science
Farah Bandali and Maureen Devolin, Alberta Health Services
In Alberta, there was decreasing time available for non-immunization well-child clinic visit activities and these activities varied at clinics across the province. Learn more about how these authors used evidence-informed decision making to decide on which routine activities to include in non-immunization well-child clinic activities.
Accreditation for Postgraduate Residency Programs (Nurse Practitioner and Cli...CHC Connecticut
This webinar explored the accreditation process for postgraduate residency programs within health centers. Avenues for accreditation were discussed specifically for postgraduate nurse practitioner and psychology residency programs. Speakers discussed their experiences in the accreditation process.
The webinar was presented April 27, 2016 3:00 PM Eastern Time as part of the CHC Clinical Workforce Development National Cooperative Agreement.
Implementing Post-Graduate Nurse Practitioner and Clinical Psychology Residen...CHC Connecticut
In this final webinar of the Training the Next Generation series, we featured successful postgraduate nurse practitioner and psychology residency programs from around the country. Each presenter shared their unique experiences, successes, and failures of implementing these programs at their health centers.
Bringing Lean to Life" provides a basic introduction and overview of Lean; the culture, principles and tools to understand, tackle and resolve issues within healthcare. It is not intended as a complete guide to implementing Lean as a management system. (May 2010).
Healthcare organizations in Canada are making great strides in promoting safer patient care through engagement and partnership. Now the best of these organizations would like to share their successes and lessons learned with you!
Full details:
https://goo.gl/NukquA
Advancing the Methods of Evaluation of Quality and Safety Practice and Educa...Daniel McLinden
Improving healthcare in an organization requires individuals with the capability to design, test and implement improved processes in an organization with the capacity to support the scale and spread of improvement. If improvement capability is not widespread in the workforce then an intervention is needed to create the capability. In response to this challenge, Cincinnati Children’s designed and implemented a comprehensive Improvement Science curriculum to build capability. The program has achieved measurable improvements in both process and outcome measures of patient care and business processes. Incorporating unique design principles, this intervention served as a catalyst for quality transformation.
In this workshop we will share our perspective and provide examples with data that illustrates:
• Building support and buy-in through the design of participant selection.
• Creating an intervention to build capability that includes training but involves more than training.
• A comprehensive model based on competencies
• Expanding the four-level Kirkpatrick model evaluation with additional levels that encompass economic impact and network impact.
• Using self-assessment to evaluate learning outcomes.
A service improvement focused on frailty using an R&D approach, pop up uni, 3...NHS England
Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event.
Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development.
This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being.
More information is available online: www.expo.nhs.uk
NTTAP Webinar: Postgraduate NP/PA Residency: Discussing your Key Program Staf...CHC Connecticut
Expert faculty will discuss the drivers, benefits, and processes of implementing a postgraduate residency training program at your health center. This session will dive deeper into a discussion on the responsibilities of key program staff, preceptors, mentors, and faculty for successful implementation. This webinar will equip participants with a road map to go from planning to implementation and offer an opportunity for coaching support.
Panelists:
• Program Director of the Nurse Practitioner Residency Program, Charise Corsino, MA
• Clinical Program Director of the Nurse Practitioner Residency Program, Nicole Seagriff, DNP, APRN, FNP-BC
Supporting and developing patient safety collaboratives - Phil Duncan and Fiona Thow, Patient safety collaborative delivery leads, NHS Improving Quality
Presentation from the Patient Safety Collaborative launch event held in London on 14 October 2014
More information at http://www.nhsiq.nhs.uk/improvement-programmes/patient-safety/patient-safety-collaboratives.aspx
Improving Sustainability of BC's Home and Community Care SystemBCCPA
In the face of unprecedented growth in the seniors population, health systems across Canada are challenged to ensure sustainability while addressing consumer expectations and respecting the wishes of individuals to remain independent as long as possible. Waitlists for access to continuing care services, and the high numbers of seniors that remain in hospital while no longer requiring acute care, demonstrate potential mismatches between supply and demand. As the population of seniors continues to grow, this disparity will continue to increase, unless practices within health systems change. Island Health will share its experiences supporting seniors to live independently.
Living as Well as you Can for As Long as you CanBCCPA
Sit down buffet breakfast featuring keynote speaker Dr. Romayne Gallagher, Head Division of Palliative Care, Department of Family & Community Medicine, Providence Health Care; Clinical Professor, Division of Palliative Care, UBC
Using innovative new technologies to help seniors remain safely in their own ...BCCPA
Target audience will be informal and formal caregivers who support seniors living at home in various stages of physical and cognitive decline. The presentation will look at new assistive technologies to address issues such as reduced independence and safety. The presentation with review role of CanAssist in development of new assistive technologies and examples of relevant new technologies to support seniors to remain safety in own homes.
Presented by:
- Robin Syme, Executive Director, CanAssistm, University of Victoria
- Paul Green, Product Manager, CanAssist, University of Victoria
Park Place Seniors Living: Our Journey to Operationalize Strength Based Leade...BCCPA
This panel presentation is focused on the Park Place experience and our exploration with the many ways the theory of strength-based leadership can be applied within our organization. We will provide a corporate perspective and the experiences of three Park Place sites leaders in implementing a strength based leadership approach and through their individual lenses share the work they have done to support their teams at the local level.
Presented by:
- Lynda Foley, VP Quality Assurance, Park Place Seniors Living (PPSL)
- Elaine MacDonald, Site Administrator, New Horizons Care Centre, Campbell River, PPSL
- Margot Hagerty, Site Administrator, Newport Harbour Care Centre, Calgary, PPSL
- Jody Edwards, Site Administrator, Spring Valley Care Centre, Kelowna, PPSL
A Collaborative Digital Art Network for Healthy AgingBCCPA
Presentation summarizes the efficacy of a network for collaborative art established at the Elim Campus of Care to facilitate continuum of therapeutic care to its residents. Utilizing a suite of rich and interactive media applications seniors can engage in self-directed collaborative artwork for therapeutic purposes. Through experimentation and trials the study provides evidence based evaluation of the role of digital media and the impact of virtualization in art therapy groups.
Presented by:
- Marian Heemskerk, Director of Community Care, Elim Christian Care Society
-Tejinder Randhawa, CEO Mobile New Media
Evidence-Informed Guidelines for Recreation Therapy programs to Enhance the M...BCCPA
This presentation will provide an overview of the BCCPA Mitacs-SFU project to develop a best practices guide for recreational therapy (RT). OLTCA and ACCA are also partners in this project. Along with reviewing the results of a survey on recreational therapy in LTC that was undertaken in BC, Alberta and Ontario it will present the final RT best practices guide.
Presented by:
- Dr. Kim van Schooten, Centre for Hip Health and Mobility, University of British Columbia
- Dr. Yijian Yang, Centre for Hip Health and Mobility, University of British Columbia
- Brenda Kinch, President, BC Therapeutic Recreation Association
Health Care Consent, Aging and Dementia: Mapping Law and Practice in BCBCCPA
In October 2016, the Canadian Centre for Elder Law working with ASBC started a 16 month project on the law and practice around health care consent in BC with a focus on older adults and adults with dementia. This project will address issues around health care consent with a focus on older adults and adults with dementia. Along with addressing the legal framework surrounding health care consent it will highlighted related issues such as polypharmacy, etc.
Presented by:
- Krista James, National Director, Canadian Centre for Elder Law
- Alison Leaney, Provincial Coordinator, Vulnerable Adults Community Response, Public Guardian and Trustee
- Barbara Lindsay, Director, Advocacy and Education
Promoting Exchange, Enhancing Resources: How Connecting Organizations Improve...BCCPA
Improving workplace safety in continuing care often means undertaking significant culture change. Organizations often find themselves re-creating the same programs as neighbouring organizations, with similar outcomes. The PEER Resource Network was initiated by SafeCare BC to address two key issues raised by the continuing care sector:
1. Managers lack the resources to support the development of a safety culture within their organizations;
2. Continuing care organizations largely face the same root workplace safety issues.
In this workshop, participants will:
1. Learn about PEER’s innovative model and the preliminary results of the initiative (both quantitative and qualitative data).
2. Understand how PEER’s structure contributes to collaborative learning – and how this supports organizational excellence in workplace safety.
3. Engage with fellow participants in PEER-like exercises to glean insight into solutions for their organization’s own safety challenges.
4.Develop new connections to support the implementation of those solutions.
Presented by:
- Jennifer Lyle, Executive Director, SafeCare BC
- Saleema Dhalla, Workplace Health and Safety Programs Director, SafeCare BC
Leadership at the Bedside – Making the Change that Needs to HappenBCCPA
This panel presentation looks at the role of LPNs and HCAs within the context of the continuing care system. Along with changes to the regulation of LPNs, HCA education has changed including skills to work in both acute, residential and community setting with higher complexity of residents / client. Despite this there is little support for the transition for care needs. The HCA is the unrecognized leaders that support RN/LPN teams and have taken on many roles and responsibilities. The problem that has plagued the LPN and HCA working relationship has been the absence of role clarity for both professions and enhancing value for both working together collaboratively. The presentation will look at a LPN/HCA model that could better serve the health system.
Presented by:
- Anita Dickson, President, Licensed Practical Nurses Association of BC (LPNABC)
- Brenda Childs, Treasurer, LPNABC
Is Home Really Best? Private Home Care Agencies and Technology Can Make Home ...BCCPA
This presentation is about how technology can increase family involvement in person-centred care planning in home care. The Conference will be the first time the results from this UBC Masters Research project will be presented.
In a 2017 UBC survey of home care agencies in greater Vancouver the study aimed to determine
1) what are these home care agencies challenges in providing quality person centred care to their clients
2) home care agencies perceived benefits and barriers in using health information technologies.
Survey findings will help both public and private care providers understand how to better collaborate in caring for aging seniors.
Presented by: Christina Chiu, CEO, CareCrew, MHA Candidate
Before There is a Cure, There’s Care: Building a Dementia-Friendly B.C.BCCPA
BC continuing care sector has a role to play in building a dementia friendly society because before there is a cure, there’s care. Through this workshop participants will learn more about the Society’s vision, including how they can join the movement toward a more dementia friendly BC. They will also hear about how the Society can be a partner in the care they provide through First Link, education for health providers and other resources throughout the province.
Presented by: Maria Howard, CEO Alzheimer Society of BC
Coaching skills can help people maximize their strengths and increase responsibility, accountability, creativity and resourcefulness to overcome challenges and achieve results. The primary coaching skills presented in this interactive presentation will focus on the principles of a coaching conversation, listening, the art of asking curious questions, leading cultural change, and how to promote responsibility and accountability to support people to elicit their own solutions and strategies and take action to implement these solutions.
Speaker:
Callie Bland, Executive Coach, RN and CEO, Coach Callie Consulting
Enhancing & Improving Health Outcomes of Your Residents: A Collaborative Appr...BCCPA
This panel presentation will take a closer look at three key areas of seniors health in residential care (falls, pressure sores, and meaningful engagement in everyday activities) and how collaborating with occupational therapy can lead to reducing injury, hospitalization and associated costs in residential care. Presentation will share best practices for mobility assessment and prescription, pressure sore management and prevention. It will also share experience of a BC residential care providers and OT provider to highlight a successful collaboration in action to improve health & well-being of residents/staff.
Speakers:
- Michelle Whitehouse, Director of Care, Zion Park Manor
- Amit Kumar, Occupational Therapist and Director
- Giovanna Boniface, National Director of Professional Affairs, CAOT
Workplace Health and Safety: Tips, Traps and Trends in Health CareBCCPA
Interactive workshop will address key health and safety topics relevant to health care employers. This program will arm participants with a better understanding of WorkSafeBC’s new dual model investigation protocols, new enforcement options including citations and compliance agreements and employers legal obligations to respond to WorkSafe BC orders and enforcement proceedings. It will also provide overview of how WorkSafe BC and WCAT respond to claims by workers that they have been retaliated against for exercising their OH&S rights. It will also review the most recent bullying and harassment claim decisions.
Speakers:
- J. Najeeb Hassen, Partner Roper Greyell
- Alissa Demerse, Partner, Roper Greyell
Enhancing Efficiency and Best Outcomes in Community Care: CBI’s Transitional ...BCCPA
In October 2016, CBI opened its first transitional and residential care in Burnaby, BC. Led by a multidisciplinary team that includes nurses, physiotherapists, occupational therapists, social workers, speech therapists, dieticians, behavioural interventionists and personal support workers, the facility provides specialized health care to support patients leaving hospital who are not yet able to return to their own home. This unique service also decreases hospital length-of-stay, admission and readmission to the hospital and wait times in emergency rooms. Join us and learn more about how our Transitional Care model helped patients, hospitals and funders to achieve excellent health and financial outcomes.
Presented by: Poonam Jassi, Director of Operations BC, CBI Health Group
Person Centered Care through Integrating a Palliative Approach: Lessons from ...BCCPA
Aging adults are entering residential care facilities with more advanced disease than in the past and their length of stay is shorter. Most health care providers in these facilities do not receive targeted education and training in palliative care, nor are they confident to have crucial conversations about goals of care and end of life challenges with residents and their families. Due to limited capacity to manage predictable symptoms related to end of life and insufficient planning, many residents are transferred to hospital in crisis and die in the Emergency Department or acute care wards.
This presentation will showcase some of the initiatives by identifying common themes, unique features of each and strategies for success. Opportunity will be given for delegates to ask questions and brainstorm how lessons learned from these initiatives could inform the care provided at their own facility.
Presented by:
- Jane Webley, RN LLB Regional lead, End of Life, Vancouver Coastal Health (EPAIRS and the Daisy project)
- Dr Christine Jones, Island Health (SSC project: Improving end of life outcomes in residential care facilities: A palliative approach to care)
- Kathleen Yue, RN, BSN, MN, CHPCN (c) Education Coordinator, BC Center for Palliative Care
The Health Employers Association of BC (HEABC) provides a broad range of services to member organizations.This talk will outline a number of the programs and services provided.Topics touched on will include collective bargaining, joint benefit trusts, health human resource planning and knowledge management. Time for questions from the audience will also be available.
Presented by: Michael McMillan, CEO HEABC
Seniors Quality Leap Initiative: Using Data to Drive Improvements in Resident...BCCPA
The Seniors Quality Leap Initiative (SQLI) is collaborative of 12 nursing homes across Canada and US whose vision is to become North Americas leading provider consortium for benchmarking clinical quality standards. The presentation will share the methods used (both the key success factors and challenges) to administer the survey to residents in long term care and how the results are being used within each SQLI organization to drive improvements.
Presented by: Jo-Ann Tait, Program Director, Elder Care and Palliative Services, Providence Health Care
The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
ICH Guidelines for Pharmacovigilance.pdfNEHA GUPTA
The "ICH Guidelines for Pharmacovigilance" PDF provides a comprehensive overview of the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) guidelines related to pharmacovigilance. These guidelines aim to ensure that drugs are safe and effective for patients by monitoring and assessing adverse effects, ensuring proper reporting systems, and improving risk management practices. The document is essential for professionals in the pharmaceutical industry, regulatory authorities, and healthcare providers, offering detailed procedures and standards for pharmacovigilance activities to enhance drug safety and protect public health.
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Empowering ACOs: Leveraging Quality Management Tools for MIPS and BeyondHealth Catalyst
Join us as we delve into the crucial realm of quality reporting for MSSP (Medicare Shared Savings Program) Accountable Care Organizations (ACOs).
In this session, we will explore how a robust quality management solution can empower your organization to meet regulatory requirements and improve processes for MIPS reporting and internal quality programs. Learn how our MeasureAble application enables compliance and fosters continuous improvement.
The dimensions of healthcare quality refer to various attributes or aspects that define the standard of healthcare services. These dimensions are used to evaluate, measure, and improve the quality of care provided to patients. A comprehensive understanding of these dimensions ensures that healthcare systems can address various aspects of patient care effectively and holistically. Dimensions of Healthcare Quality and Performance of care include the following; Appropriateness, Availability, Competence, Continuity, Effectiveness, Efficiency, Efficacy, Prevention, Respect and Care, Safety as well as Timeliness.
Value of safety improvement collaboratives for home care providers impactful strategies and outcomes
1. Value of Safety Improvement Collaboratives
for Home Care: Strategies and Outcomes
Presented by:
VIRGINIA FLINTOFT, Manager, Central Measurement Team, Canadian Patient Safety Institute
NARDIA BROWN, Clinical Lead
SUSAN SCOTT GABE, Co-founder and Managing Director, Care At Home Services
2. • Home Care Safety Improvement
Collaborative
• Quality Improvement Journey
• Impact, Benefits and Lessons Learned
• Questions and Answers
Agenda
4. The Collaborative Approach
MODEL
Designed to improve
quality of care and
reduce cost
How is this Achieved
• Organizations come together to facilitate learning and process
improvement
• Organizations share a commitment to making significant & rapid
changes
➔
(1) The Breakthrough Series IHI’s Collaborative Model for Achieving Breakthrough Improvement (2003)
http://www.ihi.org/resources/Pages/IHIWhitePapers/TheBreakthroughSeriesIHIsCollaborativeModelforAchievingBreakthroughImprovement.aspx
The Method
Spread and adaptation of existing knowledge to multiple settings to
accomplish a common purpose
5. Applying Improvement Collaborative to
Home Care
• Modeled after Institute for Healthcare
Improvement (IHI) Breakthrough series
• Sponsored by Canadian Patient Safety
Institute (CPSI) Canadian Home Care
Association (CHCA)& CFHI (Wave 1)
• Involves participating teams representing
health authorities and home care
providers from across the country
• Goal: collaboration and knowledge
application to reduce preventable harm
in the home
5 teams
6 months
Falls
Wave
1
8 teams
14 months
Variety of topics
Wave
2
6. Solving Common Challenges in a
Complex System
Reducing preventable harm in the home is a complex challenge
• Solutions must involve active involvement of health care providers,
clients and carers
• Change and improvement happens in a dynamic environment
• Safety Improvement Collaborative aims to support organizations to
rapidly plan, test, measure and make targeted changes to improve
quality and patient safety in the home
7. Elements of the Collaborative
• Content
• Initial content related to QI topics
• Subsequent sessions on home care harm reduction
and improvement methodology
• Tools and resources on Teamwork and Communication
• Presenters – Topic experts
• Frequency – 1-2 x / month
• Duration – 90 minutes
• Participation – all team members
1. Featured Speakers Sessions
8. Elements of the Collaborative
• Each team was assigned a coach
• Between the learning sessions coaches
connect by phone or Webinar
• Frequent coaching at the outset of
collaborative
• As teams develop skills coaching was as
requested
• Anticipated number of QI Coaching Calls -
12 to 20
2. Coaching Sessions
9. Elements of the Collaborative
• Content
• Simple homework assignments
• Project focussed activities
• Team activities
• Private online work space on CHCA Knowledge
Network – access to resources and tools
• Communication within organization
• Data collection
• Development of change ideas
• Participation – all team members
3. Action Periods
10. What We Learned from Wave 1
• Focus: reducing harm from falls
• Results:
• Total falls in the target sites for VHA, Red Cross and Saint Elizabeth
were reduced from 21 to 7 over a 4 mo. period
• Successful in helping organizations to identify areas for improvement,
scoping of goals, identifying measures, and choosing change strategies
• Short duration allowed for some patient and family engagement and
showed that this would require sustained effort to enhance this
engagement on ongoing basis
• Being part of Collaborative allowed teams to initiate work on this
key safety issue and was valuable endeavour overall
11. Objectives for Wave 2
• Develop basic knowledge of quality improvement
• Learn measurement techniques to evaluate
current state and how to track and report on
success
• Develop effective strategies to engage patients
and carers in improvement initiatives
• Build effective teams, and effective
communication techniques
• Advance safety as a strategic priority and engage
senior leadership
• Apply quality improvement methodology to a
unique challenge
12. Stories for Wave 2
Aim – to increase satisfaction of clients with dementia and
improve continuity of care. They introduced a new personal
history form and training for staff
Aim – Advanced Care Planning. They developed curriculum,
introduced tools, and trained staff to conduct and document
difficult end-of-life conversations
Aim – Improve interventions for reported falls with a consistent
process. They updated Falls Guideline and training and plan to
implement new falls audit process
13. Stories for Wave 2 continued
Aim – Improved infection surveillance and management
of central and peripheral lines. They updated infusion
flowsheet in EMR
Aim – Reduce distress for clients with cognitive impairment.
They implemented case management stds and protocols
Aim – Improve the identification and documentation of
responsive behaviours and care for persons with dementia.
They developed a new Cue Card for Compassionate Care
Aim – Improve work flow to capture actionable data
on patients who have had a previous fall.
14. Wave 2: Impacts and Learnings
CROSS CUTTING IMPACTS:
- Learning & knowledge of QI and tools
- Collaboration across teams and within teams
- Process changes & development of tools – frontline impacts
LEARNINGS:
- Complexity of projects presented challenges
- Data challenges
- Importance of communications and sustaining change
- Value of patient and staff engagement & partners
NEXT STEPS:
- Evaluation
- Share results
- Implementation and spread by organizations
➔
➔
15. Take Home Messages
• Accessing and managing data is challenging
• Being part of the Collaborative provides a framework and impetus
for organizations to start improvement work
• Coaching is very helpful in supporting teams to do QI work
• Patient and family engagement in improvement work is valuable
and meaningful
• You don’t know what you don’t know—the process of joining and
participating in the collaborative provides a great window into how
an organization is functioning
• Even the best ideas don’t implement and spread themselves
• Change of any size takes time, capacity and dedicated resources
• Leadership, dedicated staffing time, and resources are critical
16. The Partner Perspective
• Builds on CPSI’s landmark research “Safety at Home”
and CHCA priorities
• Partnership between CPSI and CHCA
• Access to expert resources for home care sector
• Sharing of best practices and potential solutions in
home care sector
• Development of tailored resources on teamwork and
communication by CHCA
• Advancing culture of safety and QI in home care sector
• Value add for CHCA members – building capacity and
improvement at the front line
18. Project Team Selection
• Commitment to best practices
• Project management experience
• Understanding of Lean
methodologies
• Diverse healthcare experience
Image
PLANPLAN
19. Project Selection Criteria
• Improve client care
• Find efficiencies and improve
effectiveness in current practices
• Team driven—what’s important
to the staff?
• Scalable and spreadable
• Innovative—potential to have a
significant impact beyond our
organization
PLAN
20. What is Advance Care Planning?
• A tool to help individuals reflect
and share their values, hopes, and
fears for their healthcare with their
family, friends and healthcare
providers
• To make informed decisions about
current and future medical and
personal care
• To designate a substitute decision
maker (SDM)
PLAN
21. Facts About Advance Care Planning
Only 7% of Canadians have
had an end-of-life planning
discussion with their doctor
Only 48% of hospitalized
patients in Canada have
started an Advance Care Plan
Only 18% of CAHS’ patients
have an Advance Care Plan
PLAN
22. What Is The Surprise Question?
Clinical tool to identify patients in
need of a palliative approach
“Would I be surprised if this
patient died within a year?”
If the response is:
“No, it would not surprise me”
patient is assigned to the pilot
population
PLAN
23. Assess and Plan
Current and future clinical and personal needs
No Yes
Reassess regularlyDiscuss Advance Care Planning (ACP) visit
Schedule ACP visit
Complete
-Serious Illness Conversation
-Coordinate MOST with GP
-Document ACP in E H R
-Update CAHS’ care plan to reflect values,
wishes, and preferences
Discuss
-Patient values, wishes, and preferences
-SDM
-Goals of care
-Advanced Directives (MOST)
-Coordinate community resources
(health authorities)
Identify
Ask the ‘Surprise Question”
Would I be surprised if the patient were to die in the next year?
What Is The Surprise Question? PLAN
24. Aim Statement
CAHS will increase the rate of
Advance Care Plans
in the home and the EHR by
60% for those patients where the
Surprise Question screener tool
response was “No”
by February 1, 2018
PLAN
25. Objectives
1. Increase clients and families understanding of ACPs
2. Identify clients who would benefit from a palliative approach to
care
3. Improve staff effectiveness and confidence at facilitating end-
of-life care conversations
4. Ensure the ACP is documented in the EHR and the home
PLAN
28. Deliverables
• Curriculum for staff development
• Classroom training
• Shadowing in the home
• Clinical practice guidelines
• Communication tools
• Brochures and newsletters
• Staff, client, family satisfaction
surveys
IMPLEMENTATION
34. Impact
Client/Family Impact
• Increase in Advance Care Planning conversations with high-risk clients
• Clients had the opportunity to express their wishes and felt more prepared
and supported in developing their Advance Care Plans
• Clients expressed their satisfaction regarding the value of having Advance
Care Planning conversations with their health care professionals
Staff Impact
• There was a marginal improvement in staffs’ understanding of ACP
conversations and a significant improvement in clinical practice relating to
ACP conversations
• Staff had a better understanding of how to apply ACP conversations with
clients and families
• Staff felt significantly more confident in their ability to conduct ACP
conversations with their clients and families
ADJUST
35. Applications and Benefits
Learning Application
QI Tools • Learn how to apply the Pareto, fish bone, run charts,
process mapping, etc.
Measurement
and Analysis
• Learn how to establish measures and analyze results and
tweak for improvements i.e. run charts
Benefits of the Project
Best Practices • Align care with best practice standards
Leadership and
Team
Development
• 1st opportunity for management, clinical services and
scheduling teams to work together on a project
• Gained a vast amount of knowledge with respect to ACP
and participating in a national project
Network of
Experts
• Developed a network of experts across Canada to help
elevate the standards of our services
ADJUST
36. Lesson Learned: Planning
Emphasis on getting “it right”
versus wanting to “get the job
done”
Lessons Learned
Test small pilots and apply
lessons learned earlier in the
project cycle
ADJUST
37. Lesson Learned: Role Clarity
• Who’s on first?
• Roles were well defined in the
project charter
• In practice there was confusion re
roles and accountabilities
Lesson Learned
• Commit to weekly project huddle
of accountabilities
ADJUST
38. Lesson Learned: Communications
• Weekly webinars
• Online newsletter (MailChimp)
• Staff meetings
• Bi-monthly coaching sessions
Lessons Learned
• Webinars cannot replace face-to-
face meetings
• Key team members needed to
attend coaching sessions
ADJUST
39. Lesson Learned: Leadership
• Defined roles within the charter
• Diverse experience and learning
needs within the team
• Created opportunities to rotate
chairs and attend and speak at
provincial and national conferences
Lessons Learned
• Know team member interests
• Provide leadership development
opportunities
ADJUST
40. Lesson Learned: Staff Development
• Methods of training:
• Traditional classroom and role
playing
• Training “at the bedside”
• Shadowing with expert
clinicians
Lessons Learned
• Team members need different
methods of training
ADJUST
41. Lesson Learned: Time and Resources
• Underestimated time required to
deliver quality product
• Competing priorities
• Unexpected absences from key
team members
• Over committed and under
delivered i.e., weekly newsletters
Lessons Learned
• Need more resources and time
than expected
ADJUST
42. Next Steps: Improving Practice
• Expanded our Advanced Care
Planning conversions beyond those
within the high-risk cohort
• Included curriculum on Advanced
Care Planning in staff orientation
• Shared our successes with
palliative care organizations
• Applied what we learned in this
collaborative to other
improvement projects
ADJUST