Developing an Integrated Falls Program Presented by Bernie Blais CEO, NSM LHIN April 11, 2012
THE BEST WAY TO PREDICT THE FUTURE IS TO INVENT IT 2
An Integrated Regional Falls Program Success Story Margaret had been referred to the program by CCAC and attended a screening clinic in Orillia. At the clinic Margaret discussed her fear of falling and falls prevention strategies. Margaret was motivated to maintain her independence by improving her gait through exercise, balance, and muscle strength. 3
Key Outcomes of Presentation Key learning's garnered from CEO/MOH meeting • Key elements of successful integrated falls program • What an integrated model might look like • Next Steps • Questions • 4
History • The Provincial Falls Prevention Project was initiated in November 2010 as a LHIN Priority Project • The project was co-led by LHINs and Public Health • The objective is to improve the quality of life for Ontario Seniors aged 65 years and over and lessen the burden of falls on the health care system by reducing the number and impact of falls • This collaboration between LHINs and PH was the first of its kind in Ontario and will serve as a template for future collaborations
PROJECT WORKING GROUP
Shared Accountability • Both Public Health and LHINs have similar accountability indicators for falls initiatives Public Health Indicator NSM LHIN Falls Indicators • Fall-related emergency visits in older adults • Total number of falls resulting in harm aged 65+ (rate per 100,000 per year) (Severity of Harm Scale) • Total number of clients visiting a hospital ER due to a fall in the last 90 day
Components of a LHIN Wide Falls Program 1. Governance 2. Appropriate Level and Type of Assessment and Intervention 3. Local integration and Inclusive Partnerships 4. Local Performance Measurement 5. Components and Key Actions for a Provincial Structure Responsible for Falls Prevention
Stay Up, Keep Up! Integrated Provincial Falls Prevention Framework Objective To improve the quality of life for Ontario seniors aged 65 years and over and lessen the burden of falls on the healthcare system by reducing the number and impact of falls on Ontario Seniors Approach Establishment of an Entity Establishment of an Effective LHIN-wide Falls Prevention Responsible for Collaboration and Alignment at a Provincial and Program in Each LHIN National Level Components Alignment and Comprehensive Inter-LHIN Collaboration and Evidence Standardized Effective Inclusive Local with Provincial Coordination Based Performance Governance Partnerships and Knowledge and National Assessment and Measurement Organizations & Exchange Intervention Initiatives
Governance for Provincial Structure COMOH LHIN CEOs Participating LHIN CEO and MOH to report back to LHIN CEOs and COMOH A Steering Committee ( led by LHIN and PH and includes) key Falls Prevention Steering provincial organizations) Committee Secretariat Function Key appointed individuals (could 14 LHIN-wide be from any participating Programs organization) from each LHIN- wide program meet regularly to share information and ideas re implementation 10
Key Functions of Provincial Structure (from Framework) 1. Inter-Program Coordination a. Central Knowledge Exchange Management (Education) b. Continuous Coordinated Efforts (Implementation) c. Communications 2. Standardized Provincial Performance Measurement 3. Alignment and Collaboration with Provincial and National Organizations & Initiatives 11
Current State of NSM Falls Program North Simcoe Muskoka Local Health Staying Independent Falls Prevention Integration Network (NSM LHIN) Coalition • Program is housed at Orillia Soldiers’ Memorial • Simcoe Muskoka District Health Unit has Hospital (OSMH) representation at the Coalition • 1.35 Million dollar investment • Government funded agencies and organizations who cover the region, some • Full-time Coordinator provincially and nationally • Specialist & screening clinics throughout the • Volunteer-based region • Not for profit charities • Financial Agreement between the NSM LHIN and OSMH • Many members are graduates of the Canadian Fall Prevention Curriculum • Governance structure & accountability agreements with community partners • Contracted OT as part of funding 12
Future State of NSM LHIN Falls Program Clinical Community NSM LHIN and SMDHU co-chair, each bring unique resources to the program, OSMH will provide all administrative support 13
Linking with other Provincial Complimentary Projects Behavioural Supports Ontario/Seniors Friendly Hospital Healthy Communities Initiatives/Residents First 14
Working Together Means We Can Do Better 15
Collaborative & Courageous Leadership 16
Questions 17
Integrated Falls Prevention Framework
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