Whats the problem? Falls statistics + TACS client mix = Falls - PowerPoint PPT Presentation

Project Team 2014/2015 Kelly Meacham, PT Jason Laird, CNC ACAT Amy Hancock, PT Kerri Noonan, EEN Allison Stephens, OT Cherylee Carey, CNS Philippa Cullen, OT Lynette Fowler, RN Fred and Wilma, patient/carer Sponsors Dorelle Steel, Aged and Extended Care Services Manager Maureen McGovern, Community and Allied Health Manager

What’s the problem? Falls statistics + TACS client mix =  Falls  Feedback from other TACS + IIMS  Patient story  File audit

The real problem: unwitnessed falls  23 patients experienced a fall = 1 in 3 patients  15 near misses documented  8 patients >1 fall  4 unplanned readmissions due to falls injury 3

Our aim statement  Project team: multidisciplinary + patient/carer  Team decided that every fall matters By December 2014, 100% of known falls experienced by patients on the Hastings Macleay Transitional Aged Care Service (HMTACS) are documented, reported and all patients have a falls prevention and management plan completed.

Methodology  CPI methodology used to diagnose issues and determine solutions  Solutions guided by NSW Policy/ACSQHC Standards and Best Practice Guidelines for Australian Community Care (ACSQHC 2009)

Diagnosis  Limited falls information in transfer of care  No risk screen or falls prevention planning  Falls risk assessment  Post fall care  Post fall documentation, reporting and response variable  Variable beliefs/attitudes 6

Solutions  FROP-COM Risk Screen  Falls prevention plan in initial care plan  File ‘red alert’ and GP notification  Patient handouts reviewed  Individual falls management plans  Falls prevention checklist-local procedure  Develop post fall procedure  Education

Outcomes   falls rates (1:5 from 1:3)   unplanned readmissions   repeat fallers  ? Change in falls injury severity   awareness of reporting-staff and patient/carer   patient involvement   communication with GP  “Falls prevention has become everyone’s business”

Challenges  Mixed caseload includes patients with frailty, high level disability and dementia/post delirium  Falls risk screen didn’t predict fallers -must use clinical judgment  Are clients reporting all falls?  Keeping the momentum going

Next steps  Ongoing data collection/analysis to look for any trends  Regular education and reports at staff meetings  Review trial of falls management plans  Integrating into CHOC

Thank you  Hastings Macleay Transitional Aged Care Team  Project team and sponsors  Lorraine Lovitt, CEC, NSW Falls Prevention Program