Falls Virtual Learning Session # 4 &
Closing Congress Team Rapid Fire
Presentation Template
Name of Organization: PAPHR HOME CARE
Name of Speaker: TBA
Join the Falls Prevention Virtual Learning Collaborative
Who We Are
Prince Albert Parkland Health Region
Home Care
Current Caseload for Prince Albert of Clients receiving service such as
nursing, home support & Meals on Wheels is1015 clients .
Team Members
Team Member
Role
Linda Sims
Director of PAPHR Home Care
Onnalee Stuckel
Irene turner
Community Team Manager
Assessor/Coordinator
Donna Nahachewsky
Community Team Manager
Tyla Young
Assessor/Coordinator
Joanne Hebblewaite
Assessor/Coordinator
Bryan Otte
Assessor/Coordinator
Debbie Skibinsky
Assessor /Coordinator
Tom Tilford
Adrienne Vangool
Lannie Mugleston
Judy McNamee
Assessor/Coordinator
Physiotherapist
Physio Aide
Director of Physiotherapy
AIM
To reduce incidence of falls ( fall rate) by 40% from
baseline by March 2011.
Reduce injury from falls by 40% from baseline by
March 2011.
Change Ideas
List Changes you have tested during Falls VLC PDSA Cycles:
PDSA #1 Develop Risk Assessment Screening Tool My Falls Free
Plan and trial
PDSA #2 Create a Fax cover sheet to communicate plan to
Client’s Physician
PDSA#3 Develop a Post Fall Questionnaire and trial
PDSA #4 Create an Algorithm for Falls Prevention Plan
Measures
Home Care
Falls reported by clients on reassessment April 1, 2009-March 31 2010
APR May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Total
Number of clients who had a MDS (excluding
initial)
27 28 32 25 31 35 37 42 29
43
27 43
399
Number of clients who reported falling (MDS)
13
5 15
9 13 13 19 24 15
10
6 16
158
Number of falls reported (MDS)
16 13 48 20 47 32 42 43 34
28
14 42
379
Falls Rate per 1000 Clients: Calculation: Number of
falls witnessed or reported during the
measurement period divided by the total number
of clients within the target population multiplied
by 1000=
379/399 x 1000 = 949.87
Falls reported by clients on reassessment April 1, 2010-March 31, 2011
APR May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar
Number of clients who had a MDS (excluding
initial)
21 25 38 35 32 48 29 24 26
32
25N/A
Number of clients who reported falling (MDS)
11
9 15 11 14 17
9 13 10
15
8
Number of falls reported (MDS)
27 16 56 22 30 31 26 42 28
30
16
Falls incident reports April 1, 2009-March 31, 2010
APR May Jun Jul Aug Sep Oct Nov Dec Jan
Number of incident reports
3
1
1
1
Number of hospitalizations for falls following
incident reports
0
0
0
0
Falls incident reports April 1, 2010-March 31, 2011
APR May Jun Jul Aug Sep Oct Nov Dec Jan
Number of incident reports
1
2
0
5
1
Number of hospitalizations for falls following
incident reports
ER
ER
Feb
Mar
1
0
Feb
4
Mar
2
0
0
335
132
324
Lessons Learned
Lessons Learned/Key Insights
The RAI/MDS assessment already used as an assessment tool screens for Falls so it was determined to leave this
in place and not create another screening tool. This helped to address concerns about lack of time and
resources that our Assessor/Coordinators expressed and are experiencing.
We tried to make the screening process more difficult than it has to be for clients still living at home.
We can only recommend and assist with referrals but if the client refuses to follow up or make changes they will
remain at risk.
Interventions were discussed and created to include in the care plan created for clients who are at risk for falls.
Physiotherapy and Occupational therapy can be utilized to assist those at risk more that what they have been
getting referrals for.
Every care provider has a responsibility to prevent falls and it was important to include all members of the care
team.
Next Steps
What are some things you will do to sustain the work on reducing
falls and injury from falls and by what date?
Key Sustainability Steps/Plan:
Target Dates
Create a Falls Care plan template for
care providers to use when care
planning for a client to ensure Falls
prevention is maintained as a standard
of care.
May 1, 2011
Adopt the Falls Prevention Algorithm
Plan to assist with care planning.
April 1, 2011
Roll out the entire program to all Home
Care programs in the Region.
June 1, 2011 subject to change depending on
resources.
Contact Information
Name: Onnalee Stuckel R.N. BScN.
Email: ostuckel@paphr.sk.ca
Phone Number: 306 765 2462