Rapid Fire Team Presentation
Name of Presenter: Giselle Tupper
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Who We Are
Name of Organization:
Salvation Army Grace Manor, together
with Alberta Health Services, Supportive
Living
Location of Facility: Edmonton, AB
Number of Clients at Grace Manor site: 80 DAL and EDAL spaces
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Falls Facilitated Learning Series
AIM
To engage fall prevention/injury reduction
improvement team members in the National
FFLS to learn strategies and plan for
sustained improvement in reducing falls and
injury from falls
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Falls Facilitated Learning Series
Team Members
Executive Sponsor: Anita Murphy, Director of Supportive Living, AHS
Team Members:
Giselle Tupper OT, Manager Multidisciplinary Clinical Services
Jody Kellington, Director of Care, Grace Manor
Diane Hartman, Resident Care Manager, Grace Manor
Vanessa Luc Chow, OT Supportive Living, AHS
Rachel Monai, Rehabilitation Assistant, Supportive Living, AHS
Amanda Hansen, LPN, Supportive Living
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Falls Facilitated Learning Series
Falls Change Ideas tested to date
**First Test of Change was an analysis of falls risk management activities currently in place,
this was used to help direct our Teams focus on priority areas of improvement.
Changes Implemented
within Organization
Working/Not Working
Facilitators/Barriers
identified
Education – Delivery of
multi-tiered education to all
site staff that included
creating front line falls risk
management champions
W -Resource materials
and train the trainer
sessions provided to the
Operator site for
internal sustainability
F – Site leadership
motivated to maintain
F – Plan to include in
site orientation
W - Alternate deliveries
of the same core
information provided to
staff, appropriate to
their different levels of
training.
B – Cost to train staff
B – Needs to be
ongoing/refreshed to
remain consistent
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Falls Facilitated Learning Series
Falls Change Ideas tested to date
Changes Implemented
within Organization
Working/Not Working
Facilitators/Barriers
identified
Falls Reporting Development and trial of a
new Falls Report form and
database for capturing and
tracking trends
W – Falls report form
well received when
presented to front line
staff
F – Operator seeking
front line staff
involvement in
development and trial,
encourages buy in
W – Database cells
modeled on falls report
sections to simplify
transfer of captured
information
B – Operator technical
support staff unable to
create database in house
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Falls Facilitated Learning Series
Falls Change Ideas initiated to date
Changes Implemented
within Organization
Working/Not Working
Facilitators/Barriers
identified
Falls Communication – Bridging
the gap between Operator and
AHS SL staff since transition
from one chart system to
electronic documentation within
Supportive Living
W –roles and responsibilities
identified for all
stakeholders regarding
timely falls communication
NW – unexpected AHS SL
organizational requirements
forced postponement of key
stakeholder meetings
B- 2 Chart system, not
integrated
B – site staff unable to
access client information
specific to their needs
F – Clearly defined roles
around what to
communicate and when
B – scheduling challenges
W – Key Stakeholders input
from both organizations has
been/will be considered
and incorporated into
communication guidelines
development
F – All stakeholders
motivated to work towards
a solution
B – ongoing development of
internal processes within SL
electronic documentation
system.
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Falls Facilitated Learning Series
Measures
Feedback from staff and stakeholders were used to measure response to both
Education delivery and the Falls Report. Subjective evaluation forms tailored
specifically for each project were used to gather and analyze responses.
Comments from staff at all training sessions were positive. Attendees actively
participated in discussion during and after each in-service. Front line staff
responded well to short interactive training sessions, as is evidenced by their
comments on the evaluation forms. Responses on the evaluation forms reflected
that staff identified “most helpful portions” from the presentations that were most
relevant to their area of focus. E.g. Recreation focused on walking groups and
outings in relation to falls risk factors.
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Falls Facilitated Learning Series
Measures
Responses captured on evaluations completed by staff trialing the Report Form
indicated that the report form was “easy to use” and all respondents would
recommend continued use. Overall satisfaction was rated at 9/10. Sample staff
feedback included “reminded me to ask appropriate questions and possible
solutions to the issues” as well as “for the most part less writing and gets to the
point” and “makes me think of all the little things that could have been factors”
Falls metrics were used to measure our progress related to falls reduction/injury
reduction
No data collection completed for January/February at this time.
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Falls Facilitated Learning Series
Measures
Salvation Army Edmonton Grace Manor
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Falls Facilitated Learning Series
Measures
Salvation Army Edmonton Grace Manor
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Falls Facilitated Learning Series
Lessons Learned on Sustaining Falls
Improvement Work during Action Period
Advice for other teams
•Engage all stakeholders including clinical and non-clinical staff
•Create front-line champions
•Keep an open mind
•Don’t assume, investigate
Key insights
•Communication is key
•Education must be ongoing, and requires staff dedicated for this purpose.
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Falls Facilitated Learning Series
Challenges to Sustaining Falls Improvement
Barriers:
•
•
•
Need for ongoing education, no staff dedicated for this role
Processes within the electronic charting system for SL are still in development
Scheduling meetings around emerging and urgent operational requirements
Facilitators
•
•
Operator motivated, all stakeholders are engaged in the goal of improvement
Falls risk management is a high profile issue within our organization’s
strategic plan, attention is focused on this area of improving best practice
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Falls Facilitated Learning Series
Next Steps – Action Plan
Goal
Description
Action
Person
Responsible
Timeframe
Metrics
Improve Falls
related
communication
Stage 1
Scheduling
stakeholder meetings
to introduce and hear
input on drafted
communication
guidelines.
Giselle to lead,
Team to
engage
throughout
process
Within 1 month
All stakeholder
input heard and
team ready for
Stage 2.
Improve Falls
related
communication
Stage 2
Trial of roles and
responsibilities for
falls related
communication
guidelines document
Giselle to lead,
all key
stakeholders
engaged
Trial period to
be determined
based on
outcome of
stage 1
Stakeholder
feedback
gathered during
and at the close
of trial period
Spread FRM
strategies and
toolkit to other
Operators
* Complete
development of
Toolkit
* Present Team
progress to other SL
Operators and offer
similar
support/resources
based on site identified
needs
Giselle to lead
and delegate.
within AHS
Falls Risk
Management
team
6 months to
evaluate the
initial
reception/interes
t and ongoing
per site requests
Based on
Operator
interest,
feedback and
site falls metrics.
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Next Steps – Action Plan
Goal
Description
Action
Person
Responsible
Timeframe
Metrics
Sustainable site
based Functional
Exercise Program
for maintenance
of client
independence
Implement Trainer
workshop for site staff
Provide resources to
enable site to develop
own program
delivered directly to
clients and supported
by front line staff
Amanda with
key Operator
staff at sites
6 months to
implement,
support and
evaluate
progress
Staff and Client
feedback as well
as Operator site
falls metrics
Ongoing,
consistent Falls
Risk Management
education for site
staff
Delivery of multitiered falls risk
management
education with
orientating of new
staff
Grace Manor
senior staff Jody and Diane
Ongoing site
ownership of
internal
educational
requirements
Ongoing
evaluation of
attendee
responses to
education and
site falls metrics
www.saferhealthcarenow.ca
Falls Facilitated Learning Series
Contact Information
Name: Giselle Tupper
Email: giselle.tupper@albertahealthservices.ca
Phone Number: 780-735-3726
www.saferhealthcarenow.ca