Ensuring Quality Care for our Residents at EVERY site
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Transcript of Ensuring Quality Care for our Residents at EVERY site
Island Health
Residential Services
Patricia King, Manager Program Practice and Education
Excellent care – for everyone, everywhere, everytime
Our Values
Courage: to do the right thing, to change, innovate and grow.
Aspire: to the highest degree of quality and safety.
Respect: to value each individual and bring trust to every relationship.
Empathy: to give the kind of care we would want for our loved ones.
Readmission Rate
Falls with Injury in Residential Care
Medication Reconciliation in Residential Care
Hospital Standardized Mortality
Hand Hygiene Compliance
Clostridium Difficile Rates
Surgical Site Infections
Surgical Safety Checklist
Complex continuing care to seniors and younger individuals with disabilities
17 owned and operated sites across Vancouver Island
1,577 beds
14 Designated End of Life beds
41 Respite beds
85 short stay Convalescent or “Activation” beds
Approximately 838 regular staff and 1,000 casual staff
Affiliates:
Approximately 3590 LTC beds
1023 Assisted Living beds
Total bed component is 6,370
Everyone is listened to:
Island wide initiatives look for input from all programs Medication Safety has members from all areas sitting on a
Working Group as part of the Combined Quality System,
A Leader Quality Systems and Process – Medication Safety is working closely with Programs to ensure Medication Safety and Medication Reconciliation is consistently applied throughout the Health Authority
Leader sits on site Accreditation meeting for the site that will be going through Med Safety Accreditation Standards
Continuing Health Services (CHS): Portfolio consists of Residential Services, Seniors Health
Spiritual Care, Older adult Mental Health and Addictions, Home and Community Care, Activation and Transitions and Volunteer Resources
In 2010 and 2011 collaboration on Med Rec and Accreditation Standards took place and continues as an ongoing process with Monthly meetings
Guidelines and Policies are vetted through the Program Quality Council then by the monthly CHS Quality Council and are then posted on Island Health Intranet
Further collaboration takes place with Owned and Operated and Affiliate Residential Sites
Bi-monthly Clinical Practice Council is chaired by the Island
Health Leader Planning and Development and membership consists of DOC’s from affiliate sites and 4-5 Managers from Owned and Operated Program
CNS from Seniors Health also attends and works closely with
both groups on guideline development
Policies, guidelines and procedures developed by Island Health are shared with this group
Discussion re care issues takes place and all share work they have developed
Quality Indicators are reported and discussed Leader visits sites on a regular basis and Med Rec is
discussed on these visits
Medical Director of RS holds a Residential Services Medical Advisory Committee (RSMAC) with physicians of both Owned and Operated and Affiliate sites
Medication Management is a large part of the discussion especially, at present, with the focus on the inappropriate use of anti-psychotics
A representative of Island Health Pharmacy also attends the RSMAC
Held meeting with Acute Care to look at Lean Processes for care delivery and discharge
Residential representative asked to attend
Ongoing collaborative efforts will be another set of meetings with Residential site representation:
This will allow further discussion on Med Rec, Transfer of Information, anti-psychotic use and Error Prone “Do Not Use” Abbreviations
I would like to take this time to thank you for allowing me to present our information and share our successes within Island Health Residential Services.