The Cedarview Lodge CLeAR ProjectSuccess One Resident at a Time

Quality Forum 2015Paula Rozanski, Manager

Ameneh (Amy) Fallahi, RNPeter Marin, RCA

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• Ben RideoutBC Patient Safety Quality Council

• Deborah LorimerDirector of Residential Care, Coastal Community of Care, VCHA

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Thank You

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Introduction 89 Beds

22 Special Care Beds

6 Respite Beds

Call for Less Antipsychotics in Residential Care

“The aim of CLeAR is to achieve a reduction in the number of seniors in residential care on

antipsychotic medications by 50% across BC by December 31, 2014 through a province-wide,

voluntary initiative that supports participating sites.”

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CLeAR

Improve care for residents who have BPSD by reducing the number of residents who are on antipsychotics

Create opportunities for initiatives to work together

Build new skills and knowledge* for improvement in residential care

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Goals

*Capacity - “Give a man a fish and he eats for a day. Teach a man to fish and he eats for a lifetime”

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Our Journey

Charter!

Roles & Responsibilities!

Process Mapping

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2

34

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67

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Early Identification

Tool

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Process Map

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Successes

47% improvement

Percent of residents on an antipsychotic

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Successes

88% improvement

Percent of residents on a PRN antipsychotic

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Successes

50% improvement

Percent of residents on regular & PRN antipsychotic

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Successes

Outcome Grouping Scale 2013/2014 2014/2015 2014/2015 2014/2015

Q4 Q1 Q2 Q3

Aggressive Behavior Scale

None 78% 80% 83% 90%

Depression Rating Scale

Low (0-2) 86% 93% 93% 95%

MDS Pain Scale

Low (0-1) 96% 98% 96% 100%

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Successes

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Successes

• Leadership• Clear vision & goal• Unit champions• Project & communication plan• Dedicated resources

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Lessons Learned

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Next Steps

Developed standards of practice to sustain the gains

Continue to engage families of residentsCulture change

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Questions