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Falls Prevention Planning in Champlain: The Work Plan for 2015-16

In this fourth article about the Champlain Falls Prevention Strategy, we look at the 2015-2016 work plan for implementation and current initiatives.

Having established a strong foundational Falls Prevention clinical pathway for seniors to receive the appropriate Falls screening, assessment and intervention in the appropriate setting, work is now being done to promote and support use of the standardized tools in community and primary care settings.

EMR Integration

Feedback from clinicians testing the Champlain Falls Prevention algorithm and Staying Independent Checklist told us that it was essential to make them a part of the EMR. A great deal of work has been done with the Practice Solutions group to make this possible on the PS platform ā€“ with a go-live date in the near future ā€“ followed usage support with Nightingale on Demand. Other clinicians wanted a method of communicating their assessment findings and interventions with other agencies to avoid duplication or gaps in the process. A multifactorial draft work sheet based on the algorithm will be trialed with some community agencies in the fall of 2015 to gather their input.

Training Health Care Providers

Ensuring that health care providers have access to information about best practices in falls prevention is a key part of the work required to make this strategy successful. The Personal Support Worker (PSW) training module is now widely used by Public Health to train staff in Retirement Homes, community agencies, and community colleges in the region. An online accredited CME module for physicians is currently in the final stages of development. A framework that will help organizations to support staff in delivering high-quality falls prevention assessment and intervention to their clients is the focus for this year.

To enable health care providers and their clients to find the right exercise and/or falls prevention classes for their needs in their area, ongoing work is focusing on classes funded through the Champlain LHIN, and providing information and clear steps to assist in the selection of the appropriate class.

Reducing ED visits and hospital admissions

Provincially the Champlain region ranks poorly in regards to numbers of falls related visits to ED and admissions to hospital. Drilling into this data this year will clarify where to focus the next stages of work now that the tools to support teams across health care sectors have been developed and are ready for use. Savings of $1.72 million can be realized across the system with only a 10% reduction in falls related admissions to hospital in Champlain.

This concludes our series of four articles providing background and progress updates about the development and delivery of a Champlain Falls Prevention Strategy. There is a dedicated and enthusiastic group of representatives from many health care sectors in the region, all of whom have made this an excellent example of successful collaboration and achievement. We look forward to bringing you an update in about six months.

Article written by: Christine Bidmead (cbidmead@toh.on.ca), Project Manager, Champlain Falls Prevention Strategy


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