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Falls Prevention Planning in Champlain: Article 7

CME Certified Fall Prevention module

In a cross Canada review, there were few certified Fall Prevention programs targeted towards Primary Care physicians and their healthcare professional teams. Dr. Frank Molnar, Geriatrician, and his team have changed that! The Champlain Fall Prevention Steering Committee, Dr. Molnar and the Regional Geriatric Program of Eastern Ontario have worked together to deliver an interactive Fall Prevention module which utilizes the Champlain Fall Prevention tools. This online group learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by the University of Ottawa’s Office of Continuing Professional Development for up to 2 MainPro+ credits.

The sequential modules focus on education, client self-screening using the Staying Independent Checklist, and delivery of the appropriate and evidence-based follow up assessment and diagnosis to determine the root cause of the fall. Selecting the right intervention and referral is also covered in the module.

A complement to this CME program includes access for non-registered health care workers to an online PSW Fall Prevention module. It can be useful for volunteers, receptionists and other non-registered team members as it provides information to enable them to act as a coach and guide for their older clients and to understand the importance of self-screening and the use of the Staying Independent  Checklist as part of the Champlain Fall Prevention Algorithm.

These two modules are components of the Fall Prevention education framework to reinforce the delivery of the best practices in Fall Prevention across the continuum. Work is now being undertaken to provide other registered healthcare professionals with similar support,

All of these resources and the link to sign up for the CME module can be found through the www.stopfalls.ca website

Falls Prevention Planning in Champlain: Progress report

Falls Prevention requires a cross sector and cross team approach and the development and usage of the Champlain Falls prevention algorithm for community and primary care supports that approach. The four regional Public health Units have provided education to over 600 PSW paramedics and college students this year, which allows these staff to play their full role in supporting seniors in their falls prevention journey. This education module will be available on line by early summer 2016. The Staying Independent Checklist is being promoted as a self-screening tool in a several ambulatory care departments across the region, which then links into the regional pathway. Flow charts are being finalized for the exercise and falls prevention classes across Champlain so that there is commonality for seniors accessing these activities.

The Falls algorithm has been incorporated into the Practice Solutions EMR for primary care providers in the Bone Health program and is available on the website:
https://hodgson-public.sharepoint.com/fallprevention There is also a “ how to download” video on this site.  These will soon be posted on the TELUS Community Portal.

Several Family Health Teams are using it, or are interested in doing so and an  effort is being made to influence inclusion in Nightingale on Demand for CHCs. An online CME Falls prevention Module is being developed with the University of Ottawa to support physicians, with a completion date expected for Fall 2016.

The http://www.Stopfalls.ca website is a resource for healthcare providers to access information about assessments, best practices and local resources.

Communicating assessment findings and interventions taken across sectors and between professionals can sometimes be very difficult which can lead to duplication and omissions. A falls prevention assessment communication tool is being tested between a GEM nurse, CCAC physiotherapist and a retirement home to improve the sharing of information gained by each team member. This in turn will support primary care providers to find the root cause of the fall and provides the right intervention.

Now that there are some firm foundational tools in place that are beginning to be used across the region, data will support the development of a multi year plan so that efforts are targeted appropriately and effectively. This will be linked with the Regional Geriatric Advisory Committee strategy and the Champlain LHIN Integrated Health Service Plan.  This plan will form a large part of the Falls Prevention Annual report, which will be completed at the end of March 2016. A summary of the report will be shared in a future article.

written by: Christine Bidmead, Project Manager – Champlain Falls Prevention Strategy , Regional Geriatric Program of Eastern Ontario