Developing an Integrated Falls Program Presented by Bernie Blais - - PowerPoint PPT Presentation

Developing an Integrated Falls Program

Presented by Bernie Blais CEO, NSM LHIN April 11, 2012

THE BEST WAY TO PREDICT THE FUTURE IS TO INVENT IT

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An Integrated Regional Falls Program Success Story

Margaret had been referred to the program by CCAC and attended a screening clinic in Orillia. At the clinic Margaret discussed her fear of falling and falls prevention strategies. Margaret was motivated to maintain her independence by improving her gait through exercise, balance, and muscle strength.

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Key Outcomes of Presentation

• Key learning's garnered from CEO/MOH meeting
• Key elements of successful integrated falls program
• What an integrated model might look like
• Next Steps
• Questions

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History

• The Provincial Falls Prevention Project was initiated in

November 2010 as a LHIN Priority Project

• The project was co-led by LHINs and Public Health
• The objective is to improve the quality of life for Ontario

Seniors aged 65 years and over and lessen the burden of falls on the health care system by reducing the number and impact of falls

• This collaboration between LHINs and PH was the first of

its kind in Ontario and will serve as a template for future collaborations

PROJECT WORKING GROUP

Shared Accountability

• Both Public Health and LHINs have similar

accountability indicators for falls initiatives

Public Health Indicator NSM LHIN Falls Indicators

• Fall-related emergency visits in older adults

aged 65+ (rate per 100,000 per year)

• Total number of falls resulting in harm

(Severity of Harm Scale)

• Total number of clients visiting a hospital

ER due to a fall in the last 90 day

Components of a LHIN Wide Falls Program

• 1. Governance
• 2. Appropriate Level and Type of Assessment and

Intervention

• 3. Local integration and Inclusive Partnerships
• 4. Local Performance Measurement
• 5. Components and Key Actions for a Provincial Structure

Responsible for Falls Prevention

Stay Up, Keep Up!

Objective

To improve the quality of life for Ontario seniors aged 65 years and over and lessen the burden of falls on the healthcare system by reducing the number and impact of falls on Ontario Seniors

Inclusive Local Partnerships Comprehensive and Evidence Based Assessment and Intervention Standardized Performance Measurement Effective Governance

Establishment of an Effective LHIN-wide Falls Prevention Program in Each LHIN

Components Approach

Establishment of an Entity Responsible for Collaboration and Alignment at a Provincial and National Level

Inter-LHIN Coordination and Knowledge Exchange Alignment and Collaboration with Provincial and National Organizations & Initiatives

Integrated Provincial Falls Prevention Framework

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Falls Prevention Steering Committee 14 LHIN-wide Programs Secretariat Function LHIN CEOs COMOH A Steering Committee (led by LHIN and PH and includes) key provincial organizations) Key appointed individuals (could be from any participating

• rganization) from each LHIN-

wide program meet regularly to share information and ideas re implementation

Participating LHIN CEO and MOH to report back to LHIN CEOs and COMOH

Governance for Provincial Structure

Key Functions of Provincial Structure (from Framework)

1. Inter-Program Coordination a. Central Knowledge Exchange Management (Education) b. Continuous Coordinated Efforts (Implementation) c. Communications 2. Standardized Provincial Performance Measurement 3. Alignment and Collaboration with Provincial and National Organizations & Initiatives

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Current State of NSM Falls Program

North Simcoe Muskoka Local Health Integration Network (NSM LHIN) Staying Independent Falls Prevention Coalition

• Program is housed at Orillia Soldiers’ Memorial

Hospital (OSMH)

• 1.35 Million dollar investment
• Full-time Coordinator
• Specialist & screening clinics throughout the

region

• Financial Agreement between the NSM LHIN

and OSMH

• Governance structure & accountability

agreements with community partners

• Contracted OT as part of funding
• Simcoe Muskoka District Health Unit has

representation at the Coalition

• Government funded agencies and
• rganizations who cover the region, some

provincially and nationally

• Volunteer-based
• Not for profit charities
• Many members are graduates of the Canadian

Fall Prevention Curriculum

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Future State of NSM LHIN Falls Program

Clinical Community

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NSM LHIN and SMDHU co-chair, each bring unique resources to the program, OSMH will provide all administrative support

Linking with other Provincial Complimentary Projects

Behavioural Supports Ontario/Seniors Friendly Hospital Healthy Communities Initiatives/Residents First

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Working Together Means We Can Do Better

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Collaborative & Courageous Leadership

Questions

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Integrated Falls Prevention Framework