Jennifer Scarr, Provincial Lead, Child Health BC BCIRPU Webinar - - PowerPoint PPT Presentation

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Jennifer Scarr, Provincial Lead, Child Health BC BCIRPU Webinar - - PowerPoint PPT Presentation

Jan 12, 2023 171 likes •652 views

Concussion in British Columbia: An Invisible Epidemic & the Need to Standardize Care and Practice Jennifer Scarr, Provincial Lead, Child Health BC BCIRPU Webinar Series July 21, 2016 Objectives of the Presentation What is the burden

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Concussion in British Columbia:

An Invisible Epidemic & the Need to Standardize Care and Practice

Jennifer Scarr, Provincial Lead, Child Health BC BCIRPU Webinar Series July 21, 2016

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Objectives of the Presentation

  • What is the burden of concussion on BC

children and youth?

  • Where do BC children and youth receive

healthcare services?

  • How can we ensure that BC children and

youth receive evidence based concussion care?

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What is the burden of concussion on BC children and youth?

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How a concussion is handled in the minutes, hours and days after injury can SIGNIFICANTLY influence the extent of damage and recovery from this injury

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Signs of Concussion

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Concussion – Burden in BC

  • 16,888 concussions seen in emergency departments

throughout the BC Lower Mainland for all ages:

– 6,651 from VCH (2011) – 8,959 from FH (2011/12) – 1,278 presenting to BCCH (2009)

  • 39.5% of the total - children and youth ages 0-19 years
  • 59.4% of the total – males
  • 9,027 children & youth ages 0-19 years presented to BCCH

with a concussion / minor head injury during the 2001-2009 period.

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Health Authority Summary

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Where do BC children and youth receive healthcare services?

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★

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Source: http://www.bcrobyn.com/2012/12/how-big-is-british-columbia/

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How many hospitals in BC provide concussion services to children and youth

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How can we ensure that BC children and youth receive evidence based concussion care?

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Developing a Provincial Approach

  • Provincial meeting – stakeholders from across the

province

  • Tiers of Service Framework – used to support

planning

  • Pediatric Concussion Guidelines – ONF work

completed; used to support planning

  • CATT – tool and resource to support

communication of evidence based recognition, care and management

  • Provincial Data
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Why the need for tiers of service?

  • Provides a common language to streamline

planning, coordination & integration of services across geographic boundaries & sectors

  • Facilitates a common understanding of the

responsibilities & relative capabilities of each type & level of service

  • Supports the availability of appropriate

resources for services to fulfill those responsibilities

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Refer to handout

Tiers at a Glance

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Tiers of Service & Concussion

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Tier 1 & 2

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Concussion Awareness Training Tool

  • Evidence-based Resource which includes:

– Training (e.g. MainPro M2 Credits for CATT HP) – Quick and easy access to guidelines/information – Resources (clinical, patient, journal articles, parent handouts, etc.) – Links to other credible web-based resources – Printable resources for individuals (e.g. patient information, parent resources, smartphone accessible resources, etc.) – FAQs

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CATT – Medical Professionals

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Return to Play

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Return to Learn

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Provincial Tier 1 & Tier 2 Work

  • Embedded in ED electronic discharge information
  • Presentations to Divisions of Family Practice
  • Influencing sports organization policies (eg. BC Minor

Hockey, Football BC)

  • Working with school superintendents and staff to

support Return to Learn

  • Community displays; newspaper articles; sporting

events

  • Evaluation
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CATT – Evaluation

  • Qualitative: target audience feedback in iterative

tool development

  • Quantitative: research evaluation completed on

toolkit – awareness, knowledge and skills increased

  • Quantitative: ongoing website analytics
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CATT – Future Work

  • Updating the Healthcare Provider section
  • Enhancing the Mental health information
  • Translation of resource into other languages
  • Supplemental materials - mood changes,

sleep hygiene, headaches

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Tier 3 & 4

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Provincial Tier 3 & Tier 4 Work

  • Provincial Workshop – sharing results
  • Health Authority specific data reports – used to

support regional planning

  • Complete jurisdictional review of pediatric

concussion programs

  • Articulate the requirements of a Tier 4 clinical service

for pediatric concussion

  • Provincial leadership and quality
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Objectives of the Presentation

  • What is the burden of concussion on BC

children and youth?

  • Where do BC children and youth receive

healthcare services?

  • How can we ensure that BC children and

youth receive evidence based concussion care?

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Questions

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Thank You