SLIDE 1 Project Team 2014/2015 Kelly Meacham, PT Jason Laird, CNC ACAT Amy Hancock, PT Kerri Noonan, EEN Allison Stephens, OT Cherylee Carey, CNS Philippa Cullen, OT Lynette Fowler, RN Fred and Wilma, patient/carer Sponsors Dorelle Steel, Aged and Extended Care Services Manager Maureen McGovern, Community and Allied Health Manager
SLIDE 2
What’s the problem?
Falls statistics + TACS client mix = Falls Feedback from other TACS + IIMS Patient story File audit
SLIDE 3 The real problem: unwitnessed falls
23 patients experienced a fall = 1 in 3 patients 15 near misses documented 8 patients >1 fall 4 unplanned readmissions due to falls injury
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SLIDE 4
Our aim statement
Project team: multidisciplinary + patient/carer Team decided that every fall matters
By December 2014, 100% of known falls experienced by patients on the Hastings Macleay Transitional Aged Care Service (HMTACS) are documented, reported and all patients have a falls prevention and management plan completed.
SLIDE 5
Methodology
CPI methodology used to diagnose issues and
determine solutions
Solutions guided by NSW Policy/ACSQHC
Standards and Best Practice Guidelines for Australian Community Care (ACSQHC 2009)
SLIDE 6 Limited falls information in transfer of care No risk screen or falls prevention planning Falls risk assessment Post fall care Post fall documentation, reporting and response variable Variable beliefs/attitudes
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Diagnosis
SLIDE 7
Solutions
FROP-COM Risk Screen Falls prevention plan in initial care plan File ‘red alert’ and GP notification Patient handouts reviewed Individual falls management plans Falls prevention checklist-local procedure Develop post fall procedure Education
SLIDE 8
Outcomes
falls rates (1:5 from 1:3) unplanned readmissions repeat fallers ? Change in falls injury severity awareness of reporting-staff and patient/carer patient involvement communication with GP “Falls prevention has become everyone’s business”
SLIDE 9
Challenges
Mixed caseload includes patients with frailty, high level
disability and dementia/post delirium
Falls risk screen didn’t predict fallers-must use clinical
judgment
Are clients reporting all falls? Keeping the momentum going
SLIDE 10
Next steps
Ongoing data collection/analysis to look for any trends Regular education and reports at staff meetings Review trial of falls management plans Integrating into CHOC
SLIDE 11
Thank you
Hastings Macleay Transitional Aged Care Team Project team and sponsors Lorraine Lovitt, CEC, NSW Falls Prevention Program
