Yee Hong Centre for Geriatric Care Serving Diverse Cultures along - - PowerPoint PPT Presentation
Yee Hong Centre for Geriatric Care Serving Diverse Cultures along the continuum in Central LHIN ITEM 12.1 Agenda We will focus on funded services in C LHIN Balance of Care CARE Ambassador Supportive Housing Seneca Towers
ITEM 12.1
Balance of Care CARE Ambassador Supportive Housing – Seneca Towers Nursing Home
With strong roots in the Chinese community and our respect for the seniors we enable seniors of respect for the seniors, we enable seniors of different backgrounds and needs to live their lives to the fullest – in the healthiest, most independent and dignified way We provide a continuum of culturally dignified way. We provide a continuum of culturally and linguistically appropriate care to seniors of Chinese origin. Further, we provide culturally and linguistically appropriate long-term care services to linguistically appropriate long-term care services to seniors of other cultural backgrounds within the capacity of the centre.
Active Senior Program Nursing Home Supportive Housing Adult Day Programs Congregate Dining
Support Services Client Intervention Caregiver Support Transportation a spo tat o Friendly Visiting Volunteer Development Advocacy Advocacy Chronic Disease Self-Management
To provide a basket of community support
Markham is the second phase of BoC
Markham is the second phase of BoC. Yee
Markham has a very high Chinese population
Yee Hong LTC homes has a long waiting list. Yee Hong LTC homes has a long waiting list.
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Program capacity – Monday – 15 per day; Tuesday
to Friday 30 per day to Friday – 30 per day
# of clients served ytd: 78 # of active members: 58 # of active members: 58 Average age: 83.5 Gender: Female: 59 (75.64%)
Male: 19 (24.36%)
Client has to be grade 3 or 4 on MAPLe Score
Condition of clients Number %age Physically Disabled 6 7 69% Physically Disabled 6 7.69% Cognitively Impaired 20 25.64% Frail 52 66.67% Total 78 100.00%
Restorative Programs, s.a. PT/OT
Reading and Discussion of News of the Day
Health talks and discussion – promote a
We emphasize a lot on social interaction and
We did Client Satisfaction Survey once a year.
2010 2011 S R lt S
2010-2011 Survey Result Summary
Clients Caregivers
Program Structure 4.76 4.78 g Food Service 4.52 4.55 Physical Environment 4.86 4.59 Staff and Volunteers 4.95 4.81 Staff and Volunteers 4.95 4.81 Dignity 5.00 4.71 Improvement in Quality of Life 4.85 4.78 Recommend Yee Hong 100% 94% Recommend Yee Hong 100% 94% Overall Quality of care and services 4.90 4.75 Benefit of Caregivers 4.72
Mini Mental State Examination (MMSE)
Han et al suggested the annual rate of decline of the Han et al. suggested the annual rate of decline of the
MMSE for individuals with Alzheimer’s disease is 3.3.
The team compared the MMSE scores of 12 seniors The team compared the MMSE scores of 12 seniors
with Alzheimer’s disease and related dementias at admission with their scores at 2011. 4 (33.33%) seniors showed improvement, 1 (8.33%) seniors showed no change, 5 (41.67%) seniors showed decline less than 3.3 per year, and only 2 (16.67%) seniors showed decline more than 3.3 per year.
“I was very lonely. I live alone with a cat in
“Since I come here, I am very happy, happy,
A family caregiver: “Thanks to Yee Hong
Yee Hong Caregiver Education & Resource Centre
Stroke: What are the common signs? Techniques for Dressing & Grooming for Stroke Survivor Caregivers Emotion Management Course
Knowledge Program Skill Training Program Wellness Program
What are the common signs? Grooming for Stroke Survivor Management Course Dementia: What are the common signs? Activities to Strengthen Memory for Person with Dementia Yoga Workshop for Anxiety Management Program Back Pain Prevention & Chiropractic Care Seminar Lifting and Transferring Training Session Stay Active Physical Fitness for Caregivers What is the Assistive Devices Program? Home Safety Seminar Chronic Disease Self-Management Course Nutrition for Stroke Survivor Life after Stroke
“The Sandwiched Generation” Relationship Enhancement for Caregivers Diabetes Drug Management Communication Workshop Diabetes Diabetes Drug Management Seminar Relationship Enhancement for Caregivers Diabetes Self-Management Course Osteoporosis, Dementia Drug Management Seminar First Aid Skills for family caregivers Parkinson Disease Self-Management Course Ontario Senior Welfare Seminar Communication with Person with Speech Disability Chronic Pain Self- Management Course Senior Accommodation Planning Seminar Sleep-Well Program An Introductory Seminar
# of new clients – 782 Total # of groups run – 159 Total Program attendance – 3,498 Total Service Units (# hours of training
Increased significantly 122 89.50% Increased 253 No change 25 5.9% Decreased 0.24% Decreased significantly 1 Not applicable 18 4.30% Number of people completed this question 419
Other Community Education Initiative
Ming Pao Yee Hong Column Ming Pao Yee Hong Column DVD production Publication of books Publication of books Publication in progress – Caregiver Guidebook
Health fair and symposium
Yee Hong is the co-chair and founder of the
Yee Hong is a partner of the Mt. Sinai
Seneca Tower
Seneca Tower is a Municipal Senior
Our target is to serve 60 seniors in the
Client Profile
Average age – 82.54 Gender – 81% female, 19% male Language – 31% Chinese, 12% English,
Mobility – 44% using walkers, 34% on
Ethnicity # of clients % of clients
Chinese 20 33.33% Canadian 3 5.00% South Asian (Sri Lanka, India, Pakistan) 10 16.67% Guyanese 5 8.33% Amenian 1 1.67% Egyptian 5 8.33% Egyptian 5 8.33% Iranian 3 5.00% Jerusalemite 1 1.67% Jamaican 3 5 00% Jamaican 3 5.00% African 3 5.00% Czechoslovakian 1 1.67% I li 1 1 67% Israeli 1 1.67% Trinidadian 1 1.67% Filipino 1 1.67% Korean 1 1.67% Turk 1 1.67% Total 60 100.00%
Annual Service Output
Hours of Personal Support Services: 15,324 Hours of case coordination: 1,730 # of emergency responses: 78
Testimonials
“The service you’ve provided to my mother is very
much appreciated by our family – you make a much appreciated by our family you make a difference in this world.”
“To my very dear Yee Hong staff for their loving &
thoughtful help I receive but cannot return it in return thoughtful help I receive, but cannot return it in return for your kindness. My pain & sleepless nights are relieved when they come at 3 a.m. and 6 a.m.”
“I have such peace of mind since you started taking
care of me. May God bless each one of you abundantly.”
Background of the centre Culturally Appropriate Services Partnership Achievements Innovations Challenges
Opened in October 2002 200 beds: 199 long stay and 1 short stay Target communities:
– Canadians of Chinese, South Asian and Other
background
Average Age: 85.03
Chinese speaking residents: 85 53 Chinese speaking residents: 85.53 South Asian speaking residents: 80.56
Average length of stay: 4.16 years L k Languages spoken: Cantonese: 70% Mandarin and other Chinese dialects: 14% South Asian: 10% English: 5% Korean and others: 1% Korean and others: 1%
CMI: 1.1861
R f hi h it
Reasons for high acuity:
– Low turn over as evidenced in long length of stay – Long Waiting List: 679 (Longest: February 2004)
g g ( g y )
– Average wait time for those admitted in 2011
Private room: 1.15 year (longest: 3.53 years) Standard room: 3.19 years (longest: 5.91 years) Standard room: 3.19 years (longest: 5.91 years)
– Increased crisis admissions from acute care and
community
30% of all admissions in 2011 30% of all admissions in 2011
Environmental Design:
Colour scheme decorations and program rooms such
– Colour scheme, decorations and program rooms such
as Karaoke room and meditation room
Languages spoken by nursing and activation
staff: staff:
– Chinese dialects (Cantonese, Mandarin, etc) – South Asian languages (Tamil, Hindi, Punjabi etc)
T t f
Two sets of menu:
– Chinese and South Asian (Northern and Southern
cuisine)
Activation Programs such as Chinese
Multi-faith religious services provided by
Nurse Led Outreach Program – Markham
Stouffville Hospital Stouffville Hospital
– Key outcomes:
Enhanced clinical support to residents and improved
di ti f ith MSH coordination of care with MSH
Total number of transfers remains the same in a year Number of less urgent and not urgent cases reduced
G l
– Goal:
To ensure appropriate timely transfer
No unmet standards identified by Ministry of
Since the introduction of Resident Quality Since the introduction of Resident Quality
In 2011, a one day compliance inspection
Very positive resident and family satisfaction
survey results survey results
100% residents agreed that our home is clean
and tidy and 98% agreed that the home is a comfortable to live comfortable to live.
Residents gave the home a rating of 8.7 for the
quality of care and services while families gave a rating of 8.65
98% of families would recommend Yee Hong to
friends and families
Better than provincial averages on all clinical
April-June 2011 YH-MKH PROV.
Pressure ulcer:
Pressure ulcer:
Fall:
Weigh loss
Weigh loss
Depression
Restraint use
Restraint use
Corporate quality improvement framework;
– Integrated resident first (quality improvement)
framework Continence care QI project launched in 2011
– Continence care QI project launched in 2011
Corporate ethics framework
– Policies tools resources education and – Policies, tools, resources, education and
consultation services
Dedicated PT room with Three Motomed
FT OT led special therapy programs Music therapy at no cost to residents Music therapy at no cost to residents On site denturist and hygienist services
Dementia Care Improvement
Montessori program launched in December 2011
– Montessori program launched in December 2011 – Yee Hong Centre was a member of the Provincial
Roundtable on the Planning Framework for People with Alzheimer and Related Dementia
– A partner of Community University Research Alliance
together with Universities of Waterloo, Western Ontario, McMaster and Queen’s
– Culture Change Coalition launched in January to
implement the planning framework through Appreciative Inquiry
Inadequate number of bed to meet tremendous
community needs as demonstrated by long community needs as demonstrated by long waiting list. Many simply could not wait that long.
Comments made by residents on the first day of
y y admission:
– “I feel like I have won the lottery.”
“I have waited for almost six years I would rather miss
–
I have waited for almost six years. I would rather miss my Chinese New Year Eve’s dinner with my family than missing my opportunity to move into Yee Hong.”
Lack of financial resources:
Hi h it i i d i i l
– High acuity is recognized in nursing envelope
funding only
– Funding for programs and food does not
g g consider acuity and cultural needs
– E.g. more resources required to prepare two
sets of menu from scratch sets of menu from scratch
– Impact of Long Term Care Homes Act
requirements and other changing standards
Human Resources:
Diffi lt t it t ff ith l
– Difficult to recruit staff with language
proficiencies and culturally competency with qualifications stipulated in Long Term Care H A t Homes Act
Lack of access to timely lab and x-ray mobile
Lack of advanced care planning in