Upload
bcpsqc
View
290
Download
0
Embed Size (px)
Citation preview
The Cedarview Lodge CLeAR ProjectSuccess One Resident at a Time
Quality Forum 2015Paula Rozanski, Manager
Ameneh (Amy) Fallahi, RNPeter Marin, RCA
1
• Ben RideoutBC Patient Safety Quality Council
• Deborah LorimerDirector of Residential Care, Coastal Community of Care, VCHA
2
Thank You
3
Introduction 89 Beds
22 Special Care Beds
6 Respite Beds
Call for Less Antipsychotics in Residential Care
“The aim of CLeAR is to achieve a reduction in the number of seniors in residential care on
antipsychotic medications by 50% across BC by December 31, 2014 through a province-wide,
voluntary initiative that supports participating sites.”
4
CLeAR
Improve care for residents who have BPSD by reducing the number of residents who are on antipsychotics
Create opportunities for initiatives to work together
Build new skills and knowledge* for improvement in residential care
5
Goals
*Capacity - “Give a man a fish and he eats for a day. Teach a man to fish and he eats for a lifetime”
6
Our Journey
Charter!
Roles & Responsibilities!
Process Mapping
1
2
34
5
67
8
Early Identification
Tool
7
Process Map
8
Successes
47% improvement
Percent of residents on an antipsychotic
9
Successes
88% improvement
Percent of residents on a PRN antipsychotic
10
Successes
50% improvement
Percent of residents on regular & PRN antipsychotic
11
Successes
Outcome Grouping Scale 2013/2014 2014/2015 2014/2015 2014/2015
Q4 Q1 Q2 Q3
Aggressive Behavior Scale
None 78% 80% 83% 90%
Depression Rating Scale
Low (0-2) 86% 93% 93% 95%
MDS Pain Scale
Low (0-1) 96% 98% 96% 100%
12
Successes
13
Successes
• Leadership• Clear vision & goal• Unit champions• Project & communication plan• Dedicated resources
14
Lessons Learned
15
Next Steps
Developed standards of practice to sustain the gains
Continue to engage families of residentsCulture change
16
Questions