Island Health

Residential Services

Patricia King, Manager Program Practice and Education

Excellent care – for everyone, everywhere, everytime

Our Values

Courage: to do the right thing, to change, innovate and grow.

Aspire: to the highest degree of quality and safety.

Respect: to value each individual and bring trust to every relationship.

Empathy: to give the kind of care we would want for our loved ones.

Readmission Rate

Falls with Injury in Residential Care

Medication Reconciliation in Residential Care

Hospital Standardized Mortality

Hand Hygiene Compliance

Clostridium Difficile Rates

Surgical Site Infections

Surgical Safety Checklist

Complex continuing care to seniors and younger individuals with disabilities

17 owned and operated sites across Vancouver Island

1,577 beds

14 Designated End of Life beds

41 Respite beds

85 short stay Convalescent or “Activation” beds

Approximately 838 regular staff and 1,000 casual staff

Affiliates:

Approximately 3590 LTC beds

1023 Assisted Living beds

Total bed component is 6,370

Everyone is listened to:

Island wide initiatives look for input from all programs Medication Safety has members from all areas sitting on a

Working Group as part of the Combined Quality System,

A Leader Quality Systems and Process – Medication Safety is working closely with Programs to ensure Medication Safety and Medication Reconciliation is consistently applied throughout the Health Authority

Leader sits on site Accreditation meeting for the site that will be going through Med Safety Accreditation Standards

Continuing Health Services (CHS): Portfolio consists of Residential Services, Seniors Health

Spiritual Care, Older adult Mental Health and Addictions, Home and Community Care, Activation and Transitions and Volunteer Resources

In 2010 and 2011 collaboration on Med Rec and Accreditation Standards took place and continues as an ongoing process with Monthly meetings

Guidelines and Policies are vetted through the Program Quality Council then by the monthly CHS Quality Council and are then posted on Island Health Intranet

Further collaboration takes place with Owned and Operated and Affiliate Residential Sites

Bi-monthly Clinical Practice Council is chaired by the Island

Health Leader Planning and Development and membership consists of DOC’s from affiliate sites and 4-5 Managers from Owned and Operated Program

CNS from Seniors Health also attends and works closely with

both groups on guideline development

Policies, guidelines and procedures developed by Island Health are shared with this group

Discussion re care issues takes place and all share work they have developed

Quality Indicators are reported and discussed Leader visits sites on a regular basis and Med Rec is

discussed on these visits

Medical Director of RS holds a Residential Services Medical Advisory Committee (RSMAC) with physicians of both Owned and Operated and Affiliate sites

Medication Management is a large part of the discussion especially, at present, with the focus on the inappropriate use of anti-psychotics

A representative of Island Health Pharmacy also attends the RSMAC

Held meeting with Acute Care to look at Lean Processes for care delivery and discharge

Residential representative asked to attend

Ongoing collaborative efforts will be another set of meetings with Residential site representation:

This will allow further discussion on Med Rec, Transfer of Information, anti-psychotic use and Error Prone “Do Not Use” Abbreviations

I would like to take this time to thank you for allowing me to present our information and share our successes within Island Health Residential Services.