Regina Qu’Appelle Health Region (RQHR) Home Care Falls Prevention Program

Aim: reduce falls and injury from falls by 20% by March 2012

Objective:

• Establish baseline data

• Establish pilot

• Target education

Home Care - Changes Tested

• Survey staff on their definition of a “fall”

• Develop and trial a Home Safety Checklist

• Develop a Falls Diary

• Educate all Home Care staff on Fall prevention

• Begin reporting all unwitnessed falls

• Develop 2 pilots – this includes establishing the

process of identifying clients at risk and

implementing an intervention

Home Care - Measures

Pilot area 82 (Fort Qu’Appelle/Belcarres) – • 3rd quarter (Oct/Nov/Dec 2011) reporting

indicates that 166 clients were assessed during that time and 52 % triggered the falls cap

Pilot area 45 (Downtown Regina) – • 3rd quarter (Oct/Nov/Dec 2011) reporting

indicates that 386 clients were assessed and 57 % triggered the falls cap

Home Care - Measures

Pilot area 82 – has been very successful. Clients are getting assessed by the case manager, when falls cap triggered – Home Health Aides (HHA) are sent out to complete Home Safety Checklist and Falls Diary. Referrals are being made from this to therapies for further assessment and education – numbers are not in yet but we know that several therapy referral have been made.

Pilot area 45 – we know that barriers exist that are preventing the HHA from being referred to client. We are in the process of investigating these barriers.

Home Care - Measures

Confidential Occurrence Reporting is on the increase

• We have doubled the number of unwitnessed/witnessed falls being reported in the last quarter

1st quarter reports (Apr/May/June 2011)

2nd quarter reports

(July/Aug/Sept 2011)

3rd quarter reports

(Oct/Nov/Dec 2011)

11 10 20

Next steps:• review and revise pilots as

needed• possibly implement Vitamin D• Implement the maple leaf with

the 3 questions on the front of all Home Care in-home Charts

• Implement post fall intervention• Continue with the Home Safety

Checklist• Continue to Educate on Falls