Transcript CLeAR - Quality Forum

The Cedarview Lodge CLeAR Project
Success One Resident at a Time
Quality Forum 2015
Paula Rozanski, Manager
Ameneh (Amy) Fallahi, RN
Peter Marin, RCA
1
Thank You
• Ben Ridout
BC Patient Safety Quality Council
• Deborah Lorimer
Director of Residential Care, Coastal Community of
Care, VCHA
2
Introduction
89 Beds
22
6
Special Care Beds
Respite Beds
3
CLeAR
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
Goals
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
*Capacity - “Give a man a fish and he eats for a day.
Teach a man to fish and he eats for a lifetime”
5
Our Journey
2
4
3
1
8
5
7

6
6
Process Map
7
Successes
100%
Percent of residents on an antipsychotic
90%
80%
70%
47% improvement
60%
50%
40%
30%
20%
10%
0%
8
Successes
20%
Percent of residents on a PRN antipsychotic
18%
16%
14%
88% improvement
12%
10%
8%
6%
4%
2%
0%
9
Successes
50%
Percent of residents on regular & PRN antipsychotic
45%
40%
35%
50% improvement
30%
25%
20%
15%
10%
5%
0%
10
Successes
Outcome Grouping Scale
2013/2014
2014/2015
2014/2015
2014/2015
Q4
Q1
Q2
Q3
78%
80%
83%
90%
86%
93%
93%
95%
96%
98%
96%
100%
Aggressive Behavior Scale
None
Depression Rating Scale
Low (0-2)
MDS Pain Scale
Low (0-1)
11
Successes
CVL - Falls
35
30
25
20
15
10
5
0
Jan
Feb
Mar
Apr
May
Jun
# of falls 2013
Jul
Aug
Sep
Oct
Nov
Dec
# of falls 2014
12
Successes
13
Lessons Learned
•
•
•
•
•
Leadership
Clear vision & goal
Unit champions
Project & communication plan
Dedicated resources
14
Next Steps
Developed standards of practice to sustain the
gains
Continue to engage families of residents
Culture change
15
Questions
16