the cedarview lodge clear project
TRANSCRIPT
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The Cedarview Lodge CLeAR ProjectSuccess One Resident at a Time
Quality Forum 2015Paula Rozanski, Manager
Ameneh (Amy) Fallahi, RNPeter Marin, RCA
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• Ben RideoutBC Patient Safety Quality Council
• Deborah LorimerDirector of Residential Care, Coastal Community of Care, VCHA
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Thank You
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Introduction 89 Beds
22 Special Care Beds
6 Respite Beds
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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.”
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CLeAR
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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
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Goals
*Capacity - “Give a man a fish and he eats for a day. Teach a man to fish and he eats for a lifetime”
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Our Journey
Charter!
Roles & Responsibilities!
Process Mapping
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Early Identification
Tool
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Process Map
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Successes
47% improvement
Percent of residents on an antipsychotic
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Successes
88% improvement
Percent of residents on a PRN antipsychotic
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Successes
50% improvement
Percent of residents on regular & PRN antipsychotic
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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%
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Successes
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Successes
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• Leadership• Clear vision & goal• Unit champions• Project & communication plan• Dedicated resources
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Lessons Learned
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Next Steps
Developed standards of practice to sustain the gains
Continue to engage families of residentsCulture change
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Questions