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Danielle Linnanecreated the topic: Timely and Efficient Transitions: Potentially preventable ED visits for long-term care residents

4 years ago

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Danielle Linnanecreated the topic: How do you reduce avoidable ED transfers from long-term care? Spotlight on Riverbend Place

5 years ago

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Danielle Linnanecreated the topic: How do you significantly reduce falls in Long-Term Care? Spotlight on Friendly Manor Nursing Home

5 years ago

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  Suman IqbalCongrats to the team at Friendly Manor for the great work they have done in collaboration with Lee from RNAO's LTC Best Practices Program. We have a team of 14 Coordinators who work with all LTC homes across Ontario. Please email LTCBPP@RNAO.ca for more information and check out quality improvement stories @ http://ltctoolkit.rnao.ca/stories/quality-improvement 
  
  5 years ago
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  Debbie Long@Suman Iqbal thank you very much.  I am very proud of all of the teams  hard work.  The RNAO is a fantastic resource which assists homes in identifying gaps.  I highly recommend that homes use the services of the RNAO. 5 years ago

Danielle Linnanecreated the topic: How can long-term care address ALC? Spotlight on Foyer St. Jacques Nursing Home

5 years ago

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Danielle Linnanecreated the topic: Using promising practices to improve ALC rates: Spotlight on Runnymede Healthcare Centre

5 years ago

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  Danyal MartinThank you for a great post! I loved reading about the work that you're doing - I particularly loved how you included a focus on staff distress. (I think that issue often gets missed and it's important that it be included.) 
  
  We hear often that it's easy for hospitals (or other organizations) to miss some of the great resources in the community, so I also like that you focused on that as one of your strategies. Did you do any collaborative work with these community partners? For example, developing any shared goals or QI activities? 5 years ago
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  Jocelyn DenommeThanks for this great read. Also, the point about helping patients and families understand that the care is transitional is an important one and not always easy to navigate!
  5 years ago
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Danielle Linnanecreated the topic: How do you significantly improve ED length of stay? Spotlight on Kingston Health Sciences Centre

5 years ago

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  Danyal MartinThanks for a great post! I'm so impressed by the great work happening here and I love the point about there being no silver bullet - a key component of QI is understanding your system and what interventions will work for your environment. 
  
  Can you talk a bit more about how you engaged primary care? And how long did this transformation take? 5 years ago
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  Mike McDonald@Danyal Martin Thank you for the great question. We are connecting to Primary Care through both formal and informal structures.
  
  We have formal connections with Primary Care representatives through the LHIN and sub-regions and they have provided input into some of the initiatives focused on improving ED flow. Our LHIN’s Primary Care Lead has been helpful in communicating information to colleagues and providing input where needed. KHSC is also represented at Health Link administrative tables which includes representation from Primary Care.
  
  Our ED leadership participates in community groups at Queen’s University, with city police and EMS. Our staff work closely with community partners at Street Health and the local shelters. We have done staff tours of Street Health and local shelters building on relationships and understanding for these vulnerable patients. We also work closely with Addictions and Mental Health Services regarding emergency flow for patients needing mental health services.
  
  We attend regular meetings hosted by the Kingston Frontenac Lennox & Addington (KFL&A) Medical Officer of Health which has representation from Kingston’s Family Health Teams (Executive Directors and Primary Care Practitioners). This table has discussed strategies to address the opioid crisis and other health issues in our community which impact the Emergency Department, such as influenza.
  
  Please don’t hesitate to ask if you have any further questions.
  
  Mike & Carol5 years ago
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  Danyal Martin@Mike McDonald Thank you! This sounds like great work - I love the partnership with primary care and community organizations!5 years ago

Danielle Linnanecreated the topic: Effective ways of reducing antipsychotic use: Spotlight on Westmount Long-Term Care Residence

6 years ago

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  Danyal MartinThank you for sharing this! I particularly loved the advice that you gave at the end - sometimes quality improvement can seem overwhelming so I love the idea of taking things one step at a time. 
  
  On a somewhat related note, how do you keep the momentum going? And any tips for engaging physicians? 6 years ago
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  Jocelyn DenommeLove this - as for non-pharmacological  approaches - in addition to what you highlight - I promote early and frequent mobilization to help keep a healthy mind and body - now with the warmer weather approaching there is nothing better than getting outside for some physical activity that is modified to the individuals abilities.6 years ago
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Danielle Linnanecreated the topic: Reaching beyond the health care system: Spotlight on the Health Justice Initiative

6 years ago

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  Danyal MartinSuch a great initiative! I love this quote: “We believe that addressing legal issues can almost always alleviate stress that may be hindering our clients’ ability to improve their health.” I had one question - did you have any issues with things like patient confidentiality or circle of care when working with the legal team? 6 years ago
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  Rami Shoucri@Danyal Martin
  Thanks for your interest and your question Danyal. It's an issue that we thought about carefully in designing the program. There is no one-size-fits-all solution but the principle is that confidentiality is critical but information sharing can also be useful to advancing the patient's interests. In short, for our partnership:
  - The legal team does not have direct access to patient chart.
  - The referring providers do not have direct access to legal chart. 
  - Information sharing between legal and clinic teams only occurs with patient express consent. 
  Happy to elaborate on the mechanics of implementing this at our site further if you have more questions. 
  Thanks again!6 years ago
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  Danyal Martin@Rami Shoucri Thank you! This sounds like a great partnership!6 years ago

Danielle Linnanecreated the topic: Keys to creating successful partnerships between public health and primary care

6 years ago

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  Danyal MartinI love the point about spending the time just getting to know each group's role in the community and what projects are on the go - it's easy to jump into trying to work on a problem, but it's so important to spend the time understanding areas of focus, areas of strength, gaps, etc. Sounds like a great partnership!6 years ago
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  Member No Longer ExistsI agree Danyal. What stood out to me was that the first exploratory phase of this work took a year. But it seems that this upfront investment in planning really pays off in the long term. A great "lesson learned"! 6 years ago
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