Opening Keynote: Stephen Lewis April 25, 2016 The Power of Advocacy Keynote: Jay Ingram April 26, 2016 The End of Memory: The Science Behind Alzheimer’s Closing Keynote: Frank O’Dea April 27, 2016 Facing Adversity with Hope, Vision, Action See page 7-8 for more details on events or visit the Education section of the OANHSS website. Dementia Care: Honouring the Emotional Memory of Persons Living with Dementia This year’s stimulating, full-day, Pre-Convention session features international dementia specialist David Sheard, who will demonstrate how emotional memory can be worked with as a reality using the Quality of Interactions Schedule (QUIS), a validated observational assessment tool. The session will include one OANHSS member home who recently used a QUIS audit to inform staff learning, and to begin to look at care planning and possible culture change for the benefit of residents. David will also share the importance of honouring the emotional memory of persons living with dementia. Please refer to the registration brochure for session details. To register, complete the online form and email it to OANHSS or print the form and fax it to OANHSS. Don’t miss this chance to attend the OANHSS Annual General Meeting and Convention for less! Sign up for your Convention pass prior to April 8 and receive our special early-bird rate. Complete the electronic registration form and submit it via email. Download the Convention App! See pg. 7 for instructions April 12, 2016 Page 1 of 12 C 11 - CW Info
Transcript
Opening Keynote: Stephen Lewis April 25, 2016 The Power of Advocacy Keynote: Jay Ingram April 26, 2016 The End of Memory: The Science Behind Alzheimer’s Closing Keynote: Frank O’Dea April 27, 2016 Facing Adversity with Hope, Vision, Action
See page 7-8 for more details
on events or visit the Education section of the
OANHSS website.
Dementia Care: Honouring the Emotional Memory of Persons Living with Dementia
This year’s stimulating, full-day, Pre-Convention session features international dementia specialist David Sheard, who will demonstrate how emotional memory can be worked with as a reality using the Quality of Interactions Schedule (QUIS), a validated observational assessment tool. The session will include one OANHSS member home who recently used a QUIS audit to inform staff learning, and to begin to look at care planning and possible culture change for the benefit of residents. David will also share the importance of honouring the emotional memory of persons living with dementia. Please refer to the registration brochure for session details. To register, complete the online form and email it to OANHSS or print the form and fax it to OANHSS.
Don’t miss this chance to attend the OANHSS Annual General Meeting and Convention for less! Sign up for your Convention pass prior to April 8 and receive our special early-bird rate. Complete the electronic registration form and submit it via email.
Download the Convention App! See pg. 7 for instructions
April 12, 2016 Page 1 of 12 C 11 - CW Info
Consultation Sessions: Strategy for Community Policing
OANHSS recently shared with members an opportunity to participate in province-wide consultations about community-based policing approaches. These consultation sessions, hosted by the Ministry of Community Safety and Correctional Services, give members the opportunity to discuss important issues that could benefit from a community-policing response, including the need to support LTC homes in effectively dealing with challenging families and/or residents, including predatory residents and those with responsive behaviours.
Proposed Amendments to the Excellent Care for All Act
In response to members’ questions about the proposed regulatory changes to the Excellent Care Act for All (ECFAA), OANHSS shared that the changes being proposed are two-fold: to define the meaning of the term “caregiver” and to clarify references to personal health information (PHI). More detail, as made available on Ontario’s Regulatory Registry, is as follows: a) Defining the term “caregiver” in the regulation:
The Ministry is proposing to provide a meaning for the term “caregiver” that would apply to all references in ECFAA and its regulations.
The intent of this is to more clearly define who is able to bring forward a complaint to the Patient Ombudsperson and to ensure consistency of meaning in all of the ECFAA’s legislative and regulatory provisions. Consequently, the proposed definition would apply to all provisions pertaining to caregivers under the ECFAA (e.g. provisions related to surveying caregivers concerning their satisfaction with services provided by a health care organization; engaging caregivers in the development of Quality Improvement Plans for health care organizations;
and requirements related to the patient relations process in health care organizations).
In order to have one consistent definition of caregiver, the Ministry is proposing to remove an existing definition of caregiver that applies only to the patient relations process in hospitals.
b) Clarify references to Personal Health Information (PHI):
The Ministry is seeking to revise the regulation under the ECFAA for the purposes of making clear the specific permissions that Health Quality Ontario has with respect to collecting PHI (essentially, redundant provisions will be removed).
Members will be aware that in 2014, some prior amendments were made to the ECFAA under the Public Sector and MPP Accountability and Transparency Act, 2014. These amendments, which have not yet come into force, were done to establish a Patient Ombudsperson in Ontario. Once these come into force, the Patient Ombudsperson (Christine Elliott) will be able to investigate, facilitate the resolution of, and report on complaints made by patients, former patients and their caregivers that relate to the care experience of the patient or former patient at a hospital, long term care home, or community care access centre. Christine Elliott begins her appointment as the Patient Ombudsperson on July 1, 2016. Individuals with questions may contact Kathryn Pilkington, Director of Professional Services and Health Policy.
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Government Relations
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I n last month’s CLRI update, we outlined the
CLRI program’s accomplishments over the first
four years of its mandate. As shown in the map
below, we have reached more than 50% of long term
care (LTC) homes across Ontario.
A proposal for the renewal of the program, entitled
CLRI 2.0 The Future of Long-Term Care in Ontario:
An Integrated Program, was submitted earlier this
year to the Ministry of Health and Long-Term Care
for consideration. We anticipate reaching even more
LTC homes in our continued efforts to enhance the
quality of care throughout the sector.
CLRI 2.0 – What’s Next? Proposed Initiatives to Foster and Spread Innovations in Learning, Research and Care
In 2011, the Ministry of Health and Long-Term Care developed the Ontario Centres for Learning, Research
and Innovation (CLRI) in Long-Term Care located at Bruyère,
News from the Centres for Learning, Research
and Innovation in Long-Term Care
Cont’d on pg. 4
3 March 2016 Action Update
LTCHs having at least one encounter with any of three CLRIs (by postal code)
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The CLRI 2.0 proposal was developed in
consultation with a range of long term care
stakeholders including family and resident council
associations, professional associations, academia and
varied knowledge translation partners. The aim was
for the proposal to align with, give voice and address
the needs of the LTC sector.
An environmental scan and stakeholder input
highlighted several challenges facing the sector:
Dementia and responsive behaviours
Mental health issues
Increased complexity of LTC population
These challenges need to be addressed through
enhanced staff knowledge, skills, and training;
recruitment and retention strategies; and further
investments in care, research, education, and
innovation. These will allow the sector to improve
capacity to provide high quality care, to meet
provincial regulations and to improve performance
on key quality indicators.
In CLRI 2.0, we will continue to collaborate with
LTC homes in the adoption and continuous
improvement of evidence-based best practices to
improve the quality of care for all residents.
Below are some examples of initiatives we are
considering pursuing in CLRI 2.0:
A Learning Innovation Network would enable
educators and practitioners to keep up-to-date
with the latest research, to include geriatric
content in curricula, and to spread best
practices to the LTC community.
An enhanced Knowledge Transfer Strategy
would expand existing resources, create a
repository of resources and best practices, and
increase the reach of education programs.
A Research Mobilization Team would support
LTC homes interested in participating in
research (e.g., defining research questions,
protocol development, ethics, data analysis).
Long-Term Care Rapid Reviews would
provide reviews and synthesis of research and
evidence that respond to ministry and
stakeholder inquiries in a timely manner.
A Culture Change Coaching Resource would
support interested homes in shifting toward
social models of living. Specialized units,
polypharmacy guidelines and new approaches
to advanced care planning as well as arts-based
approaches to care will help keep practices
current. Leadership development will continue
to be a priority.
CLRI 2.0 is ready and is an investment in the future!
Your feedback and suggestions on CLRI 2.0
initiatives are welcomed. For more information,
please visit our website or contact us if you would
perspectives and guidance so that they are steered
in the right direction. You rarely get this
connection (between researchers and Local
Health Integrated Networks, associations etc.) to
have a real life dialogue. Also, to share with other
researchers is something that does not often
happen in long-term care.”
- CLRI affiliated researcher
“CLRI students that we have hired have been
phenomenal – they get what we are going for,
they understand resident-centred care, and they
understand inter-professional collaboration.
Where other people, not having that kind of
experiential education, are a little behind on
that.” - LTC employer
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Sector News
Upcoming Workplace Health & Safety Training Sessions
For Workplace Health & Safety training sessions between March and June, see the Public Services Health & Safety Association website. Training includes Certification Parts One and Two, and Health and Safety for Supervisors and Managers.
Nutrition Screening in Older Adults Should Be a Priority
A systematic review of studies found that community-dwelling older adults who were provided with timely nutrition screening followed up with appropriate intervention and monitoring improved their nutritional status. Older adults are often at risk for malnourishment, and nutrition screening is important to determine risk. Nutrition interventions following screening included dietetics care, nutrition education, and referral to community services such as Meals on Wheels. See the PubMed Abstract for more details.
Yoga May be Beneficial for Seniors
A recent systematic review of studies found that yoga programs resulted in small improvements in balance and medium improvements in physical mobility in people aged 60 years and older. Further research is needed to determine whether yoga-related improvements in balance and mobility lead to prevention of falls. See the PubMed Abstract for more details.
Improving Continuity of Care Reduces ED Visits by LTC Residents
A study in Halifax looked at how a model of coordinated, team-based, primary care in LTC facilities impacted continuity of care and transfers to emergency departments. A “Care by Design” (CBD) model was implemented across 10 LTC homes. This model includes the following key components:
Interdisciplinary team approach Regular team meetings of family physicians, LTC
nurses, care assistants, paramedics, pharmacists, and other staff (e.g., social works, OT, PT, recreational therapists)
A dedicated family physician per floor (about 30 residents/physician)
Weekly onsite visits to see residents identified by nurses as needing primary care
Coordinated 24/7 on-call physician coverage for urgent or emergent issues by a roster of participating CBD physicians
30 minute response time by on-call physicians to calls from LTC homes
On-call sign-out communications, telephone support, and standing orders/protocols
CBD physicians are self-selected participants demonstrating a special interest in LTC and additional training in care of the elderly. Study findings showed statistically significant reductions in ED use: a 34% reduction in 911 calls per month from LTC homes and a 36% reduction in monthly ambulance transports from LTC to ED. In addition, there was greater continuity of care as indicated by the increase in primary care visits and an increase in informational notes between providers after implementation of CBD. Read the article for more details.
Research & Resources
1. Broadcast Email - same day distribution 2. Web posting - in LTC careers area of the
OANHSS website
Marketplace is an employment service for members that offers cost-effective, targeted advertising of positions in two formats:
For more information, contact Olga Jimenez at (905) 851-8821 x 200 or [email protected].
Full details in the LTC Careers
area at www.oanhss.org
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Association News
OANHSS Nursing and Personal Care Advisory
OANHSS has been seeking dedicated nurses (RNs and RPNs) to join the OANHSS Nursing and Personal Care Advisory (Advisory). Members of this important group are relied upon to
provide both expert and strategic advice to
OANHSS on nursing strategies and initiatives
(including matters related to provincial policy and
law)
identify and/or comment on key nursing
developments
contribute to the development or dissemination of
best practices
provide strategic input on OANHSS submissions
and position statements related to nursing and
nursing practice
Members of the Advisory will also be asked, from time to time, to represent OANHSS at various nursing tables. OANHSS has received several expressions of interest and will be finalizing the membership of the Advisory next month.
Commercial Lifemark Seniors Wellness Catherine Sundeen, Vice President 20 Eglinton Avenue West Suite 2100 Toronto, ON M4R 1K8 Tel: (416) 485-1344 Email: [email protected] Web: www.lifemark.ca Lifemark Seniors Wellness provides rehabilitation services to LTC and retirement homes, including physiotherapy, occupational therapy, ADP assessments, nursing rehab consulting/education and workplace injury prevention/disability management.
Brenda Elliot, Chief Executive Officer Copernicus Lodge Home for the Aged Toronto, ON Tessa Jocko, Acting Program Manager Mohawk Council of Akwesasne Akwesasne, QC
Java Music Club Java Group Programs Wireless RNA Technology Inc. Advance Care – Cimtel Inc. & Wireless Resident Nurse Alert Technology Inc.
Connect. Collaborate. Share
Network with fellow professionals in a secure online environment. To get started, visit www.oanhss.org, log in to the member
area, and click on the Member Community logo.
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Member Updates
Member Position Announcements
New Members
Organization Name Change
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Spotlight on Convention
Delegates at this year’s Convention will have easy access to all event details and electronic handouts with our robust interactive app. It is easy to install and works on almost all smartphones and tablets. View session descriptions, search for speakers, view and/or download session handouts, find exhibitors on the tradeshow and create your own customized schedule. Special alerts will keep delegates updated on any news or program changes while onsite at convention. Handouts will be available via the app at the beginning of April! There are two easy ways to download the app:
1. Visit the Google Play Store (Android devices), App Store (Apple devices), or Blackberry App World (Blackberry devices) and download the OANHSS 2016 app for free! or 2. Visit http://eventmobi.com/oanhss2016 on your desktop, tablet or smartphone. Save the URL to your home screen by selecting the menu button on your device.
Sponsored by
Research Focused Sessions
Find out about the latest research through a series of concurrent sessions held throughout Convention focused specifically on research, international studies and their findings as they pertain to LTC. Researchers and study authors will present and discuss their work at the following sessions. Check the registration brochure for full descriptions.
Research Forum Tuesday April 26, 2016 2:00 PM - 4:00 PM
Join us for this research forum with presentations and discussions on the latest research data and findings on LTC in Ontario. Be briefed on and discuss a range of current research topics such as a detailed exploration of LTC admission and outcome, including an analysis of current acuity level of those entering LTC; what drivers influence outcomes in LTC; and how dementia factors in to LTC demand. As well, you will hear about capacity planning in community care.
Guest speakers include
Dr. Jonathan Patrick, professor, Telfer School of Management, University of Ottawa
Dr. Peter Tanuseputro, research fellow, Brùyere Research Institute Dr. Walter Wodchis, associate professor, University of Toronto, Faculty of Medicine
Kevin Walker, research associate, University of Toronto Sara Shearkhani, research associate, University of Toronto
7 March 2016 Action Update
# TITLE
2 10 11 13 17 18 21
Regulatory Tensions in Achieving Resident-Centered Care Infection Control: What’s Not Happening and Why Better Medication Reconciliation, Better Transitions: A Success Story Tipping Points to Institutional Care for Persons Living with Dementia Incontinence-Associated Dermatitis: Moving Prevention Forward Making the Most of your Food Budget It All Comes Out in the Wash: What Laundry Reveals about Life and Labour in LTC
April 12, 2016 Page 7 of 12 C 11 - CW Info
Spotlight on Convention cont’d
Tweet about Convention
on Twitter
Use Twitter hashtag
#oanhssconvention to:
Share interesting highlights from workshops Share compelling speaker quotes Talk about new products/offers from exhibitors Learn about workshops you may have missed Follow the conversation! Visit twitter.com/oanhss
and search for #oanhssconvention
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National Congress on Housing and Homelessness April 12-15, 2016 Montreal, ON The Canadian Housing and Renewal Association is holding its National Congress on Housing and Homelessness in Montreal. Workshops will cover a variety of topics including aging in place, leadership capacity, and leading practices in housing. For more information and to register for the conference, see the CHRA website.
Putting the Pieces Together – Collaborating for Quality Hospice Palliative Care in Ontario Sheraton Parkway Toronto North Hotel and Convention Centre, Richmond Hill This event is widely recognized as a preeminent education and networking event throughout the hospice palliative care and broader health care sectors. For more information, visit hpco.ca or contact Teresa Sottile, Program Coordinator, at [email protected] or 416-304-1477 ext. 23.
An Introduction to CARF Aging Services Accreditation Webinar May 6, 2016 & November 3, 2016
This webinar will familiarize participants with CARF, the benefits of CARF accreditation and the survey process for organizations of all sizes. This introductory presentation is designed for Aging Services providers that are not currently CARF-accredited or would like to become familiar with the CARF accreditation process, including staff and management of adult day services, networks, retirement homes, long-term care homes, home care and supportive/independent senior living organizations. For more information or to register, visit the CARF website.
Annual 2016 SGP Education Day and Trade Show June 7, 2016 Pearson Convention Centre, Brampton This is a complimentary day of education, and all are welcome whether currently using our program or not.
The day consists of informative education through speaker session and education sessions as well as a full trade show with all our vendor partners. Silver Group Purchasing provides specialized purchasing services to organizations catering to the diverse needs of seniors in many different types of establishments. Clients use our programs in a wide range of areas, including administration, food, clinical supplies, chemicals/cleaning supplies, office products and capital equipment. For more information, visit the Silver Group Purchasing website, or contact Sandra Curcio at (905) 470-5586 or [email protected].
Achieving and Maintaining CARF Accreditation in Aging Services Workshop June 21-22, 2016 Hilton Garden Inn Toronto Airport, Mississauga New to CARF accreditation? Thinking about an upcoming resurvey? Wondering how to promote a culture of quality improvement in your organization? Attend this interactive, two-day training session to learn valuable tips and tricks for getting organized, planning for an on-site survey, and managing outcomes. Emphasis will be placed on areas in which organizations most often need guidance to conform to the standards. In addition to participating in an interactive learning environment, you will have the opportunity to attend focused breakout sessions that cater to your specific level of experience with CARF. Session options include preparing for your first survey or refining your current practices. For more information, visit the CARF website.
OLTCP 39th Annual Conference October 21-23, 2016 Sheraton Centre, Toronto The OLTCP is now accepting poster submissions for its upcoming conference. Submissions are due by August 29 in order to be accepted and reviewed by the Conference Committee. For more information, please visit the OLTCP website or contact Ellen Maracle-Benton at (905) 404-9545 or [email protected].
Other Events
9 March 2016 Action Update
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Watch Your Inbox for the Member Community Digest
Sent every Monday, the Member Community Digest provides highlights of activity on the forums and in the library of the OANHSS Member Community and offers helpful tips on how to use the Community’s many tools to connect, collaborate and share with peers. For more information, please contact Chris Noone, Manager of Communications and Member Services, at [email protected].
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Share Your Good News Stories
We know there are many great things happening in members’ homes that can get overshadowed by negative media coverage. OANHSS is working hard to profile these good news stories. Member Spotlight articles are featured in Action Update, which we share with government, consumer groups and other stakeholders. We also post the articles in the public area of our website. Featured members receive additional copies to share with their local media, boards/councils, and resident and family councils.
Simply submit your story ideas and OANHSS does all the work. We will interview key staff involved in the program/initiative and prepare the article. To share your idea, contact Chris Noone at 905-851-8821 ext. 253 or [email protected].
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11 March 2016 Action Update
OANHSS Staff Contacts
Looking for information on a specific topic? Use the following staff list to contact the appropriate person: Benchmarking Dan Buchanan ext. 229 [email protected] Communications/Media Relations Debbie Humphreys ext. 233 [email protected] Convention/Administrator Leadership Program Stuart Sweeney ext. 240 [email protected] Exhibiting/Sponsorships Ellen Maracle-Benton (905) 404-9545 [email protected] Financial Policy Dan Buchanan ext. 229 [email protected] Government Relations Donna Rubin ext. 230 [email protected] Health Policy Kathryn Pilkington ext. 244 [email protected] Housing/Supportive Housing Shilpi Majumder ext. 237 [email protected] LTC Homes Compliance & Enforcement Kathryn Pilkington ext. 244 [email protected] LTC Homes Legislation & Policy Kathryn Pilkington ext. 244 [email protected] Member Services/Programs Chris Noone ext. 253 [email protected] Newsletter Advertising Nina Zivkovic ext. 246 [email protected] OANHSS Policy Exchange Kathryn Pilkington ext. 244 [email protected] Professional Services / Interdisciplinary Care Kathryn Pilkington ext. 244 [email protected] Public Policy Shilpi Majumder ext. 237 [email protected] Quality Improvement / QI Planning Kathryn Pilkington ext. 244 [email protected] Resident Care & Resident Relations Kathryn Pilkington ext. 244 [email protected] Website Passwords Nina Zivkovic ext. 246 [email protected]
March 14: Ontario Announces Update to Long-Term Affordable Housing Strategy
March 10: Seeking Participants for Nursing and Personal Care Advisory March 2: Invitation: OANHSS Rebranding Presentation March 1: OANHSS Awards – Deadline for Entries This Friday March 1: LTC Redevelopment – Construction Funding Subsidy February 29: Seeking Members for OANHSS Nursing Advisory February 25: Budget 2016-17 February 24: OANHSS Awards – Deadline for Entries Coming Soon February 18: OANHSS Awards – Submit Your Nominations by March 4
Media Release February 25 - Provincial Budget Is a Step Forward in Supporting Long Term Care Residents
