Safer Healthcare Now! / Falls Prevention Virtual Learning Collaborative

Appendix B: Participant Team Charter Template

SHN! Falls Prevention

Virtual Learning Collaborative

Team Improvement Charter

Project Name: / Falls Prevention Virtual Learning Collaborative
Team Members: / Janet Mattatall, Brenda Mackinnon, Erin Pope, Rebecca McCarthy, Kimberly Newton, Terri-Lynn Mcnutt
Team Lead: / Barbie Cook
Team Sponsor: /

Shannon Andersen – Falls Steering Committee, Manager of Rehab Services

What are we trying to accomplish? / Purpose of Falls Prevention Team
To lead and coordinate team learning, process and care improvements; to ensure our targeted goals are achieved in falls and injury reduction and that we contribute as active participants in the SHN Falls Prevention VLC
Scope & Boundaries
  1. Patients/residents/clients at risk for Falls and Injury from Falls
  2. Inpatient unit: 10 bed acute care facility with average 30% admitted patients awaiting long term care placement (alc)

Improvement Aim
  • Reduce incidence of falls (fall rate) by 40% from baseline at LillianFraserMemorialHospital by March 2011
  • Reduce injury from falls by 40% from baseline atLillianFraserMemorialHospital by March 2011

How will we know a change is an improvement? / Measures by healthcare setting:
Note: Falls intervention measures for Acute and Long Term care has 6 measures and Home Healthcare has 5 measures. The 3 (in bold) are required for the VLC although all measures for the healthcare sector may be submitted) / Current Performance
(Insert own baseline for target population) / Goals
Acute Care and Long Term Care Team Measures:
  1. Fall rate per 1000 patient/resident days
/ 6.1 /
  1. Reduce by 40%

  1. Percentage of Falls Causing Injury
/ 4 /
  1. Reduce by 40%

  1. Percentage of Patients/Residents with completed falls risk assessment on admission
/ 100% /
  1. 100%

  1. Percentage of Patients/Residents with completed falls risk assessment following a fall or significant change in medical status
/ 100% /
  1. 100%

  1. Percentage of “At Risk” Patients /Residents with a documented falls prevention/injury reduction plan
/ 100% /
  1. 100%

  1. Percentage of residents with restraints in place
/ 0 /
  1. Maintain at baseline or below

Home Healthcare Team Measures:
  1. Fall rate per 1000 clients
/
  1. Reduce by 40%

  1. Percentage of Falls Causing Injury
/
  1. Reduce by 40%

  1. Percentage of clients with Completed fall risk screening on admission
/
  1. 100%

  1. Fall risk reassessment completed following a fall or significant change in medical status
/
  1. 100%

  1. Percentage with documented falls prevention and/or Injury reduction plan
/
  1. 100%

WHAT CHANGES WILL WE MAKE? / Change Concepts and Ideas to Test
● Develop and trial a falls care plan for follow up interventions based on Falls Screening Tool (which includes the Morse.).
● Adopt or create a consistent method of communicating/alerting fall risk to all members of the collaborative interdisciplinary team.
HOW WILL WE MANAGE THE IMPROVEMENT PROJECT? / Principles for Working Together
  • Demonstrate mutual respect, seek and listen to other team member’s perspectives as they will likely vary from your perspectives
  • Regular meetings: Needed, productive and available by in person video or teleconference as appropriate
  • Communication plan: Minutes to reflect issues, discussion points, action steps, responsibilities
  • Share the workload
  • Look for the opportunities and the keys to success rather than focusing on the limitations
  • Engage your Team Sponsor when barriers to implementation are beyond your team’s ability to address on your own
  • Share successes with each other, the organization, and VLC members as everyone teaches and everyone learns
  • Include other interested partners as identified
  • Consult proactively with Collaborative Faculty through scheduled Team Conference Calls and Office hours in action periods between Learning Sessions (avoid feeling overwhelmed)
  • Connect, consult and exchange ideas and tools with other VLC Team Leads

Team Roles and Responsibilities:
Team Sponsor
  • Clarify the improvement mandate and align with the organization’s strategic and operational objectives
  • Connect and communicate with appropriate stakeholders
  • Support the development of the team charter with the Team Leader
  • Provide time and other resources
  • Establish an accountability or reporting mechanism
  • Facilitate the work of the team within the larger organization.
  • Engage a team leader and serve as a coach for the Team Leader and the team
Team Leader
  • Complete and clarify the team charter in a manner that ensures the support of team members and team sponsor
  • Organize and lead effective meetings and maintain team records i.e. minutes, correspondence, improvement data
  • Facilitate work within the team and ensure participation at and between meetings
  • Serve as a communication link between the team and the team sponsor
  • Refer system issues to the Team Sponsor
  • Ensure data is collected, submitted, reviewed and used by the team
Team Members
  • Share practice and care knowledge, skill and experience
  • Communicate and develop a shared understanding within the team of the work/care process to be improved or changed
  • Identify and test change ideas with team colleagues and in actual care processes
  • Use the results and your learning from tests of change (PDSA Cycles) to define your next test of change (lessons learned about what didn’t work as you projected it would is most helpful)
  • Lead and support coworkers to adapt the new process
  • Complete tasks or assignments within and between meetings

Don’t Slip Up! Reduce Falls and Injury from Falls

Safer Healthcare Now! / Falls Prevention Virtual Learning Collaborative
Review Schedule:
Review Team Improvement Charter at least once per Action Period and update as needed
Key Dates
Learning Session 1 – October 5, 2010, 12:00 pm ET
Learning Session 2- November 9, 2010, 12:00 pm ET
Learning Session 3 – January 25, 2011, 12:00 pm ET
Learning Session 4 & Closing Congress – March 22, 2011, 12:00 pm ET
Team WebEx Calls
October 19, 2010 – 1 pm ET
November 30, 2010 – 1 pm ET
January 11, 2011 – 1 pm ET
February 15, 2011 – 1 pm ET

Don’t Slip Up! Reduce Falls and Injury from Falls