RCI is Partnering with Transitions in Care to Address Gaps and Find Solutions

RCI and Transitions in Care (TiC) have teamed up on a joint initiative aimed at addressing gaps in the process of long-term care (LTC) resident transitions. Multidisciplinary healthcare providers (Hospitalists and ED physicians, ED allied health practitioners, RCI physicians, ward-level practitioners such as CNLs, OTs, and PTs) have identified concerns across the patient journey, from living in the community, to acute care admission and placement in a long term care home, to ED transfers to and from long term care homes. Concerns include a lack of standardized processes for sharing information (particularly medication reconciliation and prescription orders), lack of clarity regarding roles and responsibilities, and difficulties related to communication and coordination during resident transitions.

Together with our TiC colleagues and a multidisciplinary working group, the RCI team is in the process of developing potential solutions for addressing these gaps, such as spreading the Pink Band project, doing “in-reach” education sessions for hospital colleagues about local long term care sites, and developing communication tools/processes so transitions are smoother and more streamlined for all involved. Stay tuned for project updates coming this fall!

Resource Highlight: Focus on Dementia

This month, we're focusing on dementia resources for practitioners and families.

The WHO has recently released new guidelines for risk reduction of cognitive decline and dementia. Read the executive summary here, or see the full report by clicking on the button below.

For more tools, see our Resource section!

Read the Full Report

Quality Improvement Corner 

Looking for a tool to help your QI team visually display a problem? 

Try out the IHI's Driver Diagram! This diagram visually displays a team’s theory of what contributes to the achievement of a project aim, and is useful for communicating to a range of individuals where a team is working.

Access the Diagram 

Upcoming Events

June 27, 11:15-12:00: Co-Creating Meaningful Patient Oriented Participatory Research on Gardening and Horticultural Therapy in a Long Term Care Facility - Webinar

Learn how LTC residents in northern BC partnered with researchers to inform development and planning of a new gardening and horticulture program focused on promotion of the natural environment in their facility.

View the Calendar

News and Trends in Health Care

Screening for Vision Impairments in Individuals with Dementia Living in Long-Term Care: A Scoping Review. Vision impairments are common but often underdiagnosed in people with dementia living in long-term care. This article conducts a review of vision screening tests in order to determine which of these tests, if any, would be suitable for use by nurses in long-term care environments. Learn more here.

Treatment of Diabetes in Older Adults: An Endocrine Society Clinical Practice Guideline. This article outlines clinical practice guidelines for the treatment of diabetes in older adults. The goal is to give guidance to health care providers in treating patients with both types of diabetes with an emphasis on avoiding unnecessary adverse effects. See the list of recommendations.

Recognition of the Complexity Facing Residential Care Homes: A Practitioner Inquiry. Authors explore the challenges faced by staff in UK residential care homes (approximately equivalent to assisted living in BC) when managing the healthcare needs of residents. Findings reveal the complexity of issues facing care homes and how these can negatively impact staff’s ability to manage resident needs. Read the full article.

Staff Experiences with Implementing a Case Conferencing Care Model in Nursing Homes: A Focus Group Study. Examines the qualitative experiences of nursing home staff regarding the implementation of comprehensive geriatric assessments and case conferencing. The study notes that management and nursing home staff must understand the factors that enable or constrain change in order to sustain quality of care improvements. Learn more here.

Meet the RCI Community

Introducing Dr. Janet Mak!

Shortly after completing her residency at the University of Alberta, Janet moved to Victoria and joined the Seniors Outreach Team (SORT), which sparked her passion for geriatrics.

Meet Dr. Mak

Introducing Alexandra Schram!  

Originally from Montreal, Alex was a competitive alpine ski racer from childhood through university. She has her MSc in exercise physiology and found long term care by happy accident.

Meet Alex

Do you know a hard-working physician or care home leader/staff person who is committed to excellence in long term care? The RCI team is accepting nominations for individuals to feature in our newsletter, and we'd love to hear from you! Click here to send us an email with your recommendations.

Resource Highlight: Focus on Dementia 

This month, we're focusing on the dementia roadmap and resources for practitioners and families:

We 💛Vancouver Island

RCI is located on Vancouver Island, a diverse and vibrant community with events for all interests.

Victoria's 30th annual Symphony Splash takes place on August 4th, 2019.

From a floating stage in the Inner Harbour, the VS orchestra and special guests will perform, ending with a grand finale performance of Tchaikovsky’s 1812 Overture – with fireworks of course! Find out more here.


Have an Upcoming Event You'd Like to See Featured?

Or know a hard-working individual who is committed to excellence in long term care? Send us your recommendations and nominations and we'll do our best to include them in a future newsletter! We like hearing from you.

The Vic-SI RCI launched in 2015, with an emphasis on improving medical care for all residents in care homes, through engaging and supporting physicians to meet the provincial RCI Best Practice Expectations (BPEs), and facilitating collaborative system change with physicians, care home staff teams, and Island Health. Learn more here.

Please feel free to forward this newsletter to staff, colleagues, or others who may be interested.