1. health and fitness

R I S KY
APRIL 2015 EDITION
BUSINESS
QUALITY, RISK, & SAFETY
UPCOMING ACCREDITATION PRIMER PEER REVIEW
As mentioned during the All Staff Town Hall on Wednesday, April 22, 2015, the official accreditation survey takes
place in less than 40 days. Lumacare has been preparing for June 7 – 10, 2015 for the last 12 months.
As a refresher, Lumacare will be accredited through Accreditation Canada. We opted to use this accrediting body
for a number of reasons – one of which is that they offer an introductory accreditation program called the
Accreditation Primer. The Primer will help us to assess areas of quality and safety and then move to the Qmentum
phase of the accreditation program. The preparation work to complete the Primer takes about 12 months. Once
we have successfully completed the Primer, Lumacare will be accredited for two years and we will continue working on our quality improvement goals while working towards Qmentum.
For the on-site survey in June, peer surveyors will tour the various Lumacare sites, meet with staff and Clients,
and assess organizational performance against the nine Primer Standards. The Surveyors will gather information
and evaluate compliance using tracers, which involve reviewing files and documents; talking and listening to Clients and
staff; observing; and recording.
(Source: Accreditation Canada)
The Primer Standards are divided into nine sections and address:
1
2
Leadership
5
6
Information
Management
8
37+
DAYS
UNTIL ACCREDITATION
SURVEY
3
Client
Safety
Infection
Prevention
and Control
4
Integrated
Quality
Improvement
7
Physical
Environment
&
Equipment
9
Safe &
Healthy
Worklife
Medication
Management
Safe &
Appropriate
Service
Delivery
APR
‘15
HAND HYGIENE
STOP! Clean Your Hands Day
May 5, 2015 – This day is a chance for our Agency to demonstrate our commitment to clean hands.
The message is simple – clean your hands because clean hands save lives.
This year’s theme is Clean Care is Safe Care. Hand hygiene is the most important piece of
infection prevention and control. This day reminds us to ensure that clean care is a priority
within the organization.
This national event is taking place Tuesday, May 5, 2015 and will coincide with a global
initiative of the World Health Organization, ‘Save Lives: Clean Your Hands.’
WHO’s Top Ten Reasons Why Hand Hygiene Matters:
1.
Hand hygiene at the right times saves lives.
2.
Hand hygiene in health care has saved millions of lives in the last few years.
3.
Hand hygiene is a quality indicator of safe healthcare systems.
4.
Health care problems, like Healthcare Associated Infections (HAIs) which are often invisible but never
the less still occur, are political and social challenges that must be addressed now.
5.
Infections can be stopped through good hand hygiene, and patient and health worker harm prevented
for less than $10.
6.
Affordable life-saving technology is available! Alcohol-based handrub (ABHR), which costs approximately
$3 per bottle can prevent HAIs and millions of deaths every year.
7.
#handhygiene exists in the media, which means it exists as an important topic, whether due to HAI or
outbreaks of deadly diseases, like Ebola.
8.
Embedding specific moments for hand hygiene into daily routines makes it easier to do the right thing
every minute, every hour, every day.
9.
Hand hygiene is core to all interventions, whether providing activities of daily living (ADL) or preparing a
light lunch.
10. The social epidemic has already begun to spread with Save Lives:
Clean Your Hands, a successful global campaign promoting hand hygiene
action at the point of patient care.
(Source: World Health Organization)
PAGE 2
UNDERSTANDING THE PERSONAL HEALTH INFORMATION PROTECTION ACT (PHIPA)
Personal health information is any identifying information about Clients that is in verbal, written or electronic form.
This includes information collected by any Lumacare employee. Information could include details about a Client’s
physical or mental health; care previously provided; Service or Care plans; payments; a Client’s health card number;
and/or the name of a Client’s Substitute Decision-Maker (SDM).
How does PHIPA impact us at Lumacare?
Sharing information with other Lumacare employees involved in the Client’s care is acceptable and consent to use
information to provide care can generally be assumed. At Lumacare we ensure that Client’s are made aware of their
right to withhold or withdraw consent to the sharing of their personal health information
Three Main Categories of Consent:
1.
Implied consent: There are several conditions that must be met to assume a Client’s implied consent.
Lumacare is required to post a notice and/or provide information that describes the purposes for the collection,
use, and disclosure of personal health information.
2.
Express consent: PHIPA does not require a specific type of express consent – meaning Clients can provide
consent verbally or in written form, in person, or electronically. Consent that is written is preferred because it
provides a level of clarity.
3.
Substitute Decision Maker: For those Clients who cannot provide consent, a Substitute Decision Maker (SDM)
can make those decisions and provide us with a Client’s health information.
WORKPLACE HEALTH
Did you know? The risk of getting any type of infection is higher when working in the community support services
sector as we do at Lumacare.
Can this risk be reduced? Definitely!
“Lumacare believes risk management is based on the belief that all injuries and illnesses are preventable.”
(Source: Lumacare’s Health and Safety Policy)
Consider the following:
1.
2.
3.
4.
5.
6.
All Lumacare employees are trained on the proper methods of hand hygiene.
All Personal Support Workers (PSWs) are trained on how to use Personal
Protective Equipment (PPE) and everyone has access to it.
Lumacare ensures all Infection Prevention and Control (IPAC) concerns are
adequately communicated to staff.
All Lumacare locations have an Emergency First Aid Kit and the PPE on site
that are regularly inspected and replenished by the Joint Health and
Safety Committee (JHSC).
At Lumacare we have procedures for immediate and proper waste disposal.
All employees are encouraged to keep their immunization records up to
date and get the flu shot annually.
PAGE 3
OUR MISSION
Lumacare aspires to enhance, engage, and empower
the members of our diverse community by providing
equitable, accessible, and high quality services.
OUR VISION
VALUES
Achieving excellence and providing
leadership in family-centric health and social
services in our diverse community.
Quality
Dignity
Compassion
Innovation
Inclusion
Partnerships
DID YOU KNOW... LUMA-INSIGHTS
Lumacare provides more than 1,000 counselling & support home visits annually.
Lumacare delivers 32,000+ Meals on Wheels annually.
Lumacare has seven locations across Toronto two of which opened this past year.
Lumacare has over 150 active volunteers
that help us fulfill our mission.
Lumacare offers 15+ diverse
programs and services in our
community.
QCCS COMMITTEE
Members
The Quality of Care & Client Safety
(QCCS) Committee has been
developed to provide leadership to
support an organizational culture
of quality and safety. The QCCS
Committee also acts as the advisors
for the accreditation process, as
well as leading sub-committees like
IPAC, Falls Prevention, and
Elder Abuse.
PAGE 4
Katie Hutchinson Chair
Adeniran Olayiwole
Alana Ciolfi
Bridgette Lewis
Dana Borrie
Danielle Dang
Gabriella Pinchera
Jeff Gruchy
Leslie Briggs
Nelda Recio
Peter Naraidoo
Ravinder Sidhu
Shannon Jackson