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Report, Record, Respond

Report, Record, Respond. Adult Guardianship Legislation. Representation Agreement Act Health Care (Consent) and Care Facility (Admission) Act Adult Guardianship Act Part 3 (2000) Part 2 Public Guardian and Trustee Act. CHANGES. NEW. NEW. Getting your Acts together. Mental Health Act

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Report, Record, Respond

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  1. Report, Record, Respond

  2. Adult Guardianship Legislation Representation Agreement Act Health Care (Consent) and Care Facility (Admission) Act Adult Guardianship Act Part 3 (2000) Part 2 Public Guardian and Trustee Act CHANGES NEW NEW

  3. Getting your Acts together Mental Health Act Patients Property Act Power of Attorney Licensing Criminal Code Hospital Act Marriage Act Community Care and Assisted Living Act FOIAPP Act

  4. Adult Guardianship Act (Part 3) Abused, neglected & self-neglected and unable to seek support and assistance due to: Physical restraint A physical handicap that limits their ability to seek help An illness, disease, injury or other condition that affects their ability to make decisions about the abuse and neglect

  5. Designated Agencies 5 Regional Health Authorities and PHC Community Living BC (Ministry of Children and Family Development)

  6. Vancouver Coastal Health • Provides all levels of acute, primary and public health, mental health & addiction services • Richmond, Vancouver, Coastal Communities including Whistler, Sunshine Coast, Powell River, Bella Bella and Bella Coola • Approximately 27,000 staff • Over 500 sites, 15 hospitals

  7. Every employee has a responsibility to act in situations of abuse, neglect and self-neglect of vulnerable adults

  8. Health Authorities did not receive any additional resources to implement their new “Adult Protection” role – it was added to existing duties of health staff

  9. What the D.A. Must Do Receive reports of abuse & neglect Conduct investigations to determine needs Involve the adult as much as possible Report criminal offences Keep the name of the person making the report confidential Use the tools in the legislation (possible court orders etc.)

  10. AGL (Part 3) Tools Mandate Power to investigate (Section 48) Right of DA to information and duty to ensure confidentiality (Sec. 62) Access order (Sec.49) Warrant to enter for purpose of interview (Sec. 49) Interim restraining order – 30 days (Sec.51) Emergency provisions (Sec. 59) Support and assistance order – 6 months (Sec. 56)

  11. VCH Designated Responders Acute Care Social Workers Clinical Practice Coordinators/Leaders Patient Service Coordinators Mental Health Teams Long Term Care Case Managers Licensing Officers Managers of Assisted Living

  12. Who Else is Involved? Substitute Decision Maker (Committee, Guardian, Trustee, TSDM, Representative, PoA) Physician/Health Care Team Another Designated Agency Police (Elder Abuse Unit) Public Guardian & Trustee

  13. Process for Designated Responder Document at each step Interview the adult Assess the urgency of the situation Coordinate the collection of collateral Coordinate the assessment of abuse, neglect or self-neglect

  14. Process for D.R. (cont’d) Coordinate the assessment of ability to seek/refuse support and assistance Determine if the adult has a Representative, Committee, or Power of Attorney Coordinate the development of a care plan to provide support and assistance

  15. Process for D.R. (cont’d) Advise the most responsible physician of the situation and actions taken Make reports as necessary to the PGT Report crimes to police Keep the identity of the person who made the report confidential Use the tools in the legislation as a last resort if the S & A is refused

  16. Data & Communication Challenges • Documentation who? where? what? • Retrieval • Confidentiality • Security/Privacy • Communication • Tracking • Quantifying • Evaluation

  17. Meanwhile… Patient Safety Learning System • Province wide “safety event” reporting system • Captures, stores, summarizes events and promotes timely investigations of: • Patient Incidents • Employee Incidents • Claims, Complaints • Safety Hazards etc

  18. PSLS Re:Act - SLS • $20,000 grant from BC Solicitor General • Leverage the existing PSLS to meet requirements for statutory obligations of AGA • Stakeholder agreement throughout BC • Developed a specific Adult Abuse and Neglect Report Form & Follow-Up Form • Pilot in 5 sites within VCH

  19. Abuse and Neglect Event Reporting Process SLS-Abuse and Neglect via VCHA Intranet • Participant • Manager • Re:act Resource • Other Designated Responder Coordinator • Handler • Designated Responder Coordinators • Practice Leader • Reporter • DesignatedResponder • Frontline Staff • Reports Abuse/Neglect Event SLS-Abuse and Neglect via Re:act Resource Reports Abuse/Neglect Event Reviews SLS-A&N Event Added as Participant on Event by Handler Supports Investigation Reviews SLS Event Reviews Feedback Collects Additional Info as Required Final Approve Event Provide Feedback 20

  20. Easy to use, intuitive interface 8 mins: typical time for an end-user to log an incident Focus on simplicity and key data capture Auto-notification of abuse and neglect reports to relevant groups: Designated Responder Coordinator Supports investigation & analysis of safety events Feedback on progress of the event SLS-Abuse and Neglect Form Benefits

  21. SLS-Abuse and Neglect Access and Homepage Click here to access SLS Abuse and Neglect report form

  22. What Do You Want To Report?

  23. Provide a few more details

  24. Is it an Adult Guardianship Case?

  25. Details of the Vulnerable Adult

  26. Details of the Suspected Abuser

  27. Confidential Details of Reporter

  28. Details about the SLS Reporter

  29. Choose the Follow Up Person

  30. Follow Up (Investigation)

  31. Ability to see who is involved

  32. Record Investigation Details

  33. Risk Assessment

  34. Include others & send emails

  35. Close the file when A&N issues are resolved

  36. Dashboard & Accountability Overdue Items! Still Investigating Closed & Approved

  37. Audit Trail Example Show DIF1 values

  38. Data Reports

  39. Pilot Results • 5 Sites in VCH (2 Community Health Centers, 1 Mental Health Team, 1 Acute Hospital, 1 Re:Act) • 58 Reports & Investigations over 3 months • Feedback from users through bi-weekly teleconferences lead to revisions to forms • New Pilot Phase beginning October 2009

  40. Contact info • Anne Beer, Project Manager, VCH, 604-875-4111 Ext 69504 • Amanda Brown, Director, Re:Act, 604.984.5957 • BC Patient Safety Learning System http://www.bcpsqc.ca/initiatives-we-support/learning-system.htm

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