This relates primarily to decreased staffing and increased acuity of these clients, and requires monitoring. The team has prioritized wait list management and discharge planning as issues for improvement. An area currently being explored is improving alternative housing options. Quality improvement initiatives include the falls prevention program, infection control, and dementia care. Program management is also viewed as a quality improvement initiative.
Indicators are in use and the intent to develop some wellness indicators is encouraged.
A minimum data set of 30 quality indicators is used as part of the assessment process. Risks are managed within the confines of client s right to risk. The dysphasia protocol, for example, allows clients choice of diet even if it is considered a risk. Staff receive training for dealing with aggressive behaviours. Each client is assessed for possibility of elopement, and security has been increased in facilities where dementia is an identified concern.