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Continuity across transitions in care: What do older adults tell us?

There can be large gaps in care for older adults and their family caregivers during transitions from hospital to home or primary care. Transitioning from one care setting to another is where breakdowns in continuity of care is most apparent, leading to stress and poor outcomes for patients.

On November 28th, CHÉOS co-hosted a seminar where attendees heared from two experts in the field about gathering and utilizing this type of information. Isobel Mackenzie, BC’s Seniors Advocate, and Chris Graham, the CEO of the Picker Institute Europe, presented about what they have learned from older adults. The seminar was hosted by Rick Sawatzky, Canada Research Chair in Person-Centred Outcomes, and Lena Cuthbertson, Provincial Executive Director, Office of Patient-Centred Measurement & Improvement / BC Ministry of Health.

The event was organized as part of a national collaboration (funded by CIHR) on “A Meta-Narrative Review of Patient- and Family-Reported Experience and Outcome Measures Across Transitions of Care for Frail Seniors Living at Home” led by Dr. Sawatzky, Lena Cuthbertson, and Dr. Kara Schick-Makaroff.

In this session, attendees learned about the art and science of obtaining and using information collected directly from patients and their family caregivers aimed at improving the continuity and quality of care for older adults during these transitions.

The slides for the presentations can be accessed here (Chris Graham) and here (Isobel Mackenzie). Information about the B.C. Seniors in Residential Care Survey, a project led by the B.C. Office of the Seniors Advocate, can be found here.

Upcoming Events

Jan
31
Wed
Work in Progress Seminar: Dr. Joseph Puyat
Jan 31 @ 12:00 pm – 1:00 pm

Joseph Puyat, PhD
Scientist, CHÉOS
Assistant Professor, School of Population and Public Health, UBC

Renata Kamieniecki, RPN
Project Support Nurse, Mental Health Program, St. Paul’s Hospital

Tamara Mihic, B.Sc. (Pharm), PharmD
Clinical Pharmacy Specialist, Mental HealthProgram, St. Paul’s Hospital


Psychoses are disorders that cause individuals to experience a loss of contact with reality. Currently, a range of early intervention treatments and services are available to those experiencing psychosis. The extent to which they are provided are marked with variability in many areas.

A team of mental health clinicians from St. Paul’s Hospital was assembled to create the province’s first care integrated care pathway (ICP) for care being provided to individuals diagnosed with early psychosis (EP) in the inpatient care setting. The objectives of this project include:

  1. Characterizing the inpatient care received by individuals experiencing EP episodes
  2. Creating an ICP for individuals experiencing EP based on best practice evidence for the acute hospital inpatient setting
  3. Evaluating patient outcomes of individuals who received care based on the ICP

In this seminar, presenters will highlight:

  1. The results from a retrospective chart review that found wide variation in the clinical care processes and provision of inpatient sevices to young adults experiencing episodes of EP;
  2. The experiences of the team in developing and implementing the ICP, as informed by the chart review results and best practice evidence within Canada and as guided by a patient-centred change management approach; and,
  3. The results of the initial evaluation conducted by the quality improvement team.

Work in Progress (WiP) presentations take place at St. Paul’s Hospital in the Hurlburt Auditorium on alternating Wednesdays from 12:00–1:00 PM. These seminars provide investigators with an opportunity to present ongoing research, obtain feedback from colleagues and peers, and make new connections for their projects. Talks are open, and a light lunch is served.

View the 2017-2018 WiP schedule.

 

Feb
1
Thu
BC SUPPORT Unit N2 Webinar
Feb 1 @ 2:00 pm – 3:00 pm

Join us for an overview of N2 member benefits for B.C. researchers.

N2 is an alliance of research networks and organizations working to enhance national clinical capability and capacity. Membership in this alliance will provide access to best-in-class tools and content to help ensure efficient and high-quality research, and integrity of clinical practices.

Presented by Erin Cherban, Chief Clinical Research Officer, CHÉOS, and Dr. Dawn Richards, N2 Business Development Specialist.

The webinar will be recorded for use after February 1st.

More information about the webinar, including login information, can be found on this webpage.

Feb
2
Fri
7th Annual E-Mental Health Conference
Feb 2 – Feb 3 all-day

Coming Into Focus: The Role of Technology in Mental Health

E-Health moves quickly, and new ideas are everywhere. What is e-Mental Health’s place in the healthcare system? In our lives? Young people know that the internet is everywhere. Health professionals know that we need new ways to reach patients and provide continuity of care. Developers know that these technologies are sophisticated enough to address major challenges in mental health. And researchers know that these solutions are already out there, working. With progress coming from so many angles, it’s time to bring things into focus.

 

Feb
14
Wed
Work in Progress Seminar: Dr. Karin Humphries
Feb 14 @ 12:00 pm – 1:00 pm

Karin Humphries, D.Sc
Scientist, CHÉOS
Associate Professor, Division of Cardiology, Department of Medicine, UBC
Scientific Director, B.C. Centre for Improved Cardiovascular Health

Topic TBD.

Work in Progress (WiP) presentations take place at St. Paul’s Hospital in the Hurlburt Auditorium on alternating Wednesdays from 12:00–1:00 PM. These seminars provide investigators with an opportunity to present ongoing research, obtain feedback from colleagues and peers, and make new connections for their projects. Talks are open, and a light lunch is served.

View the 2017-2018 WiP schedule.

 

Feb
21
Wed
Quality Forum 2018: People-Powered Improvement
Feb 21 – Feb 23 all-day

The Quality Forum is an annual event that brings together hundreds of people who are passionate about improving the quality of health care to learn, connect and share their work with each other. Presentations from participants are a central part of the Quality Forum – this is your chance to tell everyone about your big ideas, success stories and lessons learned from your work! Presentation abstracts for Quality Forum 2018 are due September 8, 2017.

Organized by the BC Patient Safety & Quality Council, Quality Forum 2018 will take place February 21- 23, 2018 at the Hyatt Regency Vancouver. Over 1,200 people are expected to attend, representing diverse perspectives in the health care system—from physicians, pharmacists and nurses to quality improvement professionals, executives, administrators, students and patients.

Feb
28
Wed
Work in Progress Seminar: Dr. David Whitehurst
Feb 28 @ 12:00 pm – 1:00 pm

David Whitehorse, PhD
Assistant Professor, Faculty of Health Sciences, SFU

Topic TBD.

Work in Progress (WiP) presentations take place at St. Paul’s Hospital in the Hurlburt Auditorium on alternating Wednesdays from 12:00–1:00 PM. These seminars provide investigators with an opportunity to present ongoing research, obtain feedback from colleagues and peers, and make new connections for their projects. Talks are open, and a light lunch is served.

View the 2017-2018 WiP schedule.

Health research in the heart of Vancouver