Teams

CollabTeams2014-Antipsychotic-group


Nova Scotia Health Authority
  • Executive Sponsor: Barbara Hall (Vice-President, Person Centered Services)
  • Project Lead: Angela Berrette (Director, Quality and Operations)
  • Evaluation and Management Lead: Helen Cameron (Quality and Patient Safety)
  • Clinician Champions: Graeme Bethune (Medical Director), Patricia Bilski (Clinical Nurse Specialist), Susan Bowles (Pharmacotherapy Specialist) and, Ken Rehman (Director of Nursing)
  • Other Team Members: Joan Berkvens (Health Services Manager), Emily A’Court (Recreation Therapist and Interprofessional Clinical Lead), Natasha Symes-Osmond (Clinical Nurse Educator), Melissa Gehrig (Pharmacist), Kim Wright (Quality Management Coordinator, St. Vincent’s Nursing Home), Susan Fraser (Registered Nurse, Staff Nurse)

Project Description: Saint Vincent’s Nursing Home and Camp Hill Veterans’ Services, part of Capital Health (and soon to be part of zone 4 within the new provincial health authority in Halifax), are partnering in an effort to decrease the use of antipsychotics medications for individuals without a diagnosis of psychosis by July, 2015. Approximately 324 residents will participate in this project.

Long Term Care Facilities Involved in Initial Implementation:

  • Saint Vincent’s Nursing Home (Halifax)
  • Camp Hill Veterans’ Services (Halifax)
Western Health 
  • Executive Sponsor: Kelli O’Brien (Vice-President Long Term Care and Rural Health)
  • Project Lead:Renee Luedee-Warren (Regional Director of Long Term Care)
  • Evaluation and Measurement Lead: Julia Fequet (Regional Manager of MDS-interRAI)
  • Clinical Champion: Clifford Westby (Long Term Care Physician), David Tapp (Regional Behaviour Management Specialist), Regina Staples (Clinical Pharmacist II), Jodi Burt, (Regional Clinical Educator, Long Term Care), Shelley Taylor (Long Term Care Site Manager)
  • Other Team Members: Darlene Welsh (Regional Manager of Research and Planning), Pauline Burden (Resident Care Coordinator), Patricia Barrett (Recreation Specialist), Lori Scott (Manager Long Term Care)

Project Description: Western Health is one of four regional health authorities in Newfoundland and Labrador. In addition to acute care services, tit is host to 434 long term care beds within six long term care facilities, and 40 enhanced assisted living beds. For this collaborative, Western Health will focus on reducing inappropriate use of antipsychotic medication for its 434 long term care residents, starting with one facility (Corner Brook Long Term Care Home) and spreading the practice to five other facilities.  

Long Term Care Facilities Involved in Initial Implementation:

  • Corner Brook Long Term Care Home (Corner Brook)
Regina Qu'Appelle Health Region
  • Executive Sponsor: Gretta Lynn Ell (Executive Director, Continuing Care)
  • Project Lead: Charmayne LeRuyet (Director, Clinical Performance and System Improvement)
  • Evaluation and Management lead: Tyler Chiddenton (Kaizen Lead Specialist)
  • Clinical Champion: Cathy Billett (Senior Continuing Care Consultant)
  • Other Team Members: Julie Busch (Santa Maria Senior Citizens Home), Lionel Gendreau (Santa Maria Senior Citizens Home)

Project Description: The Regina Qu'Appelle Health Region provides long-term care for residents in Regina and surrounding rural areas. It is host to nine urban and 14 rural facilities, which includes nearly 2000 long-term care beds. The Regina Qu'Appelle Health Region will initially focus implementation efforts on the Santa Maria Senior Citizens Home, A 147 bed urban long term care facility that includes a dementia care unit for 49 residents.

Long Term Care Facilities Involved in Initial Implementation:

  • Santa Maria Senior Citizens Home (Regina)
Good Samaritan Society (GSS)
  • Executive Sponsor: Erin Bampton (director of Quality Improvement)
  • Project Lead: Jane Graff (Quality)
  • Evaluation and Measurement Lead: Jane Wald (Manager of Education, GSS)
  • Clinical Champion: Kathy James-Fairbairn (Consulting Pharmacist), Roberta Grynoch (Family Physician) and Jessica Chisholm (Care Manager, Dr. Gerald Zetter Care Center)
  • Other Team Members: Charlene Sandford (Site Manager), Candice Edgecombe (Contracted Pharmacist)

Project Description: The Good Samaritan Society (GSS) is a not-for-profit charity that includes five continuing care centres, four supportive living facilities, and an apartment building for seniors and serves 7,500 people in Alberta and British Columbia. Through participation in this collaborative, GSS will focus on accelerating reduction of antipsychotic use for its long term care facilities located in Alberta . GSS will initially focus implementation efforts on the Dr. Gerald Zetter Care Centre in Edmonton, which is a continuing care /auxiliary hospital with 190 long term care beds for elderly and frail elderly patients (100 devoted to dementia care, eight tracheostomy beds and two respite care).

Long Term Care Facilities Involved in Initial Implementation:

  • Dr. Gerald Zetter Care Centre (Edmonton)
York Care Centre (YCC)
  • Executive Sponsor: Kevin Harter (President and Chief Executive Officer)
  • Project Lead: Erin MacDonald (Director of Care Services)
  • Evaluation and Measurement Lead:Julie Coughran (Unit Coordinator), Jennifer Donovan (Clinical Research Coordinator)
  • Other Team Members: Dr. A. Irrinki (Medical Advisor) Chantal Hache (Clinician Champion), Barbara Burnett (Atlantic Institute on Aging), Krista Millette-Rocan (Jean Coutu Pharmacy) and, Christine Cormier (Clinical Consultant, Department of Social Development)

Project Description: The York Care Centre (YCC), located in Fredericton, New Brunswick, is a senior care facility with three levels of care that includes 214 long term care beds, 31 assisted living units and 72 independent living seniors’ apartments. Within this collaborative, the goal is to reduce the current use of antipsychotic medication for long term care residents without a diagnosis of psychosis by 25%. When implementation and improvement is accomplished, the team hopes to help other long term care facilities in New Brunswick reduce the use of antipsychotic medications.

Long Term Care Facilities Involved in Initial Implementation:

  • York Care Centre (Fredericton)
Yukon Continuing Care (YCC)
  • Executive Sponsor: Cathy Morton-Bielz (Assistant Deputy Minister)
  • Project Lead: Reagan Gale (Director of Psychological Services)
  • Evaluation and Measurement Lead: Nancy Kidd (Director of Safety and Clinical Excellence)
  • Clinician Champion: Matthew Schenck (Manager)
  • Other Team Members:Cecilia Fraser (Professional Development Coordinator), Carol Yamada (Contracted Pharmacist)

Project Description: Yukon Continuing Care operates 183 long term care beds in four long term care facilities, three in Whitehorse and one in Dawson City. Through this collaborative, YCC aims to reduce the use of off-label antipsychotic medication use among long term care residents in all four facilities by 15-20% of current use by September 2015.

Long Term Care Facilities Involved in Initial Implementation:

  • Copper Ridge Place (Whitehorse)
  • Thompson Centre (Whitehorse)
  • Macaulay Lodge (Whitehorse)
  • McDonald Lodge (Dawson City)
Parkwood Mennonite Home (PMH)
  • Executive Sponsor: Tim Kennel (Executive Director);
  • Project Lead: Elisabeth Piccinin (Administrator);
  • Evaluation and Measurement Lead: Anna Kapshey (Assistant Director of Care/RAI Coordinator);
  • Clinician Champion: Lynn Hayes-Cardinal (Pharmacist), David Grant (Medical Director), Jo-Ann Guerrero (Director of Care)

Project Description: The Parkwood Mennonite Home in Ontario consists of 96 long term care beds, 78 retirement apartments and 18 garden homes. This project aims to reduce the use of antipsychotic medications for their 96 long term care residents who have not had an appropriate diagnosis of psychosis by 50% by January 2015. After successful implementation in their facility, PMH plans on sharing its strategy, barriers, successes and any templates/tools with other long term care facilities in the region (Fairview Mennonite Home and OANHSS homes in region three).

Long Term Care Facilities Involved in Initial Implementation:

  • Parkwood Mennonite Home (Waterloo)
The Royal Ottawa Health Care Group
  • Executive Sponsor: Andrew Wiens (Head, Division of Psychiatry)
  • Project Lead: Nancy Lesiuk (Manager of Patient Care Services, Geriatric Psychiatry Program) & Sheila Bauer (Administrator)
  • Evaluation and Measurement Lead: Christine Walter (Program Evaluation Coordinator/Geriatric Psychiatry Program)
  • Clinician Champion: Marilyn Muldoon (Program Manager with Peter D. Clark), Carol Anne Cumming (Director of Patient Care Services), Edmund Wong (Medical Director with Peter D Clark), and Cathy Braidek (Geriatric Psychiatry Program)
  • Other Team Members: Tatiana Vavrova(Geriatric Psychiatry Behavioural Support Outreach), Lana MacDonald (Geriatric Psychiatry Behavioural Support Outreach), Bonnie Daros (Geriatric Psychiatry Behavioural Support Outreach), Jason MacEwen (Pharmacist with PDC), Ildiko Tanko (RAI Coordinator with PDC), Lyn Hall (Family Council Member with PDC)

Project Description:The Royal Ottawa Health Care Group (The Royal) is a tertiary care psychiatric hospital located in Ottawa, Ontario, with programs serving many populations, including geriatrics. In this initiative, the Royal Ottawa is partnering with the Peter D. Clarke long term care home, which is managed by the Royal and is one of 28 long term care facilities in Ottawa. The Peter D. Clarke long term care home has 216 long term care beds, 99 of which will be the initial focus of this intervention to reduce antipsychotic medications administered to residents who do not have a diagnosis of psychosis. Following successful implementation and spread to all units of Peter D. Clarke long term care home, the team plans to spread the approach to the remaining 27 long term care facilities in Ottawa, then to the remaining 34 long term care homes in the Champlain Local Health Integration Network.

Long Term Care Facilities Involved in Initial Implementation:

  • Peter D. Clarke Long Term Care Home (Ottawa)
Fraser Health 
  • Executive Sponsor: Keith McBain (Executive Director of clinical programs and operations);
  • Project Lead: Anita Wahl (Clinicial Nurse Specialist)
  • Evaluation and Measurement Lead: Michelle Merkel (Project Leader, Residential Services);
  • Clinician Champion: Larry Gustafson (Medical Director)
  • Other Team Members: Anita Wahl (Clincial Nurse Specialist), Gita Rafiee (Clinical Nurse Specialist), Andrea Benoit (Clinical Nurse Specialist), Dr. Gordon Tse (Pharmacist), Johanna Trimble (Patient Voices Network Representative), Barbara Lindsay (Alzheimer Society of British Columbia)

Project Description:Located in British Columbia, Fraser Health is responsible for the care of over 10,000 patients located in 80 different sites across the province. The health authority has been working with the British Columbia Patient Safety and Quality Council in five long term care homes to reduce antipsychotic medication use. Through the Canadian Foundation for Healthcare Improvement collaborative, the team will accelerate improvement in these five long term care facilities and spread improvement to an additional nine long term care facilities operated by Fraser Health.

Long Term Care Facilities Involved in Initial Implementation:

  • Cottage-Worthington Pavilion (Abbotsford)
  • Heritage Village (Chilliwack)
  • Bradley Centre (Chilliwack)
  • Mountain View Manor (Delta)
  • Czorny Alzheimer Centre (Surrey)
  • Carelife/Fleetwood (Surrey)
  • Weatherby Pavilion (White Rock)
  • Al Hogg Pavilion (White Rock)
  • Rosewood (Langley)
  • Marrwood (Langley)
  • Cedar Hill (Langley)
  • Maple Hill (Langley)
  • The Residence at Mission (Mission)
  • Fraser Hope Lodge (Hope)
Sienna Senior Living
  • Executive Sponsor: Paul Rushforth (Executive Vice-President, Operations)
  • Project Lead and Evaluation and Measurement Lead: Daile Moffat (Vice President Quality & Consulting Services)
  • Clinician Champion:Sheila Burton (Clinical Consultant),Paul Philbrook (Medical Director), Denys Symons (Medical Director)
  • Other Team Members: Betty Perrin (Psychogeriatric Resource Consultant), Dianne Tone (Director or Care, Leisureworld Elmira), Sarah Cowck (Leisureworld Elmira), Hany Milio (Leisureworld Elmira), Corinna Tam (Director of Care Leisureworld Mississauga), Denise Perennec-Stein (Associate Director of Care Leisureworld Streetsville), Cara Henry (NP for Leisureworld Streetsville), Stephen MacDonald (Medisystem Pharmacy), Rob Clayton (Recreation and Leisure Consultant Leisureworld Streetsville), Shawn Beaulne (Informatics Consultant Leisureworld)

Project Description: Sienna Senior Living operates 37 long term care facilities in Ontario. Initial Improvement efforts in this collaborative will focus on three long term care facilities (Elmira, Mississauga and Streetsville) and their 451 residents in an effort to reduce the overall use of antipsychotic medications with a long term goal to spread the approach to the remaining long term care sites in Ontario.

Long Term Care Facilities Involved in Initial Implementation:

  • Camilla Care Community
  • Cheltenham Care Community
  • Streetsville Care Community
Revera
  • Executive Sponsor: Wendy Gilmore (Senior Vice President LTC)
  • Project Lead and Clinician Champions: Debra Kean (Regional Manager of Clinical Services, BC); Marilynne Gordon (Regional Manager of Education and Resident Services, ON)
  • Evaluation and Measurement Lead: John Hirdes,Professor, School of Public Health and Health Systems, University of Waterloo; Senior Canadian fellow for interRAI; and lead member of the Seniors Quality Leap Initiative, which is a collaborative network of long term care; facilities in Canada and the US dedicated to determining and spreading best practices related to reducing inappropriate use of antipsychotic medication in long term care; Shijing Chen
  • Other Team Members: Paul Katz (Baycrest/Seniors Quality Leap Initiative) and, John Morris (Hebrew Senior Life)

Project Description:Revera operates 76 licensed long term care homes in four Canadian provinces– British Columbia, Alberta, Manitoba and Ontario, and offers home health in 32 sites and retirement living in 90 communities in six provinces. Revera will initially work to reduce inappropriate use of antipsychotic medication in 17 of its sites, 10 in Ontario and seven in British Columbia. Following successful implementation in those sites, there are plans to spread the approach to the remainder of the 76 long term care facilities as well as to long term care facilities that are part of the Seniors Quality Leap Initiative (SQLI), a collaborative network of long term care facilities in Canada and the United States dedicated to determining and spreading best practices related to reducing the inappropriate use of antipsychotic medication.

Long Term Care Facilities Involved in Initial Implementation:

Seven facilities in British Columbia, including:

  • Capilano (West Vancouver)
  • Lakeview (Vancouver)
  • Arbutus (Vancouver)
  • Glenwarren Lodge (Victoria)
  • James Bay (Victoria)
  • Royal City Manor (New Westminster)
  • Holyrood Manor (Maple Ridge)

Ten facilities in Ontario, including:

  • Hallowell House (Picton)
  • Main Street Terrace (Toronto)
  • McGarrell Place (London)
  • The Meadows (Ancaster)
  • Bay Ridges (Pickering)
  • Reachview Village (Uxbridge)
  • Sherwood Court (Maple)
  • Trillium Court (Kincardine)
  • Sumac Lodge (Sarnia)
  • Oak Terrace (Orillia)
Northern Health 
  • Executive Sponsor:Kelly Gunn (Vice-President Primary and Integrated Community Care)
  • Project Lead: Mary Henderson-Betkus ( Regional Lead, Clinical Program Standards, Home and Community Care)
  • Evaluation and Measurement Lead: Marcia Bertschi (Regional Quality Improvement Advisor)
  • Clinician Champion: Nicole Ebert (Medical Lead for Elder Services)

Project Description:: Located in British Columbia, Northern Health consists of 22 long term care facilities with 1,087 residents. Through participation in this collaborative, Northern Health will focus on reducing the inappropriate use of antipsychotic medications in three of their long term care facilities. The project is part of the authority’s objective to tackle the issue of polypharmacy.

Long Term Care Facilities Involved in Initial Implementation:

  • Acropolis Manor (Prince Rupert)
  • Terraceview Lodge (Terrace)
  • The Pines (Burns Lake)
Central Health 
  • Executive Sponsor: Heather Brown (Vice-President, Long Term Care Rural Health and Community Supports)
  • Project Lead: Mimie Carroll (Reginal Director, Long Term Care and Community Supports)
  • Evaluation and Measurement Lead: Natalie Howell (Manager, Program Planning and Evaluation)
  • Clinician Champion: Jody Woolfrey (Senior Medical Officer - Medical Services)
  • Other Team Members: Melissa Miller (Clinical Information Specialist), John King (Pharmacy, Long Term Care), John Trend (Partner - Secretary, Provincial Alzheimer's Society)

Project Description:Located in Newfoundland and Labrador, Central Health will focus on reducing the inappropriate use of antipsychotic medication by 10% by September 2015 within four of its long term care facilities.

Long Term Care Facilities Involved in Initial Implementation:

  • Dr. Hugh Twomey Health Centre (Botwood)
  • North Haven Manor (Lewisporte)
  • Bonnews Health Care Centre (Brookfield)
  • Lakeside Homes (Gander)
Eastern Health 
  • Executive Sponsor: Alice Kennedy (Vice-President)
  • Project Lead: Glenda Compton (Regional Director, Long Term Care Program)
  • Evaluation and Measurement Lead: Susan Stone (Clinical Psychologist, Long Term Care Program)
  • Clinician Champion: Aaron McKim (Clinical Chief); Michelle Whittle (Nurse Practitioner)
  • Other Team Members: Wilma Greene (Clincal Nurse Specialist), Shawna Delaney-Martin (Resident Care Manager), Lisa Little (Senior Consultant Pharmacist), Melanie Murphy (Developmental and Behavioural Practitioner), Valery Goulding (Clinical Educator), Heather Reid (Licensed Practical Nurse), Tina Hickey (Registered Nurse), Elizabeth Parsons (Family Representative)

Project Description::Eastern Health is the largest health authority in Newfoundland and Labrador, serving the healthcare needs of approximately 300,000 people. Eastern Health operates 17 long term care facilities. Through participation in the collaborative, Eastern Health will accelerate work that they have already undertaken to reduce the use of antipsychotic medications for patients who do not have a diagnosis of psychosis. After first piloting the reduction approach in two long term care facilities that are most prepared for implementation, the team plans to spread the approach to the remainder of the 17 long term care facilities in the health authority.

Long Term Care Facilities Involved in Initial Implementation:

  • Anges Pratt Nursing Home (St. Johns)
  • Lions Manor Nursing Home (Placentia)
Trinity Village Care Centre
  • Executive Sponsor: Debby Riepart (Chief Operating Officer)
  • Project Lead and Evaluation and Measurement Lead: Sharon Jackson (Behavioural Supports Ontario Nurse)
  • Clinician Champion: Michael Kugelmass (Geriatric Psychiatrist); , Dr. Rainham (Physician)
  • Other Team Members: Ramona Sirbu (Behavioural Supports Ontario Personal Support Worker), Miller Longanilla (Director of Care), Heather Jackson (Social Worker), Ramona Sirbu (BSO PSW)

Project Description: Trinity Village is a 150 bed long term care facility located in Kitchener, Ontario. Through the collaborative, Trinity Village aims to reduce the inappropriate use of antipsychotics in itsbed long term care residents to below 20% by August, 2015.

Long Term Care Facilities Involved in Initial Implementation:

  • Trinity Village Care Centre (Kitchener)