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Care Quarterly
BC CARE PROVIDERS ASSOCIATION
A newsletter for long term care providers and home support agencies in BC
Winter Spring
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Conference 2013
Putting seniors first. This simple statement is both the goal and the theme of the 2013 BC Care Providers Association (BCCPA) Annual General Meeting and Conference to be held in Whistler on May 6 and 7. The conference is a two-day affair bringing together all of the member organizations of the BCCPA together to learn the best practices, share information, network and basically help improve the quality of service to seniors in the province, says Daniel Fontaine, who replaced recently-retired Ed Helfrich as CEO of the BCCPA.
Hon. Ralph Sultan, Minister Responsible for Seniors, tours the new Carlton Gardens in Burnaby during their official opening
Its my first opportunity to meet and mingle with the membership, and I would say Im really looking forward to meeting each and every one of them. Theres such a depth of experience and knowledge there I want to be able to tap into that on a firsthand basis, says Fontaine. continued on page 8 and 9
To become a member
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Ombudsperson Report
Nutrition Month
Are you at risk for foodborne illness but dont know it?
According to a Health Canada survey, you could be at higher risk for severe foodborne illness and not even know it. Experts at Health Canada have identified four groups of people whose age, health status and other factors put them at an increased risk of serious complications from foodborne illness: children aged five and under, adults aged 60 and over, pregnant women, and people with weakened immune systems. If you or a member of your family fall into one of the four groups listed above, talk to your primary care provider about your increased risk and ways to stay healthy. And remember, anybody can get sick from improperly cooked or handled food. Following the four basic principles of safe food handling is still the best way to protect yourself and your family from foodborne illness: Cook: Be sure to cook food to a safe internal temperature. Check this by using a digital food thermometer. Clean: Wash your hands and surfaces often with warm, soapy water. C hill: Refrigerate food and leftovers promptly at 4C or below. S eparate: Always separate your raw foods, such as meat and eggs, from cooked foods and vegetables. Relevant information and support targeted to each of the four at-risk groups is available at healthycanadians.gc.ca/ foodsafety, as well as general tips on food safety. Be sure to check out the downloadable brochures and interactive guides for safe food handling at home and at the grocery store. All of the guides found on the website are also available by calling toll-free, 1-800-O-Canada. March was Nutrition Month in Canada.
Flexibility has often been an ongoing issued for accommodating spouses with different care needs. New designs for shared accommodation in some facilities have greatly enhanced flexible service options. Examples are fully private rooms with a shared bathroom area and lockable access doors giving an apartment-like feel for couples, but also allowing non-couples to have their own space. In addition, the bathroom helps contain infection by providing separate sinks and storage cabinets.
Care Quarterly is published four times a year by the BC Care Providers Association.
www.bccare.ca
As staff, we become attached to residents and know that we provide them good care. It helps staff to know that the resident is well-supported during the move and to know how the resident is doing in the time after the move...
Sandringham director of care Debra Kean.
assess the resident and speak to their family as well as staff; informing the resident of the move, usually a day before so as to remove worry in the event of a long wait and to give the resident a chance to say goodbye; packing the residents belongings; transportation to the new facility with the social worker and care aide who tells the new staff of the residents day-to-day care needs; helping the resident unpack and settle into the new room; and finally, the social worker visits the resident twice after the move and
It started eight years ago, with Joan Jackaman was still in her early 70s. She began to forget her bank card number regularly, and thats when her husband John Jackaman suspected something was wrong.
Initially I thought it was Alzheimers, says John, an 80-year-old former military pilot. My wife suffers from Lewy Bodies Parkinsons. A disease that that attacks both the body and the mind, Joan was left crippled with no short-term memory. John cared for his bedridden wife at home for six years before transferring her to the Eden Care Centre in Chilliwack in 2010 when Joan stopped eating.
www.eCPS.ca
During the last three years, the BC Seniors Care Human Resource Committee (SCHRC) was able to accomplish something rare go full cycle, says committee chairman Geoff Stevens.
The work has basically been to analyze, which was done initially through a large survey asking things such as what are the issues moving forward? to strategize, develop and then implement. We are in the implementation phase right now, says Stevens. Now winding down with an end date of March 31, the purpose of the committee has been to design HR and workforce strategies for the senior care sector. For instance, last year a Long Term Care Safety Association was developed in partnership with WorkSafe BC to improve worksite conditions and reduce the amount of injury claims. Stevens says initially the SCHRC, established and funded through the federal and provincial government Labour Market Partnerships Program, had assumptions that care facilities and recruitment were main areas that needed to be looked at. It turned out that the biggest issue was retention keeping workers on was really a problem. Reasons for that include the nature of the work itself. Its often shift work, with lots of casual and temporary workers. It all combines to create a challenge, he says. The committee has since held a homecare summit to bring together people in the industry to share their expertise, looked at ways to change shift scheduling in residential care, and evaluated opportunities to retain licensed practical nurses by having them take on a mentorship role as they older. Its been a great committee. Id say one of the challenges often with industry committees is that people are really busy, but this committee has been great at remaining committed through a long period of time, says Stevens.
...Id say one of the challenges often with industry committees is that people are really busy, but this committee has been great at remaining committed through a long period of time.
chairman Geoff Stevens
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Its rewarding that it has gone the full cycle and produced pretty good results. Its not easy to make significant changes in workplace culture.
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Monday May 6, 2013 8:30-8:45 8:45-10:15 on Ralph Sultan, Minister H for Seniors Jeffrey Simpson, Globe & Mail
10:30-11:15 M anaging the Cost of Healthcare for an Aging Population: How do Provinces compare? 11:15-12:30 Putting Seniors First What would you do differently/now? Vaughn Palmer Guests: George Abbott, MLA Penny Priddy, Former MP
11:00- 12:00 Best Practices: Administration of Anti-Psychotic Drugs afety First in Seniors Homes: S Continuing Care Safety Association Delivering Care for Seniors: the Alberta Experience
SUNDAY Welcome Reception Sunday May 5th 6:30 pm Meet our new CEO Daniel Fontaine Join us at this networking reception as we reconnect with colleagues and friends and make new acquaintances. Enjoy great food and refreshment and make sure to visit the prize tables there are great prizes to win!
1:30-2:30
Providing Expert Care for Seniors: Role of Nurse Practitioners 3:15-4:15 nformation to Improve Seniors I Care: Satisfaction Surveys
Seniors Care Workers: Gaining Best Value from Benefit Costs 6:30-7:30 7:30-10:30 Reception in Tradeshow Dinner
Platinum Sponsor:
Lets make BC the best place for seniors care! 2nd PAGE
Platinum Sponsor:
MONDAY Reception & Dinner Monday May 6th Reception: 6:30 pm (Exhibit Hall) The evening starts with the reception in the Exhibit Hall dont be late for the Win a Wine Cellar draws! Followed by dinner and fun entertainment for all!
2nd PAGE
Bronze Sponsor
Lunch Sponsor
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Thank You
Barb Stevenson After serving three years as a member on the board of directors of the British Columbia Care Providers Association (BCCPA), and 25 years as the executive director of Fir Park/Echo Village, Barbara Stevenson is hanging up her hat. Im not retiring from the workforce I have a lot of projects Im working on in healthcare and community service, says Stevenson. Im just stepping down from management and stepping down from running the facilities. Its like seeing your kids graduate and go off to school. Stevenson originally joined the board because she says there were issues that the BCCPA were dealing with that paralleled that of her own organization. Reflecting on her term, she says the opportunities to be informed and to have access to really good information, and to establish really valuable and productive connections with the industry have been helpful. I will miss the people, and I dont have the slightest doubt that the connections Ive made with anybody need be lost. Carla Gregor Representing the Vancouver Coastal Health Authority, Carla Gregor has been a board member of the British Columbia Care Providers Association (BCCPA) since 2009. In her daily role, she is also the president and CEO of the Good Samaritan Society (GSS) that provides long-term care and assisted living for the elderly and challenged individuals. Its certainly been a useful experience for me personally I was new to my position at the Good Samaritan Society and I learned a lot from being on the board, and from the board business, says Gregor. It was also helpful for the society in that we had a venue for sharing our ideas and concerns, and we had a vehicle to get those issues addressed through the BCCPA. One of the issues particularly stand out for Gregor the advocacy around funding, which she says has been significant in ensuring the Good Samaritan Society continues to be sustainable in B.C.
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The [C.D. Howe Institute] paper says most of these savings on elder care stem from reduced public costs for nursing homes and residential facilities
British Columbia has been almost uniquely successful among Canadian provinces in mitigating the impact of aging on its health care budget, with annual growth of its health spending down from seven per cent before the recession to five per cent last year, and headed - the government hopes - to three.
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I like my job because its so rewarding when you get to directly help seniors.
Nena Momcilovic
The BC Care Providers Association (BCCPA) has represented non-profit, denominational and privately-owned assisted living, long term care and home support providers across the province for 35 years. BCCPA members provide publically funded complex care to over 12,000-frail seniors each day and employ more than 10,000 professional staff and health care aides. With the aging of our society, the changing demand on our seniors care system and the uncertainty associated with the upcoming provincial election, it is more important that ever to make sure care providers speak with a united voice, If you are not a member, consider joining today. Contact us at www.bccare.ca.
! s U n Joi
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Certainly the number one type of injury we get is overexertion. Strains and sprains, care aides have the greatest exposure to that type of injury...
Darryl Kutchinski, CEO of the CCSA
workshops, and even offer what they refer to as training the trainer courses designed to prepare instructors. Kutchinski says labour has been involved in the process of developing these programs, although members do not necessarily have to be associated with a labour group to serve on the board of directors. Currently the CCSA has representatives from QualCare and the Bethany Care Society.
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VISION
Incident free workplaces
GOALS
Provide CCSA members with cost effective training, educational services and industry safety performance metrics Promote effective health and safety management systems including the benefits of participating in the Partnerships Program Communicate government health and safety legislation and policies which impact CCSA members.
GOVERNANCE
13 Members - 9 Voting Members Chairperson 4 Sector Directors Public, Private, Voluntary, Supportive Living Long Term Care Employee Representative Assisted Living Employee Representative Alberta Continuing Care Association Past Chair 4 Non Voting Members WCB Representative Human Services Representative CCSA Executive Director External Agency 14 Full time employees
MISSION
To create safe workplaces through the provision of education, leadership & collaboration
FUNDING VALUES
safe work and safe work behaviours Value the right of each worker to have a safe, healthy and incident free work environment Members input, feedback and direction Industry determined levy amount. $0.07 per $100 of insurable earnings is collected for the CCSA from a levy through the Alberta Workers Compensation Board. Industry approves funding amounts annually via Board of Directors. Additional grants received from various agencies
FUNCTIONS
Collaboration, Research & Best Practice Rationalizing Resources Strategic Safety Consultation Customized Assessments Data Analytics & Communication Targeted Focus Education Delivery Enhancing Knowledge, Skills and Competence Audit/Compliance Holding the Gains Training workshops and models tailored to each facility One-on-one assistance in maintaining and achieving COR
* Manitoba rates can range from a minimum of $.51 for nursing homes and $.65 for senior citizen and special care * Quebec rates can range from a minimum of $1.40 for nursing homes
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BCs New Safety Association Offers Opportunity To Reduce Injuries and WCB Premiums
Improperly performing lifting tasks can lead to injury for BCs care aides
Home and community seniors health care workers perform a variety of different tasks which put them at risk of injury. Despite recent progress, approximately 60% of the 3,500+ claims accepted by WorkSafe BC for care aides, LPNs and home support workers being injured on the job occur in long-term care settings.
Approximately 50% of all work injuries suffered by these health workers are musculoskeletal injuries caused by overexertion or repetitive movements. Other common causes of work-related injuries are slips, trips, falls and aggressive behaviour. Residential care aides and home support workers may also be exposed to infectious diseases and hazardous chemicals. Employers are required to implement measures to eliminate or minimize injury risks to workers particularly as it relates to violence in the workplace. In recent years, they have faced increasing difficulty with respect to appropriate community care placement of seniors and resident behavioural issues. Care providers have expressed concerns that these cases are increasingly resulting in violence
by family members, police intervention, the use of weapons and eviction. They worry the number of incidents may increase in the future due to a variety of factors: ncreased complexity and number of i seniors requiring long-term care limited access to community mental health services admission of younger, more able-bodied clients into assisted living lack of funding to achieve basic staffing levels
In response to these concerns, last fall employers applied to create a new selffunded collaboration with WorkSafe BC and the creation of a new continuing care safety association for seniors care providers - similar to a successful Alberta model. In this special feature we review the Alberta model and provide a preview of how the creation of a new BC Safety association can create a positive culture change in the sector that promotes innovation, reduces staff turnover and improves continuity of seniors care.
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The new BCCCSA will implement a work plan that: upports an industry-wide, long-range S prevention strategy and WorkSafe BC goals utlines initiatives, activities, output O milestones, and brief descriptions on how the implementation will occur Confirms fiscal year end date, planned objectives and activities for the funding year
The BC Safety Association must: ooperate with WorkSafe BC to develop C industry-wide prevention strategies hare information and implement best S practices ransfer research knowledge to WorkSafe BC T and industry partners
When looking at possible premium changes into the future, it is important to note: Individual care providers can lower their premiums through improving their own experience rating with WorkSafeBC. Individual employers can receive up to a 50% discount on their insurance rate through effective health and safety and return to work initiatives. Alternatively,
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