scholarly journals The Impact of the Long-term Care Homes Act and Public Reporting on Physical Restraint and Potentially Inappropriate Antipsychotic Use in Ontario’s Long-term Care Homes

2019 ◽  
Author(s):  
Kevin Walker ◽  
Sara Shearkhani ◽  
Yu Qing Bai ◽  
Katherine S McGilton ◽  
Whitney B Berta ◽  
...  
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Public Reporting ◽  
Care Homes ◽  
Term Care ◽  
Early Adopters ◽  
Inappropriate Use ◽  
Restraint Use ◽  
The Impact

Abstract Background We report on the impact of two system-level policy interventions (the Long-Term Care Homes Act [LTCHA] and Public Reporting) on publicly reported physical restraint use and non-publicly reported potentially inappropriate use of antipsychotics in Ontario, Canada. Methods We used interrupted time series analysis to model changes in the risk-adjusted use of restraints and antipsychotics before and after implementation of the interventions. Separate analyses were completed for early ([a] volunteered 2010/2011) and late ([b] volunteered March 2012; [c] mandated September 2012) adopting groups of Public Reporting. Outcomes were measured using Resident Assessment Instrument Minimum Data Set (RAI-MDS) data from January 1, 2008 to December 31, 2014. Results For early adopters, enactment of the LTCHA in 2010 was not associated with changes in physical restraint use, while Public Reporting was associated with an increase in the rate (slope) of decline in physical restraint use. By contrast, for the late-adopters of Public Reporting, the LTCHA was associated with significant decreases in physical restraint use over time, but there was no significant increase in the rate of decline associated with Public Reporting. As the LTCHA was enacted, potentially inappropriate use of antipsychotics underwent a rapid short-term increase in the early volunteer group, but, over the longer term, their use decreased for all three groups of homes. Conclusions Public Reporting had the largest impact on voluntary early adopters while legislation and regulations had a more substantive positive effect upon homes that delayed public reporting.

scholarly journals Public reporting of performance measures in long-term care in Canada: does it make a difference?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Poldrugovac ◽  
J E Amuah ◽  
H Wei-Randall ◽  
P Sidhom ◽  
K Morris ◽  
...  
Keyword(s):  
Performance Measures ◽  
Performance Indicators ◽  
Long Term Care ◽  
Public Reporting ◽  
Policy Implications ◽  
Term Care ◽  
Factors Affecting ◽  
Care Facilities ◽  
The Impact

Abstract Background Evidence of the impact of public reporting of healthcare performance on quality improvement is not yet sufficient to draw conclusions with certainty, despite the important policy implications. This study explored the impact of implementing public reporting of performance indicators of long-term care facilities in Canada. The objective was to analyse whether improvements can be observed in performance measures after publication. Methods We considered 16 performance indicators in long-term care in Canada, 8 of which are publicly reported at a facility level, while the other 8 are privately reported. We analysed data from the Continuing Care Reporting System managed by the Canadian Institute for Health Information and based on information collection with RAI-MDS 2.0 © between the fiscal years 2011 and 2018. A multilevel model was developed to analyse time trends, before and after publication, which started in 2015. The analysis was also stratified by key sample characteristics, such as the facilities' jurisdiction, size, urban or rural location and performance prior to publication. Results Data from 1087 long-term care facilities were included. Among the 8 publicly reported indicators, the trend in the period after publication did not change significantly in 5 cases, improved in 2 cases and worsened in 1 case. Among the 8 privately reported indicators, no change was observed in 7, and worsening in 1 indicator. The stratification of the data suggests that for those indicators that were already improving prior to public reporting, there was either no change in trend or there was a decrease in the rate of improvement after publication. For those indicators that showed a worsening trend prior to public reporting, the contrary was observed. Conclusions Our findings suggest public reporting of performance data can support change. The trends of performance indicators prior to publication appear to have an impact on whether further change will occur after publication. Key messages Public reporting is likely one of the factors affecting change in performance in long-term care facilities. Public reporting of performance measures in long-term care facilities may support improvements in particular in cases where improvement was not observed before publication.

O2-07-04: DESIGNING FOR DEMENTIA: THE IMPACT OF INTERACTIVE AMBIENT TECHNOLOGY ON WELL-BEING IN LONG-TERM CARE HOMES

2006 ◽  
Vol 14 (7S_Part_11) ◽  
pp. P636-P636
Author(s):  
Andrea Wilkinson ◽  
Mark Chignell ◽  
Marc Kanik ◽  
Judy O'Neill
Keyword(s):  
Long Term Care ◽  
Well Being ◽  
Care Homes ◽  
Term Care ◽  
The Impact

Nursing Personnel's Perceptions of Physical Restraint Use in Long-Term Care

1993 ◽  
Vol 2 (1) ◽  
pp. 98-110 ◽  
Author(s):  
Victoria Schirm ◽  
Marjorie Gray ◽  
Marlene Peoples
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Term Care ◽  
Restraint Use

scholarly journals The Impact of the Speed of Vaccine Rollout on COVID-19 Cases and Deaths in Ontario Long-Term Care Homes

2021 ◽  
Author(s):  
Nathan M. Stall ◽  
Allison McGeer ◽  
Antonina Maltsev ◽  
Isaac I. Bogoch ◽  
Kevin A. Brown ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Long Term Care ◽  
Care Homes ◽  
Term Care ◽  
Care Workers ◽  
The Impact ◽  
Current Plan

Key Message Accelerating the rollout of Ontario’s COVID-19 vaccine such that all LTC residents receive the first dose of a COVID-19 vaccine by January 31, 2021, would prevent a projected 600 COVID-19 cases and 115 deaths by March 31, 2021 when compared with the province’s current plan to vaccinate all LTC residents by February 15, 2021. Projections indicate that further acceleration of the rollout would prevent even more COVID-19 cases and deaths. If vaccine supply is limited, the early provision of first doses of a COVID-19 vaccine to LTC home residents is likely to be more beneficial than the on-schedule provision of second doses to health care workers outside of LTC homes. All LTC residents should receive the second dose according to approved vaccination schedules.

Perceptions of physical restraint use and barriers to restraint reduction in a long-term care facility

1997 ◽  
Vol 11 (1) ◽  
pp. 49-62 ◽  
Author(s):  
Catherine Hagan Hennessy ◽  
Elizabeth A. Mcneely ◽  
Frank J. Whittington ◽  
Dale C. Strasser ◽  
Constance K. Archea
Keyword(s):  
Long Term Care ◽  
Physical Restraint ◽  
Care Facility ◽  
Term Care ◽  
Term Care Facility ◽  
Long Term Care Facility ◽  
Restraint Reduction ◽  
Restraint Use

scholarly journals Variation of the Occurrence of Physical Restraint Use in the Long-Term Care: A Scoping Review

2021 ◽  
Vol 18 (22) ◽  
pp. 11918
Author(s):  
Elisa Ambrosi ◽  
Martina Debiasi ◽  
Jessica Longhini ◽  
Lorenzo Giori ◽  
Luisa Saiani ◽  
...  
Keyword(s):  
Scoping Review ◽  
Care Setting ◽  
Long Term Care ◽  
Physical Restraint ◽  
Data Sources ◽  
Physical Restraints ◽  
Design Data ◽  
Term Care ◽  
Restraint Use

Physical restraints in the long-term care setting are still commonly used in several countries with a prevalence ranging from 6% to 85%. Trying to have a broad and extensive overlook on the physical restraints use in long-term care is important to design interventions to prevent and/or reduce their use. Therefore, the aim of this scoping review was to analyze the range of occurrence of physical restraint in nursing homes, long-term care facilities, and psychogeriatric units. Pubmed, CINAHL, Ovid PsycINFO- databases were searched for studies with concepts about physical restraint use in the European long-term care setting published between 2009 and 2019, along with a hand search of the bibliographies of the included studies. Data on study design, data sources, clinical setting and sample characteristics were extracted. A total of 24 studies were included. The median occurrence of physical restraint in the European long-term care setting was still high (26.5%; IQR 16.5% to 38.5%) with a significant variability across the studies. The heterogeneity of data varied according to study design, data sources, clinical setting, physical restraint’s definition, and patient characteristics, such as ADLs dependence, presence of dementia and psychoactive drugs prescription.

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