1. Information Transfer – ROP Compliance
Medicine Accreditation 2016

2. Information relevant to the care of the client is communicated effectively during care transitions

3. Effective Communication
Identified as a critical element in improving patient safety
Accurate and timely exchange of information that minimizes misunderstanding
Reduces the need for clients and families to repeat information.

4. Effective Communication
Clients and families need information to prepare for and improve care transitions
may include:
written information or instructions
Actions plans
Goals
Signs or symptoms of declining health status
Contact information for the team

5. Major Tests for Compliance
The information that is required to be shared at care transitions is defined and standardized for care transitions where clients experience a change in team membership or location: Admission Handover Transfer Discharge

6. Information Transfer @ Covenant
Policy
All Covenant Health sites will ensure that they have mechanisms in place;
Timely and accurate transfer of information at transition points
Adherence to established mechanisms to transfer information and
Safeguards are in place to protect the confidentiality of the information, and
Only authorized individuals will have access to the information.

7. Clinical status criteria includes but is not limited to:
• Patient label – demographics information • Diagnosis – why are they here; primary concern • Infection Prevention Control • Allergies • Current Assessment • Vital Signs – including pain status
Falls Risk Assessment
• Cognitive Status
• Behavioral Issues
• Goals of Care
• Medication Reconciliation
•Communication Barriers

8. Major Tests of Compliance
Documentation tools and communication strategies are used to standardize information transfer at care transitions

9. Standardized Processes
Communication
SBAR (situation, background, assessment, recommendation)
Tools
checklists or forms
Used to communicate clinical status that supports patient/resident safety during transition points

10. Admission Checklist
Used by nursing staff to facilitate communication of pertinent admission information

11. Bedside Shift Report
Used by nursing staff at changeover to improve communication

12. Transfer of Accountability Form
used within hospital for transfer between units

13. Rapid Round Kardex
And Medworxx
Used to identify barriers
to discharge and
enhance communication
within the interdisciplinary
team

14. Kardex
Used to facilitate communication of
care needs prior to
Nursing receiving patient into care

15. Major Tests of Compliance
During Care transitions, clients and families are given information that they need to make decisions and support their own care

16. Information Transfer @ Covenant
Nursing Perspective
Admission Checklist
White Boards for Communication with Patient and Families
Kardex
Discharge Checklist

17. Inter professional Discharge Checklist
Tool used across team to facilitate
discharge communication to patients
And families

18. Short Stay Discharge Form
Used by Physician's to facilitate communication with Family Physicians, clients and families

19. Major Tests of Compliance
Information shared at care transitions is documented

20. Progress Notes
Facilitates communication across the interdisciplinary team and handover

21. Minor Test of Compliance
The effectiveness of communication is evaluated and improvements are made based on feedback received

22. Information transfer @ Covenant
Audit tools (BSR, Path to Home) Asking clients, families and service providers if they received the information they needed Evaluation of Safety incidents related to information transfer (RLS)

23. Questions?