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[P4–542]: USING TECHNOLOGY TO IMPLEMENT THE HEALTH QUALITY ONTARIO QUALITY STANDARDS FOR BEHAVIOURAL SYMPTOMS OF DEMENTIA

2017; Wiley; Volume: 13; Issue: 7S_Part_32 Linguagem: Inglês

10.1016/j.jalz.2017.07.705

1552-5279

Ilan Fischler,

Clinical practice guidelines implementation

In 2016, Health Quality Ontario released the first Provincial quality standards for the assessment and treatment of the Behavioural Symptoms of Dementia. The standard is composed of fourteen statements, each accompanied by a definition and indicators to allow health care organizations to measure adherence. Ontario Shores Centre for Mental Health Sciences, a tertiary-care mental health hospital in Whitby, Ontario, systematically implemented the standard as of March 31, 2017. This paper will describe the electronic templates and automated clinical rules that were created in support of redesigned workflows to promote adherence to the standard. Roles and responsibilities of clinical staff were re-evaluated and education was provided to support the provision of recommended evidence-based interventions. A business intelligence strategy was implemented to share adherence to the quality statements across the organization. Initial reports demonstrated that in the month of March 2017, appropriate evidence-based nonpharmacologic interventions were provided to 50 % of patients, psychotropic medications were appropriately monitored using standardized scales and regular interprofessional review in 71% of patients, and ineffective/inappropriate psychotropic medications were appropriately switched in 100% of patients. 27 interventions comprised a comprehensive interprofessional assessment which was to be completed within 21 days of admission. This timeline was never met as of March 2017, and a focus for 2017–18 will be to implement quality improvement cycles to improve adherence to the quality standard.