Health Sciences Building, 155 College Street, Room 108
  • October 12, 2016 from 4:10pm to 5:30pm

Speakers: Jill Oliver, PhD, Community Ethicist, William Osler Health System; Paula Chidwick, PhD, Director Research & Corporate Ethics, William Osler Health System, Adjunct Professor, Queen’s University School of Nursing

Through Ethics Quality Improvement Projects (EQIPs), Osler strives to prevent ethical and legal errors (e.g. taking direction from the wrong SDM, ignoring a wish of a capable person, or using an advance care planning document as consent to treatment), improve quality of care for the patient, and ensure good stewardship of healthcare resources. Since 2011, Osler has worked in collaboration with CWLHIN long term care (LTC) homes to understand why some LTC residents – many of whom are very near end of life – are transferred multiple times prior to their death in hospital. We discovered a systemic problem that drives transfers: a widely used documentation tool, often called a “Level of Care” form. We tested a new tool called an Individualized Summary and reduced transfer by 56% and aligned treatment that both was wanted and beneficial to residents. In this presentation we will present the background, change ideas and change concepts that help to spread a culture of decision-making that prevents ethical and legal errors and supports treatment in the right place and at the right time.