Omni Health Care Limited

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Omni Health Care Limited Peterborough,
Ontario Doing Qmentum the OMNIway
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• Omni Health Care Limited
• Privately Owned Company which operates 17 Long
  term Care Homes throughout Southern Ontario
• Almonte Country Haven, Almonte 82 residents
• Burnbrae Gardens, Campbellford 43 residents
• Country Terrace, Komoko 119 residents
• Forest Hill, Kanata 160 residents
• Frost Manor, Lindsay 62 residents
• Garden Terrace, Kanata 160 residents
• Kentwood Park, Picton 45 residents
• Maplewood, Brighton 49 residents
• Pleasant Meadow, Norwood 60 residents
• Riverview Manor, Peterborough 124 residents
• Rosebridge Manor, Eastons Corners 78 residents
• Springdale Country Manor, Springville 68
  residents
• Streamway Villa, Cobourg - 59 residents
• Village Green, Selby 66 residents
• West Lake Terrace, West Lake 47 residents
• Willows Estate, Aurora 84 residents

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• Our homes serve 1425 residents in total, mainly
  seniors
• We have approximately 1600 staff in all 17 homes
• All of our homes are funded by the Ministry of
  Health
• On at least an annual basis we have a complete
  annual review by a Ministry of Health Compliance
  Advisor, sometimes augmented by a MOH Dietary
  Advisor and/or a MOH Environmental Advisor
• This review ensures each long term care home
  meets and/or exceed the legislated Long Term Care
  Standards
• Long Term Care Homes voluntarily participate in
  the Accreditation Program as another level of
  accountability to meet the needs of their
  residents and staff

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• The OMNIway Qmentum Journey begins.....
• Winter 2006 our organization decided to apply for
  a corporate survey rather than individual homes
  being accredited at each location over a three
  year period at different times
• This decision was based on working efficiently
  and effectively together to ensure consistency in
  practices throughout all homes
• A corporate survey allowed our homes to combine
  our collective intellectual capacity within our
  Interdisciplinary Teams to meet and/or exceed
  Accreditation Standards
• Survey dates were established for March 2-7, 2008
  for the Corporate Survey, this meant our
  organization would be one of the first Long Term
  Care teams participating in the new program
  (Quarter 1)
• June 2007 the designated Corporate Accreditation
  Specialist attended an education session on the
  Qmentum Program

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• July 2007 the team of Home Administrators and
  the Accreditation Coordinator met to overview the
  new program and action plan developed for survey
  preparation
• Fall 2007- Education and coaching was our main
  focus
• Short example documents were developed by Home
  Leaders for team participants to understand how
  each home and the organization met new
  Accreditation Standards
• Teams were established corporately and in each
  home to educate staff on how our policies and
  procedures met standards, and/or areas where we
  would require improvement
• The standards sections surveyed in Long Term Care
  are
• Governance
• Proactive and Supportive Organization
• Managing Medications
• Infection Prevention and Control
• Long Term Care

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• The Organization Profile was completed by
  Accreditation Coordinator
• The Accreditation Coordinator established
  November 1 December 31, 2007 as the timeframe
  for completion of Self Assessment Questionnaires
  for team members in each of the Standards Areas
• Provided Leaders in the home access codes to Org
  Portal
• Quarter 1 participating organizations could pick
  which Instrument would be completed by all staff
• Omni chose to complete the Patient Safety
  Culture Survey which was also completed between
  November 1- December 31, 2007
• 98 of staff in our homes completed Patient
  Safety Culture Survey
• Leaders were excited about the Corporate Survey
  and collectively worked to champion the new
  process

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• Team Leaders and Managers in each home
  coordinated how self assessments/instrument
  would be completed by the required numbers of
  staff/volunteers/stakeholders etc.
• Team Leaders and Managers assisted any member
  who was not familiar with computers with a short
  tutorial on completion of assessments/instruments
• Updates were received weekly by Accreditation
  Coordinator from Home Administrators on progress,
  challenges, successes and/or suggestions for
  future
• Monthly Operational Meetings with Director of
  Operations/Accreditation Coordinator and Home
  Administrators provided a forum to review action
  plan objectives for survey
• Weekly Corporate Operations Meetings allowed
  opportunity to communicate with Omni Executive
  with regards to progress in survey preparation
• Home Office Personnel /Governance Team completed
  self assessment

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• January 2008 organization received Quality
  Performance Roadmap
• Preparation for actual Survey visit began
• A survey schedule was developed to organize 8
  Surveyors for 6 days
• First day all surveyors and the CCHSA
  Accreditation Specialist met with a team of Home
  Office Personnel and Administrators of local
  homes
• 16 of 17 homes were visited throughout the next
  four days
• ½ day was spent at each home with two surveyors
• Each team of two surveyors focused on various
  components of standards looking for consistency
  in practices and staff knowledge of practices

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• Two days were spent at the Home Office meeting
  with executives and consultants of the
  Organization to review policies and practices
• At the end of each day a daily review was
  provided by the surveyors with theAccreditation
  Coordinator over a teleconference
• A debriefing was completed on the final day with
  all homes staff, managers and home office
  personnel who wished to attend
• After the survey the monthly Operations Meetings
  began to focus on the Quality Performance Roadmap
  results for individual homes and organizational
  teams
• June 2008 Accreditation Forecast Report was
  provided by CCHSA
• Action plan was developed to correct standards
  not met or that required improvement
• Over next six months policies were reviewed
  and/or developed according to recommendations

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• Six months from survey date, flags were responded
  to on the org portal
• January 2009 currently rolling out education to
  all levels of staff and stakeholders on policies
  and procedures that have been revised and/or
  developed
• Targeted timeframe for completion of education is
  June 2009
• Implementation and assessment of expected
  outcomes will be planned for next year
• Qmentum is an ongoing process that never stops
  and provides an organization with a goal of
  meeting, exceeding and implementing best practices

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• What did we learn?
• We as long term care providers strive to provide
  quality of life and care for our residents but
  there are always new and/or better ways
• That a collaborative spirit working together can
  achieve much more than working individually
• That change is hard but necessary if you want to
  be great care provider
• We are appreciative of all stakeholders input
  into the assessment and implementation process of
  improvement
• Third party consultants assessing our systems
  allow for new vision

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