Alzheimer Society of Windsor & Essex County. Quality of Care Report: Client & Caregivers Third Quarter December 31, 2015

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Paula French
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1 Alzheimer Society of Windsor & Essex County Quality of Care Report: Client & Caregivers Third Quarter December 31, 215

2 Table of Contents Client Centered Care Client Profile Overview..pg. 4 Program Profiles First Link.pg. 8 Adult Day Program...pg. 1 Respite Program.pg. 13 Caregiver Support & Education...pg. 16 2

3 Client Centered Care Client Profile Overview 3

4 Client Profile Overview Rising Tide: How many Individuals are we seeing? By the end of 216 it is estimated that over 7,12 individuals in Windsor & Essex County will have been diagnosed with Alzheimer s disease or related dementia Of this number approx. 5% are living in their own homes ASWE currently expects to touch the lives of 8 or 1 in 9 of these individuals in 215/16 4

5 Client Profile Overview 4 Number of Unique Clients per Program /12 12/13 13/14 14/15 15/16 Actual15/16 Plan Total Unique Day Away Transportation Respite Caregiver Support & Education Education & Support Groups 5

6 Client Profile Overview By Area 8% 7% 6% 5% 4% 3% 2% 1% % % of Total Unique Clients by Program by Area Respite Caregiver Support & Education 1:1 Caregiver Support & Education Groups General Population Windsor YTD # of Unique Clients per Program by Area Respite CG Ind. CG Group LaSalle/Amherstburg/McGregor Tecumseh/Belle River/Woodslee/Lakeshore/Essex Leamington/Kingsville/Harrow/Wheatley *CG = Caregiver Windsor County 6

7 Program profiles First Link Adult Day Program Respite Program Caregiver Support & Education Public Education Groups 7

8 First Link Quick Facts This program formally began October 1 st, 21 The focus of this program is the initial contact of persons being referred from community partners and direct calls from caregivers or other persons requiring information Not Uniquely Identified Individuals (NUI) are calls received where a file cannot be started as the person may not be ready to give full information at this time. NUI YTD is 84 individuals, with a annual budget set for 3 individuals. Individuals waiting for service are those we have been unable to make contact with (no answer/no return call) YTD Number of Clients Waiting for Service First Link YTD Average Days Waited for Service Initiation First Link

9 First Link YTD Number of Referrals CCAC GEM Nurses Health Prof. Self / Other Total YTD Visits Visits = Face to Face & Phone Calls 9

10 Adult Day Program 15 YTD Number of Clients Waiting for Service Quick Facts Wellness Model began in June 21 Foot care currently provided under RPN program. All day clients receive health monitoring Annual budget for Day program for individuals served is Day Program YTD Average Days Waited for Service Initiation Day Program

11 Adult Day Program Age Profile Total

12 Adult Day Program Trends 6 Attendance Days / 9 29/1 21/11 211/12 212/13 213/14 214/15 215/16 YTD 215/16 PLAN Attendance Days

13 Respite Program Quick Facts 34.4% of clients reside outside of the city limits, 32.5% of service hours are provided to these clients Annual budget for individuals to be served is 11, 76% of this budget has been met to date YTD Individuals Served Elderly Adult Elderly 65 yrs. and Above Adult Under 65 yrs. YTD Number of Clients Waiting for Service Respite YTD Average Days Waiting for Service Respite

14 Respite Program Trends 2,. Respite Hours of Care 18,. 16,. 14,. 12,. 1,. 8,. 6,. 4,. 2,.. 28/ 9 29/1 21/11 211/12 212/13 213/14 214/15 215/16 YTD 215/16 Plan Respite Hours of Care 11, , , ,82. 18, ,2. 17, , ,. 14

15 Respite Program Hours City/County YTD Number of Hours % 7% 6% 5% 4% 3% 2% 1% % YTD % of Hours Windsor County

16 Caregiver Support & Education Quick Facts Caregiver Support & Education involves public education provided by the Public Education Coordinator (PEC) as well as caregiver education and support groups provided by the Social Workers. This program received additional funding through First Link allowing for the full funding of the second social worker YTD Number of Clients Waiting for Service Caregiver Support (1:1) YTD Average Days Waited for Service Initiation Caregiver Support (1:1)

17 Caregiver Support & Education PEC YTD Number of Attendees for Sessions Attendees Annual Budget 21 17

211-12 212-13 213-14 214-15 215-16 Caregiver Support & Education Groups Quick Facts Caregiver Support groups operate in Windsor, Tecumseh, Amherstburg and Leamington A daughters group is run from the

18 Caregiver Support & Education Groups Quick Facts Caregiver Support groups operate in Windsor, Tecumseh, Amherstburg and Leamington A daughters group is run from the Windsor office. All support groups run twice per month from September until June Daughters An additional Windsor coffee group runs during the morning at the Windsor office to accommodate increased demand for an informal support group during the day. In this group the caregivers share ideas and discuss challenges they are facing 1 Support Group Men s cooking group started the winter of 212/13 and was very successful. Due to staffing changes, this program is no longer running, but will continue in the future depending on staffing eligibilities An additional Tecumseh support group runs in the afternoons 18

19 Caregiver Support & Education Year to date Face to Face visits to Caregivers of PWD. Adult Elderly Elderly Adult , ,

20 Snapshot of the Client Satisfaction Survey The Survey Survey Participants Service recipients from the 2 years prior 95% care partners of persons with dementia 5% persons with dementia in earlier stages Methods of distribution 9% mailed 1% hand-delivered 21.6% response rate = 7.6% higher response rate than 212 of 14% of 128 distributed surveys returned complete Services Used 66% used CSS 41-44% used CSG, FLELS, ADP and IHRS Lesser utilized services are VCP, IHMM, M/CT, MASH and BSO (program services beyond persons with dementia) Satisfaction with Services 93-99% agreed/strongly agreed they received professional service provided by knowledgeable and skilled staff 72-88% felt more confident in their own abilities to deal with dementia and their coping strategies after receiving support 85% felt costs of services were reasonable 72% found the billing & payment process suitable the remainder were undecided Barriers to service Causes for barriers options: Cost, Transportation, Availability, Awareness and Other Other was the highest ranking (44-71%) reason selected for all programs except BSO (awareness issue 5%) ADP/IHRS Costs & Transportation 15-21% Availability of CSG, CSS and FLELS ranked at 2% but it is unclear as to if this is due to waitlists or client availability. IHRS and VCP ranked at 14-19% (most likely due to waitlists) Awareness issues ranged from % for M/CT, FLELS, IHMM, VCP Acronyms ADP = Adult Day Program BSO = Behavioural Supports Ontario CSS = Counselling & Support Services CSG = Caregiver Support Groups FLELS = First Link Education Learning Series IHMM = In-Home Mobility Monitors IHRS = In-Home Respite Services MASH = Medic Alert Safely Home Program M/CT = Memory Cognitive Testing VCP = Volunteer Companion Program

21 2135 Richmond Street Windsor, Ontario N8Y A1 Tel Fax

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