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Newfoundland, PEI and SQLI Appropriate Use of Antipsychotics Quality Improvement Collaborative

The Canadian Foundation for Healthcare Improvement (CFHI) (now amalgamated with the Canadian Patient Safety Institute as 日本无码) collaborated with the Government of Newfoundland and Labrador and Prince Edward Island to support the Appropriate Use of Antipsychotics (AUA) approach being implemented in:

• all 39 publicly funded long-term care homes in Newfoundland and Labrador听
• all nine publicly funded long-term homes in Prince Edward Island
• five long-term homes from the Seniors Quality Leap Initiative, a North American network of long-term care organizations focused on improving clinical and safety for seniors.

The collaboration ran from 2018 to late 2019.听

More than half of participating residents¹听who were prescribed antipsychotics without a diagnosis of psychosis had these medications safely reduced or discontinued. This improved their care experiences and lives while also reducing their risk of negative health outcomes. The benefits for residents included these final results:听

• In Newfoundland and Labrador, 52 percent of participating long-term care residents either had their medication dosage reduced (22 percent) or discontinued entirely (30 percent).听
• In Prince Edward Island, 53 percent of participating long-term care residents either had their medication dosage reduced (28 percent) or discontinued entirely (25 percent).
• There was no change in physical or verbal aggressive behaviours among these residents whose antipsychotic medication was reduced or discontinued.听

Participating teams joined CFHI鈥檚 Momentum Challenge 鈥� an invitation-only program that assisted teams to expand the reach of the AUA approach and sustain its impact.听

Following the success of the AUA collaborative in Prince Edward Island, Health PEI planned on spreading the AUA approach across the privately funded long-term care homes.听

The Teams

Newfoundland and Labrador

Blue Crest Inter Faith Home, Grand Bank听Bonavista
Protective Community Residence, Bonavista
Caribou Memorial Veteran鈥檚 Pavilion, St. John鈥檚听
Chancellor Park, St. John鈥檚听
Clarenville Protective Community Residence, Clarenville听
Dr. Albert O鈥橫ahoney Memorial Manor, Clarenville听
Dr. Walter Templeman Health Centre, Bell Island听
Golden Heights Manor, Bonavista听
Lion鈥檚 Manor Nursing Home, Placentia听
Pleasant View Towers, St. John鈥檚听
Private Josiah Squibb Memorial Pavilion, Carbonear听
Saint Luke鈥檚 Homes, St. John鈥檚听
Salvation Army Glenbrook Lodge, St. John鈥檚听
St. Patrick鈥檚 Mercy Homes, St. John鈥檚听
The Agnes Pratt Home, St. John鈥檚听
U.S. Memorial Health Centre, St. Lawrence听
Waterford Hospital, St. John鈥檚听

M. Guy Memorial Health Centre, BuchansBaie Verte Health Centre, Baie Verte
Bonnews Lodge, New-Wes-Valley
Carmelite House, Grand Falls-Windsor
Connaigre Peninsula Health Centre, Harbour Breton
Dr. Hugh Twomey Health Centre, Botwood
Fogo Island Health Centre, Fogo Island
Lakeside Homes, Gander
North Haven Manor and Protective Community
Residence, Lewisporte
Notre Dame Bay Memorial Health Centre, Twillingate
Valley Vista Senior Citizen鈥檚 Home, Springdale听

Bay St. George Long Term Care Home, Stephenville
Crossing听Bonne Bay Health Centre, Norris Point
Calder Health Centre, Burgeo
Corner Brook Long Term Care Home, Corner Brook
Dr. Charles L. Legrow Health Centre, Port aux Basques
Protective Community Residences, Corner Brook
Rufus Guinchard Health Centre, Port Saunders听
Labrador-Grenfell Health听
Labrador South Health Centre, Forteau听Labrador
West Health Centre, Labrador City
Happy Valley Goose Bay Long Term Care Home, Happy Valley-Goose Bay
John M. Gray Health Centre & Complex, St. Anthony

Labrador South Health Centre, Forteau
Labrador West Health Centre, Labrador City
Happy Valley Goose Bay Long Term Care Home, Happy Valley-Goose Bay
John M. Gray Health Centre & Complex, St. Anthony

Beach Grove Home, Charlottetown
Colville Manor, Souris
Margaret Steward Ellis Home, O鈥橪eary听
Maplewood Manor, Alberton
Prince Edward Home, Charlottetown
Riverview Manor, Montague
Stewart Memorial, Tyne Valley
Summerset Manor, Summerside
Wedgewood Manor, Summerside听
Seniors Quality Leap Initiative听
Bruy猫re Continuing Care (脡lisabeth Bruy猫re Hospital), Ottawa, Ontario
Hebrew Senior Life, Roslindale, Massachusetts, USA
Perley & Rideau Veterans Health Centre, Ottawa, Ontario
Schlegel Villages, The Village of Sandalwood Park, Kitchener, Ontario
St. Andrew鈥檚 Village, Presbyterian Senior Living Community, Indiana, Pennsylvania, USA听

Bruy猫re Continuing Care (脡lisabeth Bruy猫re Hospital), Ottawa, Ontario
Hebrew Senior Life, Roslindale, Massachusetts, USA
Perley & Rideau Veterans Health Centre, Ottawa, Ontario
Schlegel Villages, The Village of Sandalwood Park, Kitchener, Ontario
St. Andrew鈥檚 Village, Presbyterian Senior Living Community, Indiana, Pennsylvania, USA

¹ Of those who were still participating in the AUA program at the end of both Phase 1 and Phase 2.