CHANGEWe notify the client as soon as possible, explain the reason, introduce the new coordinator, provide updated contact info, and have the new coordinator review the care plan with the client.
MANAGEMENTThis information is available on The Pulse intranet (The Pulse/PolicyMedical). Situations where we cannot serve a client are documented in: the referral tracking system or intake database (declined referral log), program-specific waitlist management systems, and quality improvement trackin
PLANNINGService delivery information is in CSS-100-1 Community Services Program Policy on The Pulse. Resources include service planning templates, assessment tools, safety protocols for home visits, emergency contact procedures, documentation guides, and community resource directories. Managers an
COMMUNICATIONClear, timely exchange of information between team, residents, families. Includes handoffs, conferences, documentation. Barriers addressed, effectiveness evaluated. Essential for coordination and safety.
ENGAGEMENTKey indicators include: number of community members served, health status improvements, wait times, readmission/ED visit rates, falls prevention, client satisfaction, community awareness, partnership engagement. Also track population-specific indicators like chronic disease management, imm
RESISTANCEExample: A resident preferred bathing in the evening rather than morning routine. We adjusted their care plan to accommodate this preference, which reduced resistance and improved their dignity and comfort. We regularly ask residents about their preferences and adapt our approaches accordi
IMPLEMENTATIONThe protocol is outlined in organizational policies available on the Pulse intranet. Staff follow established procedures including: assessment, planning, implementation, documentation, and evaluation. Specific steps depend on the situation and are detailed in relevant policies.
EVALUATIONThe protocol is outlined in organizational policies available on the Pulse intranet. Staff follow established procedures including: assessment, planning, implementation, documentation, and evaluation. Specific steps depend on the situation and are detailed in relevant policies.
SUSTAINABILITYWe evaluate through: outcome measurement comparing pre/post implementation, monitoring relevant indicators, staff feedback on usability, sustainability over time, audits to verify compliance, client outcome data, and cost-effectiveness analysis. Results inform further improvements.
LEADERSHIPOur Community team leadership identified technology gaps and information systems requirements through community assessment. In response, we collaborated with IT to address these gaps and implemented Coordinated System Access to ensure our programs interoperate with community partners. This
