Please contact us for help in launching the PoET project in your long term care home.
In 2011, a report showed that some transfers from LTC to hospital ED were error-based. Data from this report also showed that some LTC residents were transferred to hospital multiple times prior to death, and that some residents did not live very long after admission (almost 20% died within two weeks). We recognized the project’s potential to alleviate ED congestion and improve end-of-life care. In 2012, our tests of change to reduce error-based transfers through consultation and education failed; however, we recognized the immense opportunities in removing the Level of Care Form. We published our work in 2013, showing a 22% reduction in error-based transfers. In 2013, we also discovered a palliative care gap that reflects a misunderstanding of what end of life services are available in LTC homes. Since 2012, there has been a 56% decrease in the number of LTC residents who die in hospital and had been transferred there at least one other time in the two month period prior to death.