b'RESIDENT CONSENTWe developed the PoEToverall as well as decreased transfers at end of life. Additionally, residents Certification standardsfrom PoET homes had more palliative care encounters than residents with the goal of makingfrom control homes. This work has been published in the Journal of sure peopleespeciallythe American Medical Directors Association (Sept. 27, 2023 andresidentscan rely on it. Feb. 28, 2024).- Dr. Jill Oliver Our results in the PoET Southwest Spread Project have provided definitive evidence that reducing errors in the health care decision-persons substitute decision makerThis benefit was tested through amaking process in long-term care (SDM), and that SDM must followcollaboration with Dr. Henry Siu fromleads to benefits to the resident,certain rules in making the decision. the Department of Family Medicinelong-term care homes and the entire at McMaster University and a financialhealth care system, says Dr. Siu. PoET centres the voice of thecontribution from the Health CareGoing forward, our findings now resident, Dr. Chidwick says, bringingPolicy Contribution Program of Healthrequire a commitment from policy forward what is important to themCanada. Between 2019 and 2023,makers and funders to support this and also including them in decision- the PoET Southwest Spread Projectwork so that all Ontario long-term making. Adds Tiziana Rivera, Oslerslaunched PoET in 54 Ontario long- care residents can benefit. These Executive Vice President, Quality,term care homes and evaluated findings have inspired further work its impact. which is already underway.Research and Chief Nursing Executive: When we change the culture ofThe results have demonstrated thatSpreading the benefits decision-making at the bedside, itthe belief was correct: ComparedThe Provincial PoET Program is now not only enhances care for individualto control homes, long-term careavailable to all long-term care homes patients but also positively impacts thehomes that participated in PoETin Ontario. Using a remote model entire health care system. had decreased transfers to hospitaldeveloped during the pandemic, the WHAT CHANGE MIGHT LOOK LIKEPoET recognizes that long-term care homes are unique environments and that what it means to meet obligations of the Health Care Consent Act might be unique as well.The PoET Team has identified PoET Goalsgeneral practices that describe what meeting the Act looks like in that setting. The PoET team collaborates with each home to create a set of change ideas that help meet these goals and increase alignment with the Act.HCCA Requirement PoET Goal Homes Current Practice Change IdeasDecision-making capacityRegistered healthTo approach the family-RHPs clarify proposal is recognized as bothprofessionals (RHPs) inmember identified onand present it to the decision-specific andthe home obtain consentthe chart by default, andresident firsttime-specific, andfrom the right personapproaching the resident- If the resident is found informed consent relates(the capable resident, oronly by exceptionto the treatment orthe incapable residentsto be incapable, this is treatment plan that correct SDM) at the timedocumented, and the is proposed of proposal resident is informed of the right to appeal- The RHP uses the Acts hierarchy toidentify the correct SDMwhen needed34 LONG TERM CARE TODAY Fall/Winter 2024'