The Central East LHIN asked the Alzheimer Society of Durham Region, Ontario Shores Centre for Mental Health Sciences (Ontario Shores) and its Seniors Care Network to lead the development of a LHIN-wide strategy for dementia. The Strategy intends to build on existing dementia service planning work and the experiences of people with dementia, their families, health and social service providers, and others connecting with or providing care or service to people with dementia so that those living with dementia, and their caregivers, throughout the Central East LHIN, receive the care and supports they need.
This document describes the nine resulting priorities, distilled from the Central East LHIN Dementia Action Plan, and includes several sample activities relevant to each priority. It is expected that full implementation plans will be developed for each priority that is to be implemented and that additional insights from the original action plan will inform any future implementation.
The Central East Senior Friendly Hospitals (SFH) Working Group struck a Gerontological Infrastructure Task Group to articulate a common philosophy for a regional approach to senior friendly care. The following consensus document was developed to provide an underlying foundation to support delivery of senior friendly care across multiple health and community service organizations, including (but not limited to) hospitals.
In 2011, the Ontario Senior Friendly Hospital (SFH) Strategy was launched by Ontario’s Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs). An environmental scan, informed by 155 hospital self-assessment surveys, highlighted promising practices within the five domains of the Ontario SFH framework. The current report summarizes an environmental scan conducted in the fall of 2014 using an updated version of the original self-assessment survey in the Central East LHIN. The purpose of this report was to identify improvements made in SFH commitment and care since 2011; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build capacity.
ShareIDEAS is the searchable database for all IDEAS Advanced Learning Program applied projects. The goal of ShareIDEAS is to “provide a means to quickly find results, key learnings and insights from relevant quality improvement projects in order to spread success ad avoid duplication.” Here is our ShareIDEAS final submission for our project “Easing Transitions at End-of-Life for clients with Dementia.”
Despite the anticipated growth in the older adult population, the need for specialized geriatric health professionals is substantially greater than the available supply of health professionals. In response to these known geriatric competency gaps and health human resource recruitment challenges, coupled with the expansion of the Geriatric Assessment and Intervention Network (GAIN; Seniors Care Network‟s largest program), a training needs assessment (TNA) was conducted to inform the building of geriatric capacity among SGS providers within the Region.
The report describes the evaluation of the Senior Friendly Hospital (SFH) indicators in a province-wide collaborative, coordinated by the Regional Geriatric Program of Toronto, involving 44 hospital organizations in 10 LHINs. This evaluation had the following objectives:
1. To determine the feasibility of implementing and sustaining the indicators (including the clinical, data collecting, and data reporting processes involved in doing so).
2. To determine the value of implementing the indicators to drive improvements in patient care processes.
3. To identify key success factors and challenges involved in the implementation of the indicators.
This study assesses the need for specialized geriatric services in the CE LHIN. The frailest seniors are found in hospital and long term care yet most frail seniors are in the community; specialized services for all these seniors are in scope for this study.
This summary report of the Central East LHIN (CE LHIN) hospital self-assessments represents a point in time snapshot of senior friendly hospital care in the LHIN. It identifies strengths as well as areas for improvement in CE LHIN hospitals, in an effort to help envision and build a system that promotes the independence of seniors and the provision of high quality care for older adults. It also identifies an array of practices and programs in CE LHIN hospitals that are promoting senior friendly care. These could be considered as models for broader adoption.
This report summarizes the work of the provincial Senior Friendly Hospital Indicators working group, which was tasked with identifying metrics for ongoing monitoring and evaluation of delirium and functional decline practices.
The overall vision of the Senior Friendly Hospital Strategy is to enable seniors to maintain optimal health and function while they are hospitalized so that they can transition successfully home or to the next appropriate level of care. This report highlights the important work that Ontario hospitals have already undertaken towards improving senior friendly care and identifies opportunities for hospitals and LHINs to build upon this work.