Who We Are
Seniors Care Network is responsible for the organization, coordination and governance of specialized geriatric services (SGS) in the Central East Region of Ontario Health East.
Key services include the planning, design, implementation, evaluation, quality improvement, and performance monitoring of SGS. Applied health research is a key component of Seniors Care Network’s mandate. Additionally, subject matter expertise is provided to partner organizations including Ontario Health Teams.
Learn More About Our Impact
Resources for OHTs and Organizations
Resources for Older Adults and Care Partners
What's New
Frailty Screening & Management in the Emergency Department- Strategies to Avoid Unnecessary/Prolonged Hospital Admissions and ALC Rates
The Guidance Document is intended to support the implementation of proactive frailty screening and management in hospital Emergency Departments (EDs); a strategy to prevent repeat/prolonged hospitalizations and ALC rates. It outlines how an older adult's (65 plus) 'Frailty Status' can be used as a criterion to inform decisions regarding care, flow, and transitions (i.e., from the ED to back in the community and/or acute care). The 4-step approach described in the document builds on recommendations made in the ALC Leading Practices and Ontario Health Operational Direction: Home First documents. This resource was developed through extensive consultations with colleagues across the Province, and includes key implementation considerations (with relevant metrics) to track changes.
An accompanying document has been developed which includes a customizable Post ED Frailty Pathway template that can be populated with local services and programs.
Enhancing Comprehensive Geriatric Assessments (CGAs) in Ontario and Canada
Comprehensive Geriatric Assessment (CGA) is the standard of care for specialized geriatric services for older adults living with frailty. Seniors Care Network led a rapid review of literature to explore the foundational elements, effectiveness, and outcomes of CGAs in the Ontario and Canadian context. The report also proposes some CGA implementation and optimization strategies, highlighting the role and unique value of various interprofessional team members in delivering holistic CGAs and care planning. Lastly, the authors highlight the importance of CGAs in the Frailty Management ecosystem, identifying CGA as an integral component of the Frailty Pathways.
Caregiver Needs Assessment & Support in Community Specialized Geriatric Services Guidance Document
The Guidance Document is developed to facilitate Specialized Geriatric Services (SGS) in supporting the needs of caregivers of older adults living with frailty. This resource builds on the Caregiver Needs Assessment & Support in Primary Care Guidance Document that was jointly developed by the Ontario Caregiver Organization and Seniors Care Network, and includes a holistic assessment tool that uses a risk-based lens in assessing and prioritizing caregiver needs.