

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.
What's New
📢 Frailty Webinar Recording & Resources Now Live!
💡By watching this session, you will be able to:
Understand how proactive frailty screening and management can strengthen care for older adults and support upstream Alternate Level of Care (ALC) avoidance strategies.
Explore the key components of the Seniors Care Network Frailty Pathways and identify concrete opportunities to weave them into your existing practices.
Walk away with valuable, real-world lessons and promising practices shared by early adopters who are already seeing success.
Frailty Pathways Impact Summary (2026)
Seniors Care Network's Frailty Pathways are helping organizations strengthen coordination and create a more consistent approach to frailty care. Growing adoption and recognition at regional, provincial, and international forums reflects the momentum behind this innovative model. Explore the reach and impact of our Frailty Pathways through our Impact Summary.
Community Paramedicine Frailty Pathway
Community paramedics are uniquely positioned to support coordinated care through early frailty identification, risk stratification, targeted interventions, and proactive service connections. The decision-tree outlines an innovative Community Paramedicine Frailty Pathway that uses a standardized, stepwise approach to integrate frailty into chronic disease management and ongoing patient monitoring. By facilitating timely referrals to Specialized Geriatric Services, rehabilitation programs, community supports, and other healthcare resources, the pathway promotes proactive frailty management. This approach can improve patient outcomes, reduce avoidable emergency department utilization, and help delay or prevent permanent institutionalization, supporting older adults to remain safely and independently in their communities for longer.
GEM Patient
“The GEM nurse listened to me and made me feel safe when I was scared. Thank you for taking the time to see [me] as a whole person.”
GAIN Patient
“The GAIN team was never afraid to get involved. Everyone else kept me at arms length. GAIN wasn’t afraid of anything, they just got involved and helped me.Whenever I needed them, they were there.”
Family member of a Memory Clinic client
“I never knew medications could have this much impact. I have my mother back now. Thank you for everything.”

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