Ontario Health Teams (OHTs) have been advised that their collaborative Quality Improvement Plans (cQIP) are required to focus on improving overall access to care in the most appropriate setting (Ontario Health, August 2021). This includes an expectation that OHTs will implement services and supports for their attributed population to influence the indicator “Alternate Level of Care (ALC) Days”.

OHTs have requested support to operationalize activities that can assist them in their efforts to help individuals at risk for protracted hospital stays (e.g., ALC designation). Many such individuals may be older adults living with multiple, complex health conditions. In concert with colleagues leading Senior Friendly Care initiatives across Ontario, Provincial Geriatrics Leadership Ontario has developed the attached information to support OHTs.

With a focus on activities that can occur in community settings, the information can assist OHTs to pursue the following goals:

Facilitate proactive identification and promote practices in care and self-management that prevent, slow or reverse declines in the physical and mental capacities of older adults
Care Plan Development & Ongoing Re-Assessment
Delivery of Interventions/Senior Friendly Care
Proactive Transitions

Click below to access:

ALC Leading Practices – Community Self-Assessment

Resources & Education

CGA Toolkit

Resources & Education

American Geriatric Society (AGS) Cognitive Screening Toolkit

Resources & Education

A Framework for Addressing Racism in Specialized Geriatric Services

Resources & Education

PGLO Caregiving Strategies

Resources & Education

Ontario Caregiver Organization

Resources & Education

GeriMedRisk

Resources & Education

Canadian Frailty Network

Resources & Education

American Geriatric Society (AGS) Cognitive Screening Toolkit 

Canadian Frailty Network 