Position Statement on The Need for Expert Clinical Care for Older People Living with Complex Health Conditions

If we are to end hallway medicine, all Ontario Health Teams must demonstrate the necessary policy, clinical and funding focus on older people living with complex and multiple interacting health conditions (including dementia). Each Ontario Health Team must include specific services that focus on this population and engage the appropriate clinical leadership necessary to carry out this work.

Compendium of Educational Offerings

The Compendium of Educational Offerings Relevant to Interprofessional Comprehensive Geriatric Assessment (CGA) is a result of collaboration between the North East Specialized Geriatric Services (NESGC), Seniors Care Network, and Laurentian Research Institute for Aging (LRIA). This final result of this collaboration is an extensive compendium of educational offerings divided into 3 sections.

Organization Design for Geriatrics: An Evidence Based Approach

This handbook is aimed at providing an evidence‐based approach to service delivery for the elderly patient in core specialized geriatric services. Core inpatient services include geriatric rehabilitation, assessment and consultation services. Core outpatient programs include geriatric outreach, outpatient clinics and geriatric day hospitals. In addition, there are a number of condition‐specific units, focused or innovative areas of care.

RGP Knowledge to Practice Framework

This KTP framework has been used to guide two provincial initiatives – the geriatrics, interprofessional practice and interorganizational initiative designed to build geriatrics capacity in family health teams and community health center, and the senior friendly action program supporting teams to use continuous quality improvement projects in acute care geriatrics. The framework is also used to guide the KTP elements of a several research grant applications.

An Overview of RGP Programs

Regional Geriatric Programs (RGPs) provide a comprehensive network of specialized geriatric services which assess and treat functional, medical, and psychosocial aspects of illness and disability in older adults.

Patients First Position Paper

We are concerned that older Ontarians were not a focus of this consultation process, nor included in any significant way in the Patient’s First discussion document. This is despite the Ministry’s commitment to a Seniors Strategy that prioritizes access for seniors to community based supports to enable them to live at home for as long as possible. Given that seniors consume almost 50% of the health care budget and more than 60% of acute care hospital days (including a significant proportion of ALC days), we contend that the priorities of the provincial Seniors’ Strategy should feature prominently in the subsequent plan, demonstrating health system planning reflective and proportional to the position seniors occupy as health care consumers.

CGA Self-Assessment Tool (Interprofessional)

The self assessment tool is a living document that is meant to support the clinician to adequately prepare themselves to deliver interprofessional comprehensive geriatric assessment and interventions by supporting the ongoing growth and development of the core competencies outlined in the “A Competency Framework for Interprofessional Comprehensive Geriatric Assessment”. Self assessment is integral to lifelong learning. It is beneficial to elicit feedback from a mentor and/or a supervisor when identifying learning needs and setting goals.

Competency Framework for Interprofessional Comprehensive Geriatric Assessment

The purpose of this competency framework is to describe detailed practice expectations of health professionals participating in the CGA. This Framework will help health professionals to adequately prepare themselves to deliver interprofessional comprehensive geriatric assessments and interventions and work effectively in a specialized geriatrics environment.

Caregiver Education and Training Sf7 Toolkit

The SF7 Toolkit is a Senior Friendly Care (sfCare) resource that supports clinical best practices for healthcare providers in each sector and provides self management tools for older adults and their caregivers. The toolkit is available by individual topic, as well as by all topics together. All SF7 toolkit options are available on our website.