The Innovations in Elder Care Community is a dedicated space to collaborate on innovative practices designed to improve elder care. This Community is a space to share resources & connect with others interested in improvements within this realm. (Note that since this is a public space, posting confidential information is not recommended). Browse our resources to see case studies, tools, and articles that might help generate some ideas for implementation within your organization. Share your thoughts and expertise, and ask questions to join the conversation – you can also upload additional resources here.

General information about communities of practice can be found below:

 
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Innovations in Elder Care Foundational Roadmap

Care Delivery & AccommodationsEnsuring a more equitable healthcare system: Addressing the needs of Canada’s frail elderlyGuide to Accommodation Options for Older People in Aotearoa/New ZealandHeal...

Internal Transfer Follow-up Program - Ste-Anne’s Hospital’s Psychological Department

Internalized transfers can have negative effects on the well-being of patients and their families, Ste-Anne’s Hospital’s Psychological Department conducted a study on the relocation of the institution...

Patient Reference Guide: Dementia Care for People Living in the Community

Key Questions: How do I properly take care of someone with dementia? Is there a care plan I can create?...

Recommendations for Adoption: Dementia Care in the Community

Key Questions: What are the quality standards for those living with Dementia? How do I properly care for someone with Dementia?...

Sharing Best Practices Through Online Communities of Practice: Global Alliance for Pre-Service Education (GAPS)

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Free Audio Program: March 22, 2018, 2:00 PM ET: Mobility Matters for Age-Friendly Care

Registration Information: http://www.ihi.org/education/AudioVideo/WIHI/mobility-matters-for-age-friendly-care/Pages/default.aspx?utm_campaign=wihi&utm_source=hs_email&utm_medium=email&utm_content=61387597&_hsenc=p2ANqtz-9k8OlF8emMcbSK_9tEE5YjOwQ8MFdRhiyK3GqQ5iELD55C1wwE58t6aXRh-To2oMHnOtNbwh90bA3HJOYsvhjL4Uwotw&_hsmi=61387597

The Importance of Patient Engagement

 IntroductionAccountability for outcomes in healthcare is a shared responsibility between government, policy makers, providers, suppliers and patients....

How Can Healthcare Be Better Integrated Across Boundaries?

 Use Technology as a Means to Communicate with Other ProvidersEliminating silos so that providers can share information and resources is critical to smooth patient transitions across boundaries (...

A Canadian Caregiver Strategy

Key Questions: What are the caregiving strategies found throughout Canada?...

Email Templates for Patient and Caregiver Engagement

Key Questions: How can my organization go about soliciting patient and caregiver engagement?...

Social Isolation Among Seniors: An Emerging Issue

Social integration and participation of older adults in society are frequently seen as indicators of productive and healthy aging and it is widely accepted that social support has a strong protective ...

Reducing Inappropriate Use of Benzodiazepines and Sedative-hypnotics Among Older Adults in Hospitals

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Using a Supported Self-Directed Care Model to Assist At-Risk Informal Caregivers in Improving Toronto Seniors’ Well-Being

The family and friends of seniors living at home who informally provide care for them are valuable contributors to the viability of Canada’s healthcare system going forward....

Mount Sinai Hospital's Acute Care for Elders (ACE) Strategy Improves Outcomes & Reduces Costs

As the Canadian population ages, the ability to provide consistent and effective medical care for older adults becomes increasingly necessary....

Current situation... n/a
Where I want to go... Looking for resources in my community to support my aging parents
Help I'm looking for... Looking for eldercare facilities and resources in the greater Toronto area

Improve Decision Making Involving Frail Elderly and Caregivers on Location of Care

Key Questions: How can decision making regarding Location of Care (LOC) for frail seniors and their caregivers be improved? This tool provides a guide for improving the decision-making process in...

Geriatric Emergency Management (GEM): A Program Development Toolkit

Key Questions: How can Geriatric Emergency Management be improved?...

Integrated Comprehensive Care at St. Joseph's Health System Improves Coordination and Reduces Costs

Population aging combined with increasing levels of chronic disease and comorbidity puts pressure on health systems to deliver care more efficiently....

FALLS PREVENTION TOOLKIT: Strategies for Streamlined Communication, Interdisciplinary Scope, and Patient and Family Engagement

Despite heightened national attention to this issue, patient fall rates across the U.S. continue to escalate, putting patients and caregivers at increased risk....

The Lawton Instrumental Activities of Daily Living (IADL) Scale

The Lawton Instrumental Activities of Daily Living Scale (IADL) is an appropriate instrument to assess independent living skills (Lawton & Brody, 1969)....

5-Whys Guide & Template

The 5-Whys is a simple brainstorming tool that can help QI teams identify the root cause(s) of a problem....

From Safety-I to Safety-II: A White Paper

Most people think of safety as the absence of accidents and incidents (or as an acceptable level of risk)....

6-PACK programme to decrease fall injuries in acute hospitals: Cluster randomised controlled trial

To evaluate the effect of the 6-PACK programme on falls and fall injuries in acute wards. Patients falling remains a common cause of harm in acute hospitals worldwide....

Aging in Place: Coordinating Housing and Health Care Provision for America's Growing Elderly Population

The aging population is a problem that has been gaining increasing attention lately....

Bringing Healthcare Services to the Elderly Using Telemedicine: Khoo Teck Puat, Singapore

Singapore’s population is aging at one of the highest rates in the world. Elderly patients suffering from multiple conditions require ongoing and complex care....

Guide to Assistive Technology

Assistive technology is any service or tool that helps the elderly or disabled do the activities they have always done but must now do differently....

Guide to Accommodation Options for Older People in Aotearoa/New Zealand

Housing plays a variety of roles in people’s lives, especially aging populations....

Mobile Home Care for Elderly Saved Millions of Dollars in Sweden

There are significant numbers of older patients in Sweden visiting emergency rooms without having life-threatening conditions that could be cared for in alternative settings (including home)....

AHRQ Research Findings Helped in Reducing Pressure Ulcers in Virginia

Physical or cognitively compromised patients with reduced mobility may be considerably affected by pressure ulcers....

MSH Improves Geriatric Care by Implementing GEM and NLOT

As Canada’s senior patient population rises, so does the need for a better geriatric health care system....

One Client, One Team™: Transforming Integration at the Point of Care in the Toronto Central CCAC

Demographic and fiscal pressures are motivators for change in health systems. Ontario is experiencing a demographic shift, whereby the number of seniors is increasing exponentially....

Discharging Elders from ED to Community: What You Need to Know?

This project allowed for the summarizing of all evidence-based post-ED community services that help restore functional ability and prevent frailty from the international literature and generate a tool...

ISAR: A Screening Tool for Seniors in the Emergency Department at Increased Risk of Adverse Outcomes

The Identification of Seniors at Risk (ISAR) tool has been developed for use in the emergency department....

Deprescribing Proton Pump Inhibitors in EMR-enabled Primary Care Settings

This toolkit was created to support the implementation of interventions to reduce long-term prescription of proton pump inhibitors (PPI) where an indication is lacking....

Ten Things to Look For in a Senior-Friendly Emergency Room

A trip to the Emergency Room (ER) can be difficult at any age. It can be particularly difficult for older adults, who often have a number of health problems and take multiple medications....

Aging in Place: Evolution of a Research Topic Whose Time Has Come

Key Questions: What does the research indicate about aging in place?...

Team Approach to Managing Chronic Pain - The Veterans Centre of Sunnybrook Health Sciences Centre

The Veterans Centre of Sunnybrook Health Sciences Centre has created a program to optimize the management of chronic pain in their elderly patients. 

Quality Standards: Dementia Care for People Living in the Community

Key Questions: What are the quality standards for those living with dementia?...

Healthcare for the Aging Citizen and the Aging Citizen for Healthcare: Involving Patient Advisors in Elder-Friendly Care Improvement

Key Questions: What improvements need to be made for the ageing populations healthcare? With an aging population and a healthcare system that is overly reliant on providing expensive and sometime...

How to Make a Sensory Room for People Living with Dementia

Key Questions: How can the needs of people living with dementia be accommodated to support their health and sense of wellbeing?...

Iterative user centered design for development of a patient-centered fall prevention toolkit

Key Questions: How can we reduce patient falls? Who is involved in the design?...

What is Value-Based Care?

 IntroductionValue-based care is a team-based model that uses a patient-centered medical home/neighbourhood approach and increased patient engagement....

Aging in Place with a Disability and Dignity: February 22, 2-3pm ET

For older patients with disabilities, the care and support services they need to function optimally at home are often fragmented and not always obtainable. On the next WIHI (Thursday, February 22, 2-3pm ET), learn how the CAPABLE program is demonstrating low-cost, practical ways to fill the void in a handful of US communities: http://www.ihi.org/education/AudioVideo/WIHI/aging-in-place-with-a-disability-and-dignity/Pages/default.aspx?utm_campaign=tw&utm_source=hs_email&utm_medium=email&utm_content=60617198&_hsenc=p2ANqtz-_3Efvgc2VSTDgb_w898wxX-uTnlsn9DRovZAhqXoN5-ftD2r38AbJ7dOF22m-e0V9v5J8ZtuJkiB9u6tP0Fx7XbYVoJA&_hsmi=60617198

Understanding dementia: An exchange with experts on prevention, treatment, and care

FYI - This bilingual event is hosted by the CIHR Institute of Aging in partnership with the Public Health Agency of Canada, the Alzheimer Society of Canada and the Canadian Consortium on Neurodegeneration in Aging. The event is free of charge. However, space is limited and we ask you to please RSVP at events.evenements@cihr-irsc.gc.ca by January 25, 2018. The event will also be broadcast live on Facebook at https://www.facebook.com/HealthResearchInCanada/.

Excellence in Design: Optimal Living Space for People With Alzheimer’s Disease and Related Dementias

This white paper addresses the evolving needs and desires of the growing population with cognitive impairment and their families by presenting recommendations for the design of care settings that woul...

Seniors: Loneliness and Social Isolation

Lack of social relationships, discontent with the quality of such relationships, or low levels of social engagement and participation, have damaging effects on the quality of life for Canadian seniors...

Reducing Inappropriate Use of Antipsychotics in Long Term Care

This toolkit was created to support interventions to reduce excessive use of antipsychotic medications in long term care facilities. Its content is derived from the Appropriate Use of Antipsychot...

Report on the Social Isolation of Seniors

The National Seniors Council was directed in August 2013, to consult with seniors, key players from the not-for-profit, public and private sectors to assess how social isolation affects seniors and ex...

Improving Patient Transitions with Nurse Oversight via Care at Hand mHealth: Elder Services of the Merrimack Valley

ESMV wanted to provide their non-clinically trained health coaches with nurse oversight to deliver better quality clinical support to patients transitioning from the hospital to the home environment....

St. Thomas’s Risk Assessment Tool in falling elderly inpatients (STRATIFY)

Key Questions: How can fall risk among elderly patients in acute care hospitals be predicted and prevented? This is one of a number of different possible tools that can be used for risk assessmen...

Caregiver's Guide

Key Questions: Which factors should be considered to become an effective caregiver?This guide provides information on how to effectively manage caregiver responsibilities....

Prevention of Falls and Fall Injuries in the Older Adult

The purpose of this guideline is to increase all nurses’ confidence, knowledge, skills and abilities in the identification of adults within health care facilities at risk of falling and to defin...

The Delivery of Palliative and End-of-Life Care in Ontario

Key Questions: Where are the gaps in palliative care in Ontario? Which factors contribute to these gaps?This article provides a synthesis of the current state of end-of-life care and makes recomm...

Collaboration And Proactive Teamwork Used to Reduce (CAPTURE) Falls: Gap Analysis Scorecard, Action Plan & Additional Tools

The purpose of the CAPTURE Falls project was to implement the safe practice of inpatient fall risk reduction supported by a culture of safety, teamwork, and sensemaking....

My Tool Box: Peer-Led Training for Chronic Disease Self-Management Improves Outcomes & Reduces Costs

Patients with chronic disease can be a challenging population to manage from a health care provider perspective....

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care

This toolkit focuses on overcoming the challenges associated with developing, implementing, and sustaining a fall prevention program.The toolkit was developed under a contract with the Agency for Heal...

Transforming Care at the Bedside How-to Guide: Reducing Patient Injuries from Falls

This guide provides how-to instructions for healthcare staff to acknowledge patients at highest risk for sustaining a serious injury from a fall and implement interventions to prevent or mitigate thes...

Volunteers Enabling Seniors to Live at Home: Home for Life, South Georgian Bay

The aging population often faces issues of isolation and loneliness when they enter Long-Term Care (LTC) facilities....

The Patient-Centered Medical Home Multidisciplinary Intervention May Reduce Readmissions Among Older Adults

Older adults are a vulnerable population during transitions of care. Nearly one-fifth of hospitalized Medicare beneficiaries in Michigan are re-hospitalized within 30 days....

Home and Community Care Risk Assessment Tool

The Home and Community Care (HCC) sector is fundamental to healthcare in British Columbia (BC)....

In-Home Senior Care Assessment Guide

In-home care assessments are effective tools to determine what kind of care an older adult may need to complete activities of daily living and instrumental activities of daily living....

Community Care of North Carolina reduces ER admissions and Saves millions of Dollars Statewide

Recurrent hospitalization is a substantial and huge financial burden in the United States. In North Carolina the aged, blind and disabled group represents 30% of the N.C. Medicaid population....

Person-Centered Care: A Definition and Essential Elements

Improving healthcare safety, quality, and coordination, as well as quality of life, are important aims of caring for older adults with multiple chronic conditions and/or functional limitations....

NICHE Initiatives Improve Geratric Care in a Community-Teaching Hospital

Improving clinical and fiscal outcomes for the elder population is essential....

The Champlain Geriatric Emergency Management Plus (GEM+) Program Improves Outcomes & Reduces Hospital Utilization

Many people enter and access the healthcare system through the emergency department (ED). This can lead to overcrowding combined with a high stress environment....

Ensuring a more equitable healthcare system: Addressing the needs of Canada’s frail elderly

To improve care for the frail elderly, we need to break down traditional silos that focus on single diseases and silos of local and regional healthcare systems and settings....

A Framework for Integration of Community and Clinical Care to Improve the Delivery of Clinical Preventive Services Among Older Adults

This report proposes an overarching framework – based on the principles of current evidence based models – to integrate community and clinical care for the delivery of a core set of preven...

Am I Safe? Supporting Conversations About Patient Safety in the Home

In 2015, the Canadian Patient Safety Institute (CPSI) worked with the Canadian Home Care Association to find tools and resources to guide safety conversations between health care providers and patient...

Code Plus: Physical Design Components for an Elder Friendly Hospital

The complex health profile of older adults entering acute care hospitals presents administrators and staff with a new challenge....

Geriatric Emergency Department Guidelines

The purpose of these Geriatric Emergency Department Guidelines is to provide a standardized set of guidelines that can effectively improve the care of the geriatric population and which is feasible to...