We are committed to generously sharing knowledge about the best care for older adults living with frailty. We have curated resources which are current, evidence-based, and aligned with the Senior Friendly Care (sfCare) Framework, Senior Friendly 7 (SF7) clinical topics, and specialized geriatric services.

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Assessment and Management Tool – Cognitive Impairment in Dementia – the 7As

This tool compiles seven thinking problems and cognitive loss of people with dementia and strategies to compensate.

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Assessment and Management Tool – Common Meds and Falls Risk

A quick reference of the common medications and substances associated with increased falls in older adults.

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Assessment and Management Tool – Confusion Assessment Method (short version) Pocket Card

This pocket card contains a ready-to-print short version of the CAM.

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Assessment and Management Tool – Decision Making Capacity and Dementia

The Hartford Institute for Geriatric Nursing developed this guideline for evaluating decision-making capacity in hospitalized patients and those in long-term care diagnosed with dementia.

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Assessment and Management Tool – Delirium Clinical Guidelines (NICE – UK)

The National Institute for Health and Clinical Excellence (NICE) Clinical Guideline 103 – Delirium: diagnosis, prevention and management, was developed by the National Clinical Guideline Centre in the UK to guide the identification, diagnosis, prevention, and management of delirium.

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Assessment and Management Tool – Delirium SFH Toolkit

This enhanced processes of care module on delirium provides information on screening, detecting, preventing, managing, monitoring and evaluation. It was developed under the guidance of the provincial SFH Promising Practices Toolkit Working Group.

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Assessment and Management Tool – Determining Decision Making Ability Pocket Card

This pocket card gives the user a set of probing questions to assess the decision-making ability in older adults.

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Assessment and Management Tool – EMPOWER Sedative Deprescribing Tool

A patient education tool to assist with deprescribing sedatives, created by Canadian Deprescribing Network. A pilot study using the EMPOWER tool with hospitalized older adults found that sedatives were deprescribed in 64% of the participants (vs. the  hospital’s historical rate of 21%) with no worsening of self-reported sleep. To read more about the study, click here.

 

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Assessment and Management Tool – Functional Decline SFH Toolkit

This enhanced processes of care module on functional decline provides information on screening, detecting, preventing, managing, monitoring and evaluation. It was developed under the guidance of the provincial SFH Promising Practices Toolkit Working Group.

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Assessment and Management Tool – Geriatric Screening in Primary Care Pocket Card

This pocket card provides guidance on the assessment of 6 key areas: vision, hearing, functional status, urinary incontinence, nutrition, and memory

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Assessment and Management Tool – Internal Transfers Checklist

A tool to assist with internal transfers.

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Assessment and Management Tool – Meaning and Solutions for Behaviours in Dementia

This document outlines a list of solutions to help manage specific dementia-related behaviors.

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Assessment and Management Tool – Modified Dementia Observation System

This is a tool for documenting the behaviors for people living with dementia.

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Assessment and Management Tool – MOVE Mobility Resources

The MOVE program is an effective intervention to keep older adults physically active while in hospital. Our free, ready-to-use resources make it easy to implement the program.

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Assessment and Management Tool – Process Flow for Escalated Behaviour

This flow map describes the process to follow as soon as an escalated behaviour is identified by any healthcare provider.

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Assessment and Management Tool – RNAO’s Delirium, Dementia and Depression in Older Adults

The RNAO developed an on-line course for assessment of older adults with delirium, dementia and/or depression (the “3Ds”).

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Assessment and Management Tool – RNAO’s Elder Abuse

The RNAO developed this learning package, which includes guidelines, a webinar, and implementation tools to help nurses recognize and provide care for older adults who are experiencing abuse.

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Assessment and Management Tool – Senior Alcohol Misuse Indicator (SAMI) Tool

The SAMI is a brief screening tool used to detect alcohol use problems in older adults.  This is a validated tool that asks older adults about alcohol use in a way that is conversational rather than fact-finding.

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Assessment and Management Tool – Who Assesses Capacity Under What Circumstances

This guideline determines who assesses capacity and under what circumstances.

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Assessment and Management Tool – Delirium Prevention Poster (multi language)

Our delirium prevention poster has gained popularity world-wide! This print-ready infographic highlights 6 proven strategies to prevent delirium in older adults. This poster is part of our Delirium Toolkit.

This delirium poster is also available in other languages:

 

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Assessment and Management Tool – SF7 Delirium Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together. Click here to access the SF7 Toolkit.

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Assessment and Management Tool – SF7 Mobility Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together. Click here to access the SF7 Toolkit.

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Assessment and Management Tool – SF7 Nutrition Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together. Click here to access the SF7 Toolkit.

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Assessment and Management Tool – SF7 Pain Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together. Click here to access the SF7 Toolkit.

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Assessment and Management Tool – SF7 Polypharmacy Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together. Click here to access the SF7 Toolkit.

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Assessment and Management Tool – SF7 Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together (this document).

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Assessment and Management Tool – SF7 Urinary Continence Toolkit

The SF7 Toolkit supports clinical best practices for healthcare providers across the sectors of care and includes self-management tools for older adults and their caregivers. The toolkit provides a common practice framework that complements the unique skills and practices of the various care providers helping older adults. SF7 focuses on seven clinical areas that support resilience, independence, and quality of life: cognition (particularly delirium), mobility, social engagement, continence, pain, nutrition, and polypharmacy.

The SF7 toolkit is available by individual topic, or bundled together. Click here to access the SF7 Toolkit.

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Other – 12 Steps to Effective Clinical Coaching

This document provides tips on how to coach clinicians.

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Other – Code Plus Physical Design Components

Fraser Health (British Columbia) developed guidelines for the physical design in hospitals which focus on preserving functional ability and safety of older adults admitted to hospital. Code Plus Physical Design Components (second edition, 2015) is posted to our website with permission from Fraser Health.

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Other – Collaborative Model of Emergency Departments Services

This document describes an emergency department model which integrates the GEM Nurse, Social Worker, and Community Care Access Centre Care Coordinator.

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Other – Creating a Senior Friendly Physical Environment in Hospitals

The Regional Geriatric Assessment Program of Ottawa developed guidelines (2012) to help hospitals create a physical environment which accommodates the needs of older adults. “The minimum standards for disability as outlined in building codes do not fully meet the specific physical environment needs of seniors. An extensive literature review has led to the compilation of guidelines that are recommended in addition to the minimum standards for barrier-free accessibility.”

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Other – Fishbone Template for Workplace Wellbeing

Fishbone template for workplace wellbeing.

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Other – GEM FAQ

This document answers the most frequently asked questions about the GEM program.

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Other – GEM Program Development

This slide deck describes the components of the GEM practice model

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Other – GEM Provincial Network Contact List

Contact list for the provincial GEM Network.

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Other – GEM Role in Community Hospital

This document outlines the responsibilities of a GEM nurse in a community hospital.

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Other – GEM Role in Urban Teaching Hospital

This document outlines the responsibilities of a GEM nurse in an urban teaching hospital.

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Other – GiiC Overview

This document provides an overview of the Geriatrics Interprofessional Interorganizational Collaboration (GiiC) initiative and includes a list of resources which were included in the 2008 toolkit. Resources from this toolkit are available on request.

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Other – KGH Policies for Supporting Patient and Family Centred Care

Kingston General Hospital created a document to illustrate how to use patient and family-centred language in policies.

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Other – Knowledge to Practice Framework

This document describes the 4-part framework which can be used to guide the knowledge to practice process.

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Other – NLOT FAQ

This document answers the most frequently asked questions about Nurse Led Outreach Teams.

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Other – PRC Program of Toronto Brochure

This brochure summarizes the role of the PRCP.

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Other – PRC Program of Toronto Contact List

Contact list for the PRC program of Toronto.

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Other – PRC Role Description

This document describes the role and responsibilities related to education and leadership of a psychogeriatric consultant.

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Other – PRC-led training for Behavioral Support Role

This is a template for PRC led training.

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Other – sfCare 10 Recommendations

The sfCare Getting Started Toolkit is based on 10 recommendations which were developed from the sfCare Framework’s 31 statements. These recommendations are comprehensive, action-based statements, which create the foundation for the sfCare Self-Assessment Tool and the Implementation Resources (pages 17-29 of the Getting Started Toolkit).

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Other – sfCare Framework Handout (multi language)

This printable handout contains the goal of the sfCare Framework, 7 guiding principles, 5 domains, and 31 statements. Print on 11 x 17 paper and fold.

Also available in French

Also available in slide version.

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Other – sfCare Learning Series: Delirium Poster (multi language)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

This delirium poster is also available in other languages:

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Other – sfCare Learning Series: Mobility Poster (multi language)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

This mobility poster is also available in other languages:

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Other – sfCare Learning Series: Nutrition Poster (multi language)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

This nutrition poster is also available in other languages:

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Other – sfCare Learning Series: Pain Poster (multi language)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

This pain poster is also available in other languages:

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Other – sfCare Learning Series: Polypharmacy Poster (multi language)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

This polypharmacy poster is also available in other languages:

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Other – sfCare Learning Series: Urinary Incontinence Poster (multi language)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

This polypharmacy poster is also available in other languages:

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Other – The sfCare Getting Started Toolkit

The Senior Friendly Care (sfCare) Getting Started Toolkit is a companion resource to the sfCare Framework. It helps your healthcare organization assess where they are on their sfCare journey, and provides practical resources for implementing real change. The toolkit comprises: a self-assessment tool, implementation resources, and training modules for executives and staff.

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Other – The sfCare Poster

The sfCare poster helps your organization convey your commitment to providing senior friendly care.  For organizations who provide direct patient care, you are welcome to add your logo to the poster:  sfCare Poster – add-your-logo

 

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Other – Tools for Facilitating Health Care Teamwork

This document provides useful tools related to the specific roles needed in teamwork.

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Patient Resource – Caregiver Strategies

The Regional Geriatric Programs of Ontario (RGPO) and six project partners from across the province have developed educational resources for caregivers who are providing care and support for seniors living with frailty. Caregiving Strategies consists of: a FREE online course, The Caregiving Strategies handbook, and tools, tips and links to great resources.

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Patient Resource – Elder Abuse Toolkit (Gov’t of Ontario)

The Ministry of Seniors Affairs has created an easy to use toolkit of resources on the topic of elder abuse, including a senior’s safety hotline.

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Patient Resource – Emergency Visit Checklist for People with Dementia

The Alzheimer Society of Canada (ASC) have developed a series of checklists and forms for people living with dementia to fill out with a family member, friend, or caregiver before an emergency department visit.

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Patient Resource – sfCare Learning Series: Delirium Handout

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Patient Resource – sfCare Learning Series: Mobility Handout

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Patient Resource – sfCare Learning Series: Nutrition Handout

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Patient Resource – sfCare Learning Series: Pain Handout

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Patient Resource – sfCare Learning Series: Polypharmacy Handout

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Patient Resource – sfCare Learning Series: Urinary Incontinence Handout

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Patient Resource – 5 Questions to Ask About Your Medications

The Institute for Safe Medication Practices Canada (ISMP) has developed 5 questions to help patients and caregivers start a conversation about medications to improve communications with their healthcare provider, especially during transitions in care. Posted with permission by ISMP.

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Presentation – ‘End PJ Paralysis’ Alberta Webinar

Click here for a recording of the presentation. This webinar was presented on Aug, 2019 by Paul Wright, RN BSc.N CNNc, Interim Director, Clinical Quality Improvement, Patient Safety and Patient & Family Centred Care (PFCC) @Alberta Health Services. This presentation provides an overview of the global movement of ‘End PJ Paralysis’ and its link with mobilization, dignity, and respect for older adults in hospital.  It includes lessons learned from Calgary, and practical tips to help others join the movement

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Presentation – “Senior Friendly Care – How to get started no matter where you’re starting from” Webinar

Click here for a recording of the presentation. This webinar was presented on June 27, 2018 by Dr. Barbara Liu, M.D., FRCP(C), FRCP(Edin), Executive Director, RGP of Toronto, and Associate Professor of Medicine, University of Toronto, and Wendy Zeh, R.N., Project & Quality Manager, RGP of Toronto. This presentation introduces the Senior Friendly Care Getting Started Toolkit, which is a companion resource to the sfCare Framework. It provides practical resources for assessing where you are on the sfCare journey and for implementing real change.

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Presentation – A Collaborative Approach to the Prevention and Management of Delirium Webinar

Click here for a recording of the presentation. This webinar was presented on April 26, 2019 by Dr. Jason Kerr, MD, and Mary-Lynn Peters, NP. This presentation discussed the Medical Psychiatry Alliance and the delirium project at Trillium Health Partners. Presenters shared how they implemented delirium prevention, screening, and management with a collaborative medical and psychiatry lens.

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Presentation – Alzheimer Society of Toronto Music Program Webinar

Click here for a recording of the presentation. This webinar presented in April 2017 by the Alzheimers Society of Toronto provides information about their program which provides free Ipods to people living with dementia.

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Presentation – An Update on Hypertension Management in Older Adults Webinar

Click here for a recording of the presentation. This webinar was presented on May 24, 2019 by Dr. Patrick Jung. This presentation discussed the most current guidelines in the management of hypertension, including the relationship between hypertension management and cognitive impairment risk. Cases discussed emphasize unique considerations in the management of blood pressure in older adults.

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Presentation – Approach to Delirium in Primary Care Settings

This presentation by Dr. Andrea Moser at the sfCare Intersectoral Conference in May 2018 considers approaches to delirium in primary care settings.

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Presentation – Clinical Screening in the Geriatric Population Webinar

Click here for a recording of the presentation. This webinar presented in July 2018 by Dr. Katherine Krause (PGY5) and Dr. Mauli Mehta (PGY5), Geriatric Medicine, University of Toronto explores screening and triage in geriatric medicine, and the evidence behind screening for MCI and dementia in the geriatric population.

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Presentation – Comprehensive Parkinson’s Care – NYGH Parkinson’s program Webinar

Click here for a recording of the presentation. This webinar was presented on December 7, 2018 by Dr. Joyce Lee and Greta Mah. This presentation discussed the importance of understanding the Parkinson disease, and how to better manage the symptoms in order to live well with Parkinson’s.

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Presentation – Dementia Friendly Hospitals

Click here for a recording of the presentation. This presentation in March 2017 by Professor June Andrews provides practical information on how to make hospitals dementia-friendly.

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This presentation in Oct 2017 by Dr. Kathleen F Hunter reviews three research studies of patients with dementia in emergency department.

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Presentation – Deprescribing in the Hospital

Click here for a recording of the presentation. This presentation in March 2017 by Dr. Cara Tannenbaum provides practical information on polypharmacy and how to deprescribe in the hospital setting.

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Presentation – Designing Care for Older Adults in the ED Webinar

Click here for a recording of the presentation. This webinar presented in Sept 2017 by Suzie Southey, Emergency Nurse Consultant (UK), wich explores how to design care to meet the needs of older adults in the Emergency Department.

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Presentation – Elder Abuse and Dementia: Complexities in the ED

This presentation by GEM nurse Raeann Rideout in October 2017 provides in-depth practical guidance for identification, assessment, and intervention of elder abuse for older adults presenting to the emergency department.

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Presentation – Elder Abuse Identification, Assessment, and Intervention in the ED

This slide deck compiles resources and tools usemergency department to assess for elder abuse in emergency department.

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Presentation – Essentials to Consider in a Patient Engagement Initiative Webinar

Click here for a recording of the presentation. This webinar presented in Jan 2017 by the Change Foundation provides 15 tips for patient engagement.

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Presentation – Exercise and Seniors: Your Health Depends on it!

This presentation by Dr. Paul Oh at the sfCare Intersectoral Conference in May 2018 underscores the importance of mobilizing older adults, and provides practical guidance on exercise types and amounts.

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Presentation – Geriatric Care at the Intersection of Medicine and Architecture Webinar

This webinar presented in February 2018 by Dr. Diana Anderson, MD, M. Arch, Healthcare Architect, explores how the knowledge of geriatric medicine and physical environmental design can be used to create spaces which influence the overall well-being of patients, families, and healthcare professionals.

 

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Presentation – Getting Started and Building Capacity for GEM

This slide deck contains a model for exploring the Knowledge to Practice Process and a framework to guide capacity building activities in GEM.

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Click here for a recording of the presentation. This webinar presented in Feb 2017 by Judith Wahl (Lawyer), Dr. Jeff Myers (Physician), and Julie Darnay (Educator) provides helpful advice on health care consent and advance care planning.

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Presentation – Innovations in Geriatric Education and KTP in Long Term Care

This presentation provides information about learning needs and opportunities in long term care.

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Presentation – Innovations in Responsive Behaviour Poster

This poster summarizes a series of interventions directed to improve the management of patients with responsive behaviors.

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Presentation – Introduction Slides for sfCare Framework + Getting Started Toolkit

Reference slides with speaking notes that can be used or adapted to introduce various stakeholders to the sfCare Framework and the sfCare Getting Started Toolkit.

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Presentation – Introduction to sfCare – A primer for executives

Click here for a recording of the presentation. This 5-minute training module provides healthcare executives with basic information, such as what senior friendly care is, why it’s important, the needs of older adults, and how they can assess and support their organization in the delivery of senior friendly care.

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Presentation – Introduction to sfCare – Top Tips for All Staff

Click here for a recording of the presentation. This 5-minute training module provides clinical and non-clinical staff with basic information, such as what senior friendly care is, why it’s important, the needs of older adults, and what they can do to make a difference.

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Presentation – Introduction to the Senior Alcohol Misuse Indicator (SAMI) Tool Webinar

Click here for a recording of the presentation. This webinar was presented on September 14, 2018 by Dr. Bonnie Purcell, London-Middlesex BSO mobile team, London Health sciences Centre. This presentation discusses a senior-friendly approach to screening for alcohol use in older adults.

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Presentation – Introduction to the sfCare Framework Webinar

Click here for the recording of the presentation. The slides for the webinar presented in Nov 2017 by Dr. Barbara Liu and Ada Tsang which provides an overview of the sfCare Framework.

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Presentation – Make Patient Time the Most Important Currency Webinar

Click here for a recording of the presentation. The slides for the webinar presented in Oct 2017 by Professor Brian Dolan (UK) which explores ways to improve the quality of care for hospitalized patients, including the grass roots initiative #endPJParalysis which is spreading globally

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Presentation – Mobility in the ED (JBH)

This presentation explains how to assess mobility and identify some of the common mobility impairments. It also provides an overview of the Seniors Mobile Assess and Restore Team (SMART) at Joseph Brant Hospital.

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Presentation – Nutrition & Frailty: Focus on community and hospital

This presentation by Dr. Heather Keller at the sfCare Intersectoral Conference in May 2018 considers nutrition and frailty in the community and hospital setting.

 

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Presentation – Ontario’s Dementia Strategy: 10 Strategic Investments (MOHLTC)

This presentation by the MOHLTC at the GEM Conference in October 2017 provides an overview of the ten strategic investments of the dementia strategy, and includes alignment with other MOHLTC initiatives.

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Presentation – Overview of Ontario’s Dementia Strategy (MOHLTC) Webinar

Click here for a recording of the presentation. This webinar presented in June 2017 by Michael Robertson (MOHLTC) provides a high-level overview on Ontario’s dementia strategy.

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Presentation – Patient Experience Survey for Specialized Geriatric Services in Ontario Webinar

Click here for a recording of the presentation. This webinar was presented on March 29, 2019 by Ronaye Gilsenan, MA, Rhonda Schwartz, MA, Iris Gutmanis, PhD. This presentation discussed the development of the first standardized measurement tool focused on the care of older adults accessing specialized geriatric services.

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Presentation – Polypharmacy in Older Adults: It’s in the eye of the beholder

This presentation by Lawrence Jackson at the sfCare Intersectoral Conference in May 2018 describes the impact of polypharmacy on older adults, and looks at strategies to address the issue.

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Presentation – Promoting Senior Friendly Care by Using Aging Simulation Webinar

Click here for a recording of the presentation. This webinar presented in Dec 2016 by the Patient Partners Program (UHN), the Change Foundation, and the Michener Institute highlights a novel new aging simulation experience.

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Presentation – Risk Stratification of Seniors in the ED

This presentation in Sept 2014, by Dr. George A. Heckman provides an overview of risk stratification in the emergency department.

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Presentation – Senior-Sensitive Teamwork

This presentation by Dr. David Ryan provides practical approaches to senior-sensitive communications and community-based teamwork.

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Presentation – sfCare Caregiver Education Project Webinar

Click here for a recording of the presentation. This webinar was presented on Sept, 2019 by Sarah Gibbens, RN, MN, GNC(C), PhD(c) and Susan Bacque, BSc, MA from the Regional Geriatric Programs of Ontario. This presentation provides an overview of the sfCare Caregiver Education Project including insights about how and what caregivers prefer to learn about frailty and some key messages for health care professionals that may support clinical practice.

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Presentation – sfCare Learning Series: Delirium (intro module for clinicians)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Presentation – sfCare Learning Series: Mobilization (intro module for clinicians)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Presentation – sfCare Learning Series: Nutrition (intro module for clinicians)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Presentation – sfCare Learning Series: Pain (intro module for clinicians)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Presentation – sfCare Learning Series: Polypharmacy (intro module for clinicians)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Presentation – sfCare Learning Series: Urinary Incontinence (intro module for clinicians)

Co-developed with geriatric clinical experts from Ontario, on behalf of the Regional Geriatric Programs of Ontario, the sfCare Learning Series comprises introductory educational modules for clinicians, along with supporting posters and patient handouts on 7 key clinical topics: delirium, mobility, polypharmacy, pain, loneliness, nutrition, and urinary incontinence.

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Presentation – The Evolution of Person-Centred Language with Responsive Behaviours Webinar

 Click here for a recording of the presentation. This webinar was presented in Feb 2018 by Deborah Brown, Nurse Practitioner, Senior Friendly Care Strategy and Mary-Lynn Peters, Clinical Manager, Professional Practice. This webinar introduces the Toronto Academic Health Sciences Network Community of Practice (TAHSN CoP) Person-Centred Language for Responsive Behaviours guideline. The discussion encourages us to look past the pathology, seeking the root cause of behaviours in order to understand the person and his or her expressions. When the language we use is specific and objective, it facilitates understanding and optimal care planning.

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Presentation – The sfCare Learning Series Webinar

Click here for a recording of the presentation. This webinar was presented on July 26, 2019 by presenters from the RGP of Toronto and the North East Specialized Geriatric Centre (NE RGP). This presentation provides an overview of the free, made-in Ontario clinical education modules and tools as well as implementation recommendations.

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Presentation – Toronto Central LHIN: Seniors Plan & Dementia Plan Webinar

Click here for a recording of the presentation. This webinar was presented on September 28, 2018 by Dr. Samir Sinha. This presentation discussed the direction and current actions in the development of the TC LHIN Seniors Plan and Dementia Plan, and how they fit with work underway at the Provincial level.

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Presentation – Urinary Incontinence: The Neglected Geriatric Syndrome Webinar

Click here for a recording of the presentation. This webinar was presented on January 25, 2019 by Dr. Martha Spencer. This presentation discussed the approach to the diagnosis, investigation and management of urinary incontinence in older adults.

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Presentation – Delirium Screening in Clinical Practice – Mind the Gap! Webinar

Click here for a recording of the presentation. This webinar was presented in March 2018 by by Dr. Niamh O’Regan, Consultant Geriatrician and Clinician Researcher in Western University, London, Ontario. This presentation discusses why delirium screening is important and examines the barriers to implementation. Evidence for feasibility of existing screening tools and a hypothesis as to what might be the best way to screen for delirium in busy clinical units are presented.

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Report – CGA Competencies Framework

The Seniors Care Network developed this competency framework which describes 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.

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Report – GiiC Final Project Evaluation 2009

This report provides a summary and evaluation of the Geriatrics Interprofessional Interorganizational Collaboration (GiiC) project.

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Report – PRC Successes and Innovations (2016)

This document provides a summary of all activities developed by the PRCP program such as innovative learning in the Toronto Central LHIN, an update on Build a Behaviour Support Resource Team, and more.

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Report – sfCare Framework

A report describing the Senior Friendly Care Framework.

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Report – SFH Care in CELHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in Champlain LHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in CLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in CWLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in ESCLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in HNHBLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in MHLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in NELHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in NSMLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in NWLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in SELHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in SWLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in TCLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care in WWLHIN 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Care Provincial Summary 2015

In 2014, 135 hospitals across all 14 LHINs completed self-assessments which informed an updated environmental scan. The purpose of the update was to identify improvements in SFH commitment and care since the 2011 environmental scan; facilitate organization- and LHIN-level planning of SFH activities; highlight new and existing promising practices; and identify training needs to build further SFH capacity. There is an Ontario summary and LHIN-level reports.

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Report – SFH Delirium and Functional Decline Indicators

This report summarizes the work of the provincial SFH Indicators working group, which was tasked with identifying metrics for ongoing monitoring and evaluation of delirium and functional decline practices.

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Report – SFH Indicators Evaluation

This report describes the evaluation of the SFH indicators in a province-wide collaborative, coordinated by the Regional Geriatric Program of Toronto, involving 44 hospital organizations in 10 LHINs.

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Report – SFH LHIN Self Assessment Template for 2011 Summary Reports

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Provincial Summary 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Provincial Summary 2011 French

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of CELHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of CLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of CWLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of MHLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of NSMLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of TCLHIN 2010

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of Champlain LHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of Champlain LHIN 2011 French

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of ESCLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of HNHBLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of NELHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of NWLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of SELHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of SWLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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Report – SFH Summary of WWLHIN 2011

The Ontario Senior Friendly Hospital Strategy, led by the Local Health Integration Networks (LHINs) and Regional Geriatric Programs (RGPs) of Ontario, was launched in 2011 with an environmental scan of hospitals across the province. The RGP of Toronto worked with all of the LHINs and RGPs of Ontario to generate a provincial summary of Senior Friendly Hospital care. This report provided twelve recommendations to help hospitals become more senior friendly, and identified hospital-acquired delirium and functional decline as improvement priorities for the system. There is a self-assessment template, LHIN-level reports, and an Ontario summary.

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For older adults and their family and caregivers who are looking for information about community services and programs including health and wellness, estate and advanced care planning, housing, finances, and transportation, we recommend the Ontario Government’s website Information for Seniors.

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