The sfCare Framework builds on the successful Senior Friendly Hospital (SFH) Framework. We developed the sfCare Framework in collaboration with provincial stakeholders, including older adults, caregivers, and care providers. It provides the foundation for achieving the goal of best possible health outcomes for older adults through guiding principles and defining statements directed at healthcare organization and providers. The framework is intended to foster improvements in care across the system and inspire greater collaboration between older adults and their caregivers, care providers, and organizations.

sfCare Framework

The sfCare Framework comprises seven guiding principles, and five domains encompassing 31 defining statements. It is intended to serve as a blueprint for what senior friendly care should look like across the healthcare system. The principles and statements are intentionally broad. The framework will provide the foundation for the development of implementation tools and resources that will focus on providing collaborative senior friendly care, wherever care is needed.

The Senior Friendly Care Framework

The goal of senior friendly care is to achieve the best possible health outcomes for older adults. The sfCare Framework provides the foundation for achieving this goal through guiding principles and defining statements which are intended to foster improvements in care across the system and inspire greater collaboration between older adults and their caregivers, care providers, and organizations.

7 Guiding Principles

  1. Supporting resilience, independence, and quality of life
  2. Compassion and respect
  3. Information and empowered older persons and families
  4. Person- and relationship-centered partnerships
  5. Safety and security
  6. Timely, equitable, and affordable
  7. Evidence-informed

5 Domains and 31 Defining Statements

Organizational Support Organizational Support
Processes of Care Processes of Care
Emotional & Behavioural Environment Emotional & Behavioural Environment
Ethics in Clinical Care and Research Ethics in Clinical Care and Research
Physical Environment Physical Environment

Organizational Support

  1. Senior friendly care is an organizational priority
  2. At least one leader in the organization is responsible for senior friendly care
  3. There is organizational commitment to recruit and develop human resources with the knowledge, skills, and attitude needed to care for older adults
  4. The values and principles of senior friendly care are evident in all relevant organizational policies and procedures
  5. The organization has a senior friendly policy that values and promotes older adults’ health, dignity, and participation in care
  6. The organization demonstrates commitment to all domains of the Senior Friendly Care Framework – organizational support, processes of care, emotional and behavioural environment, ethics in clinical care and research, and the physical environment
  7. The organization collaborates with system partners to meet the needs of older adults
  8. The organization implements the standards and monitors indicators relevant to the care of older adults

Processes of Care

  1. Assessment is holistic and identifies opportunities to optimize the physical, psychological, functional, and social abilities of older adults
  2. Care addresses the physical, psychological, functional, and social needs of older adults
  3. Care is guided by evidence-informed practice
  4. An interprofessional model of care is preferred especially when older adults are frail
  5. Care is integrated and provides continuity especially during transitions
  6. Goals of care may include recovery from illness, maintenance of functional ability and preservation of the highest quality of life as defined by the individual
  7. Older adults are partners with the care team
  8. Care is flexible and aligned with an individual’s preferences
  9. Communications and clinical and administrative processes are adapted to meet the needs of older adults
  10. Older adults are provided information in a way that makes it easy to understand so that they can make informed decisions

Emotional & Behavioural Environment

  1. The care provided is free of ageism and respectful of the unique needs of older adults
  2. Care providers are able to identify and address issues of elder abuse and older adults’ safety
  3. The care of older adults is planned and delivered in alignment with their personal goals
  4. Care providers demonstrate competency providing care to an older population with diversity in all its many forms
  5. Care providers respect each individuals’ breadth of lived experience, relationships, unique values, preferences and capabilities
  6. Care is provided in a way that enables the older adult to feel confident in their care providers
  7. Care is compassionate and sensitive to the needs of older adults 26. Family and other caregivers are valued and supported as care partners
  8. Family and other caregivers are valued and supported as care partners
  9. Social connections are recognized as an important contributor to the health and well-being of older adults

Ethics in Clinical Care and Research

  1. Autonomy, choice and dignity of older adults are protected in care processes and research
  2. Care is delivered in a way that protects the rights of older adults especially those who are vulnerable
  3. An older adult will not be denied access to care or the opportunity to participate in research based solely on their age

Physical Environment

  1. The structures, spaces, equipment, and furnishings provide an environment that minimizes the vulnerabilities of older adults and promotes safety, comfort, functional independence, and well-being

 

To learn more about the development and implementation of the framework, review the sfCare Report. For sfCare resources, click here.

We will share developments in this work through our sfCare Newsletter and in the News and Events section of our website.