This Canadian study validates cut-points for a frailty index (FI) to identify seniors at risk of a hospital-related event.  Information about the prevalence of frailty among Canada's community-dwelling seniors is important for policy development and health resources planning.  10 pages. Last reviewed January 2017.

This report is about how countries are addressing this challenge by developing measures to ensure a high quality of long-term care – care that is safe, effective, and centred around the needs and abilities of the care recipients themselves. In most respects, endeavours to improve long-term care quality lag behind comparable efforts in the health care sector, but there are some excellent initiatives in some countries which combine measurement of clinical effectiveness with patientcentred approaches to improve the quality of life of people in need of care. Such new initiatives to stimulate quality improvement have gained ground alongside traditional regulatory approaches. There are interesting examples of public reporting of quality performance of care-providers which enable older people and their families to make informed choices, and quality grading systems which encourage providers to compete on care outcomes. 270 pages. Last reviewed January 2017.

In order to explore the ethical challenges involved with capacity assessment for MAID requests, a scoping of the literature was conducted to better understand the range of capacity assessment tools described within psychiatric populations. This briefing document summarizes some of the preliminary findings of the review. The goal is not to suggest a new tool or modify an existing one. Rather, it is to provide ethicists and clinicians the opportunity to share ethical and practical concerns about the robustness of capacity assessments in order to consider how existing processes may be adapted and standardized, particularly in the context of MAID.

The Law Commission of Ontario (LCO) commissioned this paper to provide background research for its Legal Capacity, Decision‐Making and Guardianship project. The views expressed in this paper do not necessarily reflect the views of the LCO.

Monday, October 31, 2016

We are pleased to share with you an update of our activities to date which includes an updated summarized version of the strategy that has been endorsed by the South East LHIN and reflects feedback from the webinar and survey completed in June 2016.

Integrating care and ensuring appropriate “hand offs” between providers is one of the quality challenges facing Ontario’s health system today. A number of priority indicators related to advancing integrated care were included in the Quality Improvement Plans (QIPs) submitted in 2014-15 by Ontario’s hospitals, primary care organizations, Community Care Access Centres (CCACs), and long-term care homes. This report explores those indicators and user data from the 2014-15 QIPs to show how health care organizations in multiple sectors are working together to address these concerns. 19 pages.

Long-term care homes must work within current regulations and legislation to meet the needs of people with dementia and their families.  There is an urgent need to change the culture of care – shifting from an institutional model to a relationship-based approach – and to focus on the needs of people with dementia and their families through a person-centred approach. This approach is beneficial for all people, especially those with dementia, regardless of the stage of the disease or where they live, and is based on the values of dignity and respect, information sharing, participation and collaboration.

This Change Foundation report provides a comprehensive overview about the how caregivers experience Ontario’s health and community care sectors, providing insight for those working to improve the system. 

The authors describe the history and goals of this network which will work collaboratively to develop and implement multisite research protocols to advance knowledge on falls and falls prevention among people with MS.

This briefing from The Conference Board of Canada, 2012 provides an overview on Interprofessional teams in the primary care setting along with examples and a summary of challenges related to the success of these efforts.

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