Innovations In Geriatric Outreach

Regional Geriatric Programs of Ontario

 

INNOVATIONS/NEW PROGRAMS

 

LOCATION/HOSPITAL

 

CONTACT PERSON
 
Toronto RGP
 

 

 

 

Caregiver Support Program

Northern Service Area

Baycrest

 

Jan Boyd

416-785-2500 Ext. 2319

POWER Program

(Promoting Osteoporosis Wellness through Education, Exercise & Resources)

A collaborative, multi-site education & exercise program.

Baycrest, NYGH, Yee Hong, Toronto Public Health (partnership)

Frances Simone

416-756-1040 Ext. 8022

 Cognitive Assessment & Support Service (CASS)

Falls Prevention Project

Effects of Alcohol on Older Persons Pamphlet

Sunnybrook & Women’s College Health Sciences Centre

 Lynn Zimmerman

416-480-6100 Ext. 3035

Susan Maddock

416-480-6100 Ext .2726

Elaine McKee

416-480-6100 Ext. 3036

Geriatric Services Line - Single Entry

North York Community Psychogeriatric Service

(a collaborative community partnership model)

North York General Hospital

Frances Simone

416-756-1040 Ext. 8022

 

 

 

Spencer House Nursing Home Education Project

Women’s Shelter Project

Seaton House Education Project

St. George House Education Project

Central Service Area

Toronto Rehabilitation Institute

University Health Network

 

Sylvia Davidson

416-340-4800 Ext. 6754

 

Team Competency Framework

Telephone Assistance Pilot (TAP)

Annual Family Physician Conf. & CCAC Resource Line

Fax Bulletin

Abilities Assessment Resource Team

Mental Health/Long-Term Care Interface

Resource

Single Entry - clinical

Clinic Revitalized

Educational Acitivities:

  • Team Competency Framework
  • Elder.s Clinic (Providence)
  • Pilot Geriatric clinic at LTCF - St. Michael's
  • Long Term Care/Mental Health Psychogeriatric Training initiative
  • Freedom from Falls
  • What's Wrong with this Picture - Identifying funcional deficits
  • Spring is Tool Time
  • Annual Clinic Day

Eastern Service Area

St. Michael's Hospital

Providence Healthcare

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Kathy Wheeler

416-864-6060 Ext. 4147

 

 

 

INNOVATIONS/NEW PROGRAMS

 

LOCATION/HOSPITAL

 

CONTACT PERSON
 

London RGP

 

 

Models Project – a community development initiative targeted to improve care of the elderly in largely rural areas

Self Directed Learning Pkg. on Incontinence in the Elderly

 

An Enhanced Role in Comprehensive Geriatric Assessment for Community Care Managers (a tested model)

A Process Evaluation of Consultative Comprehensive Geriatric Assessment (CGA) - a work in process

Quick Response Program (educating ER nurses to flag geriatric issues)

Educational Topics - educational sessions tailored to the audience (see appendix A)

Centralized Intake for Specialized Services for the Frail Elderly

 

The Ontario Community Nurse Continence Advisor Training Program

The London and Southwestern Ontario Continence Interdisciplinary Interest Group

Parkwood Hospital

 

 

 

 

 

 

 

 

 

 

Dr. Michael Borrie

519-685-4021

Dr. Michael Borrie & Dr. Paul Stolee

519-685-4292 Ext. 42233

Dr. Paul Stolee

519-685-4292 Ext. 2233

 

SW Ontario RGP

519-685-4292 Ext. 44069

 

 

 

 

Gail Johnson 519-685-4292 Ext. 42430

Sonya Lytwynec

519-685-4292 Ext. 42480

Sonya Lytwynec

 

 

 

 INNOVATIONS/NEW PROGRAMS

 

LOCATION/HOSPITAL

 

CONTACT PERSON
  Ottawa-Carleton  

Rural Geriatric Assessor Training Program - to enhance geriatric capabilities in rural areas.

 

Pre-Assessment Test Request Form to reduce unnecessary laboratory procedures and improve efficiency.

 

Cognitive Change CareMap for Day Hospital

Post-discharge home follow-up of Patients on a cognitive Change CareMap

Establish Ottawa-Carleton Dementia Network

Community Safety Risk Management Plan for personnel in community settings.

Development of a Seniors Guide for Hospital Admission and Discharge with Ottawa-Carleton Council on Aging.

Ottawa Hospital - Civic Site

Lisa Murphy

613- 721-5238

 

Nicole Proulx

613-562-6362

Fara Aminzadeh

613-721-4148

Fara Aminzadeh

 

Dr. W. B. Dalziel

613-761-4568

Josée Alie / Nicole Proulx

613-562-6362

 

Cal Martell

613-761-4458

 

 

 

 INNOVATIONS/NEW PROGRAMS

 

LOCATION/HOSPITAL

 

CONTACT PERSON
 

 

Kingston

 

 

(Southeastern RGP)
 

 

 

Approaches to Community Development: Lessons Learned.

Series of Patient Education Resources

 

Tablet Tabloids;Demential; Falls; Memory; To Drive or Not To Drive.

 

"Connections" – Insert to bimonthly PCCC newsletter containing education around geriatric issues for a public audience. Examples include Energy conservation, Mental Functioning in Health Older People; Osteoporosis; Geriatric Assessment; Oh? My Aging Heart; Falls in the Older Person Living the Community; Urinary Incontinence; Medications and the Elderly; Exercise and the Elderly; Nutrition and the Elderly.

Seniors Coping with Change (framework for psychoeducation for he Day Hospital clients)

Challenges of Developing an Externally-Based Multidisciplinary Acute Care Consult Team

Providence Continuing Care Centre - St. Mary's of the Lake Hospital site

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Anne Jewell

613-548-7222 Ext. 2350

 

 

Joan Sherman

613-548-7222 Ext. 2341

 

 

 

 

 

 

Draha Lafferty

613-548-7222 Ext. 2410

Brian Hart

613-548-7222 Ext. 2407

 

 

 

INNOVATIONS/NEW PROGRAMS

 

LOCATION/HOSPITAL

 

CONTACT PERSON
 

 

Hamilton

 

 

(Central West RGP)
 

 

CRG – Community Resource Group

Clinics at nursing homes & hospital

Pharmacy Project

 

Bronchobusters – in partnership with the Lung Association

Healthy Choices – new health promotion program with dietitian, therapeutic recreationist and an occupational therapist

Parkinson’s Exercise Class

BUS Program (Behavioural Problems in the Elderly Urgent Support and Coordination Service)

St. Peter’s Hospital

 

Janet MacLeod

905-573-4818

 

 

 

Suzanne Stirling

905-549-6525 ext 2294

 

 

 

Debby MacLeod 905-521-2100 ext 7916

 

 

 

 

APPENDIX A:

 

* Adjustment to Long-Term Care

* Aging Process

* Avoiding the Pitfalls of Aging

* Capacity Assessment

* Challenging Behaviour

* Conflict Resolution

* Dementia, Delirium and Depression

* Driving & the Cognitively Impaired

* Elder Abuse

* Falls

* Importance of Mobility

* Medications

* Mental Status Testing

* Osteoporosis

* Pain

* Parkinson's Disease

* Physical Assessment

* Restraints

* Sexuality: Issues in Long-Term Care

* Stroke

* Urinary & Fecal Incontinence