Nurse-Led Outreach Teams

Nurse Led Outreach Teams (NLOTs) provide urgent mobile nursing services in Ontario LTC homes to respond to arising health care needs of LTC residents, and reduce unplanned transfers to emergency departments (ED) and hospital admissions. NLOTs also help to reduce the length of a hospital stay for residence by supporting early transitions between hospitals and the LTC environment. 

Caregiving Strategies

Caregiving Strategies - free resources designed by caregivers and health care experts to support older adults living with frailty.
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Ontario Collaborative for Aging Well

The Ontario Collaborative for Aging Well, a group of 25 organizations, is focused on using their combined expertise to answer practical questions for OHTs and primary care organizations who have identified older adults living with physical, social and mental health related frailty.
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Supporting Ontario Health Teams

PGLO works with local, regional and provincial partners to provide trusted and credible information and support to the efforts of Ontario Health Teams (OHTs), specific to the needs of an older adult population living with complexity.

Performance Measurement and Evaluation

Provincial Geriatrics Leadership Ontario is leading the development of measures, indicators and related data collection tools specific to older people living with complex health conditions and their caregivers. 

Specialized and Focused Geriatric Services Asset Inventory

This project contributes to a current state view of specialized geriatric services across the province of Ontario, with a focus on the supply and utilization of health services designed for older people living with frailty (e.g. referred to as specialized geriatric services).  This work will contribute to future capacity planning to inform the planning, design and delivery of sufficient and appropriate services to meet the needs of older people living with frailty in Ontario.

Interprofessional Comprehensive Geriatric Assessment (CGA)

CGA is the standard of care for specialized geriatric services for frail seniors. It can be initiated by any member of the interprofessional team who has received appropriate training. Through this structure, all team members function as geriatric assessors, sharing a common set of competencies. Team members together create a comprehensive plan of care, in collaboration with patients. It is the combination of interprofessional geriatric assessment data, physical assessment findings, analysis and synthesis of the clinical profile and development of a collaborative plan of care.

Senior Friendly Care (sfCare)

Senior Friendly Care is designed to help your healthcare organization assess where they are on their sfCare journey and provides practical resources for implementing real change. The sfCare Framework provides a foundation for achieving the best possible outcomes for older adults. The Framework’s guiding principles and defining statements collectively describe what senior friendly care looks like, but it is not a “how to guide”. The Toolkit helps bring this foundational vision to life by providing actionable recommendations and resources.

Geriatric Emergency Management (GEM) Program Network

The Geriatric Emergency Management Program network links nurses and other members of the interprofessional team providing specialized frailty focused healthcare services in many of the province’s emergency departments. It comprises specially trained staff located in emergency departments across Ontario lending their expertise to achieve better health outcomes for older adults living with or at risk of frailty.