Seniors account for 58 per cent of all hospital stays in Canada. That number will go up, increasing the need for health care institutions to adapt their practices.

Seniors account for 58 per cent of all hospital stays in Canada. That number will go up, increasing the need for health care institutions to adapt their practices.
Photo Credit: Mount Sinai Hospital

New health care model to improve care for seniors

Canadian hospitals were created for acute care and are not well organized to deal with the increasing numbers of elderly patients they get. Mount Sinai Hospital in Toronto has created a model of best practices that improved care for seniors and saved money, and the model will be shared with 15 other health care organizations across the country.

“There’s really a demographic shift going on,” says Maureen O’Neil, President of the Canadian Foundation for Healthcare Improvement. “There’s a much higher percentage of the population who is over 65, over 85 indeed, and this will only increase over the next couple of decades. So it’s important that we start to understand what good practice looks like now.”

Listen
The ACE model calls for specialized teams to provide coordinated care for seniors.
The ACE model calls for specialized teams to provide coordinated care for seniors. © Mount Sinai Hospital

Model calls for specialized teams

The Acute Care for Elders (ACE) initiative suggests that teams of specialist doctors, nurses, social workers, therapists, pharmacists, dieticians and volunteers to provide coordinated care for patients.

The model suggests tools to help emergency room staff identify high-risk seniors. It offers protocols for issues common to the elderly such as medication management, pain control, falls and pressure ulcers. It seeks to reduce the use of urinary catheters and to take several steps in discharging patients and following up to ensure they do not become confused, fall or need to return to the hospital.

CFHI’s Maureen O’Neil says the ACE model aims to improve the quality of life for seniors and make them happy.
CFHI’s Maureen O’Neil says the ACE model aims to improve the quality of life for seniors and make them happy. © CFHI

Teams will share information

The model will be offered on a website and health institutions can signal their interest. Of those that already demonstrate a commitment to improving care for seniors, 15 will be selected. They will each get $40,000 to implement ACE.

They may adapt the plan to their own situations, but must commit to keeping records, analysing their success and sharing information with others. Mount Sinai Hospital itself noted several improvements: Among patients over the age of 65, there was a 28 per cent drop in the lengths of stay, 14 per cent fewer readmissions within 30 days, a 93 per cent decline in pressure ulcers and 74 per cent less use of urinary catheters. It also saved the hospital close to $6.7 million in 2014.

Hoping ‘to increase the quality of life for patients’

In sharing the model, “we hope to increase the quality of life for patients,” says O’Neil. “We hope to see the kinds of things that Mount Sinai saw…in the fifteen teams that participate across the country.”

Tagged with: , , , ,
Posted in Health, Society

Do you want to report an error or a typo? Click here!

@*@ Comments

Leave a Reply

Your email address will not be published. Required fields are marked *

 characters available

Note: By submitting your comments, you acknowledge that Radio Canada International has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever. Radio Canada International does not endorse any of the views posted. Your comments will be pre-moderated and published if they meet netiquette guidelines.

Netiquette »

When you express your personal opinion in an online forum, you must be as courteous as if you were speaking with someone face-to-face. Insults and personal attacks will not be tolerated. To disagree with an opinion, an idea or an event is one thing, but to show disrespect for other people is quite another. Great minds don’t always think alike—and that’s precisely what makes online dialogue so interesting and valuable.

Netiquette is the set of rules of conduct governing how you should behave when communicating via the Internet. Before you post a message to a blog or forum, it’s important to read and understand these rules. Otherwise, you may be banned from posting.

  1. RCInet.ca’s online forums are not anonymous. Users must register, and give their full name and place of residence, which are displayed alongside each of their comments. RCInet.ca reserves the right not to publish comments if there is any doubt as to the identity of their author.
  2. Assuming the identity of another person with intent to mislead or cause harm is a serious infraction that may result in the offender being banned.
  3. RCInet.ca’s online forums are open to everyone, without regard to age, ethnic origin, religion, gender or sexual orientation.
  4. Comments that are defamatory, hateful, racist, xenophobic, sexist, or that disparage an ethnic origin, religious affiliation or age group will not be published.
  5. In online speak, writing in ALL CAPS is considered yelling, and may be interpreted as aggressive behaviour, which is unpleasant for the people reading. Any message containing one or more words in all caps (except for initialisms and acronyms) will be rejected, as will any message containing one or more words in bold, italic or underlined characters.
  6. Use of vulgar, obscene or objectionable language is prohibited. Forums are public places and your comments could offend some users. People who use inappropriate language will be banned.
  7. Mutual respect is essential among users. Insulting, threatening or harassing another user is prohibited. You can express your disagreement with an idea without attacking anyone.
  8. Exchanging arguments and opposing views is a key component of healthy debate, but it should not turn into a dialogue or private discussion between two users who address each other without regard for the other participants. Messages of this type will not be posted.
  9. Radio Canada International publishes contents in five languages. The language used in the forums has to be the same as the contents we publish. The usage of other languages, with the exception of some words, is forbidden. Messages that are off-topic will not be published.
  10. Making repetitive posts disrupts the flow of discussions and will not be tolerated.
  11. Adding images or any other type of file to comments is forbidden. Including hyperlinks to other websites is allowed, as long as they comply with netiquette. Radio Canada International  is in no way responsible for the content of such sites, however.
  12. Copying and pasting text written by someone else, even if you credit the author, is unacceptable if that text makes up the majority of your comment.
  13. Posting any type of advertising or call to action, in any form, to Radio Canada International  forums is prohibited.
  14. All comments and other types of content are moderated before publication. Radio Canada International  reserves the right to refuse any comment for publication.
  15. Radio Canada International  reserves the right to close a forum at any time, without notice.
  16. Radio Canada International  reserves the right to amend this code of conduct (netiquette) at any time, without notice.
  17. By participating in its online forums, you allow Radio Canada International to publish your comments on the web for an indefinite time. This also implies that these messages will be indexed by Internet search engines.
  18. Radio Canada International has no obligation to remove your messages from the web if one day you request it. We invite you to carefully consider your comments and the consequences of their posting.

*

One comment on “New health care model to improve care for seniors
  1. Jane says:

    Interesting to see how these new models will improve care, especially long term care.