CFHI & Canadian Frailty Network Improve Healthcare for Older Canadians Queensway Carleton Hospital & Hôpital Montfort Launch Innovative Programs

OTTAWA – MARCH 31, 2016 -The Canadian Foundation for Healthcare Improvement, in partnership with Canadian Frailty Network, today announced the 18 organizations that will improve healthcare for older adults by adapting Mount Sinai Hospital’s (Toronto) proven Acute Care for Elders (ACE) Strategy in their healthcare facilities. Ottawa’s Queensway Carleton Hospital and Hôpital Montfort have been selected as part of the ACE Collaborative.

The ACE Collaborative is based on the Mount Sinai ACE Strategy led by Dr. Samir Sinha, director of geriatrics for the Sinai Health System and a respected clinician and researcher. Seventeen healthcare organizations from Ontario, Quebec, New Brunswick, Nova Scotia and Yukon have been selected, along with an international team based in Iceland.

The CFHI-Canadian Frailty Network partnership is providing each Canadian team with funding of up to $40,000, as well as online learning tools, educational webinars and coaching from experts in elder care and quality improvement. The initiative will support the teams to become experts in healthcare practices that benefit older patients in the communities where they reside.

Mount Sinai Hospital’s ACE Strategy is a seamless model of care for older adults, spanning the patient care continuum from the emergency department to inpatient, ambulatory and community care settings. Geriatricians, psychiatrists and other physicians as well as nurses, social workers, therapists, pharmacists and dieticians work together to provide coordinated care for older patients. With its ACE Strategy, Mount Sinai has generated sustained results for patients over age 65, including reducing total lengths of stay by 28 percent, lowering readmission rates by 14 percent, and saving the health system $6.7 million in avoidable costs in 2014.

Canada faces a major demographic shift in the coming decades as the number of people aged 65 years and older is expected to double in the next 20 years. The health challenge facing older seniors is more acute, with over one million Canadians now medically frail – a common, yet under-recognized health state where older patients experience chronic illness, multiple health problems and poorer health outcomes.

At Hôpital Montfort, the ACE strategy is an added value for the geriatric population in an acute care setting. Patients will benefit from the expertise of a dedicated Advanced Practical Nurse who specializes in geriatric care, a Family Physician and a Geriatrician in both medical and surgical units. The project will ensure structured support for elders during and after their discharge from the hospital, reducing readmission rates and improving satisfaction of patients and families. The planning phase is well under way and patients will notice improvements starting early this summer.

Queensway Carleton Hospital’s ACE Unit is under construction and scheduled to open in early 2017. The new unit will provide comprehensive care for seniors and help them remain independent. The Unit will have 34 beds and it will be a centralized place within the hospital dedicated to treating seniors. The unit will focus on elderly patients with many different health conditions, complex social issues and declining functional abilities; help patients remain mobile by providing support to maintain their independence and return home; provide Nurses and other health staff with advanced training in geriatrics, and include a communal dining and activity room.

Although older adults account for 16 percent of Canada’s population, they represent 42 percent of hospitalizations, 58 percent of hospital days and 60 percent of hospital-related expenditures. The ACE Strategy addresses these challenges by ensuring better transitions in care between the hospital and the community, and focusing on providing elder care in the right place at the right time by the right team of providers.

For the full list of teams participating in the ACE Collaborative, please visit CFHI’s website. 

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Photographs of Hôpital Montfort are available online.


Department of communications
Hôpital Montfort
613 746 4621, ext. 2049