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Age-Friendly Acute Care in Newfoundland and Labrador

Belinda Parke, Stephen Bornstein, Rob Kean, Meagan Mackenzie, Karen McGrath

CUExpo 2013 | June 14, 2013

Presenters:

Rob Kean, Research Officer, Contextualized Health Research Synthesis Program (CHRSP)

Dr. Roger Butler, Ross Family Medicine Centre

(2)

Presenta ton Out line

• What is NLCAHR ?

• How we came to be inter ested in this topi c

• How we ’ve resea rched it

(3)

About us

• Administered by Memorial University’s Faculty of Medicine

• Funded primarily through the Department of

Health and Community Services

(4)

About us

Mission:

to contribute to the effectiveness of the health system of Newfoundland and Labrador and to the physical,

social, and psychological

health and well-being of the population by supporting the development and use of

applied health research

(5)

CHRSP

Contextualized

Health

Research

Synthesis

Program

(6)

Selecting the topic & research question

CHRSP Topic Selecton Process

Health system partners & CHRSP Champions solicit CHRSP topic submissions from within their organizations

Health system partners & CHRSP Champions solicit CHRSP topic submissions from within their organizations

CHRSP Project Team CHRSP Project Team

From the shortlist, Health System Partners collaborate to identify the Research Questions that will form the basis of the next CHRSP projects. For Age- Friendly Acute Care, the Original Research Question was:

““What are the barriers faced by the aging population in our acute care facilities and what are the best practices for ensuring that we have an age friendly acute care environment?”

From the shortlist, Health System Partners collaborate to identify the Research Questions that will form the basis of the next CHRSP projects. For Age- Friendly Acute Care, the Original Research Question was:

““What are the barriers faced by the aging population in our acute care facilities and what are the best practices for ensuring that we have an age friendly acute care environment?”

Health System Partners Health System Partners

Long List

Shortlist

CHRSP Topic Submission Form

Health &

Communi ty Services

CHRSP consolidates individual Health System Partner lists into a

‘Long List’

CHRSP consolidates individual Health System Partner lists into a

‘Long List’

CHRSP + Health System Partners arrive at a shortlist.

CHRSP + Health System Partners arrive at a shortlist.

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CHRSP: Age-Friendly Acute Care

Step 1: Build a Project Team

Academic Team Leader Dr. Belinda Parke

System Expert Karen McGrath

Local research experts

CHRSP project coordinator

(8)

Step 2: Refine the research queston

The original question:

“What are the barriers faced by the aging population in our acute care facilities and

what are the best practices for ensuring that we have an age friendly

acute care environment?”

CHRSP: Age-Friendly Acute Care

(9)

After refinement,

the research question was:

“What programs and/or services are associated with improved outcomes for

older adult inpatients admitted to general acute care units?

CHRSP: Age-Friendly Acute Care

(10)

Remaining steps:

• Design search strategy

• Establish selection criteria

• Extract data

• Synthesize the evidence

• Contextualize synthesis findings

CHRSP: Age-Friendly Acute Care

(11)

CHRSP: Contextualizaton

(12)

Age-Friendly Acute Care in NL:

Key Messages

• Geriatric units vs. units for all adult age groups

• Need for enhanced training & skill sets

• Value of interprofessional

collaboration

(13)

• Geriatric assessment central to positive outcomes

• Enhanced discharge planning further

contributes to positive outcomes

• Relational aspects of care delivery are important

Age-Friendly Acute Care in NL:

Key Messages

(14)

Age-Friendly Acute Care in NL: Implicatons for Decision Makers

• Specialized geriatric units – e.g. ACE units – are probably worth a close look

• Older patients may benefit from

dedicated space within hospital EDs

• Significant deficit in basic geriatric education

• Older patients would also benefit

from enhanced communication

across professional boundaries

(15)

Age-Friendly Acute Care in NL: Implicatons for Decision Makers

• Validated geriatric assessment tools probably worth a close look

• Province-wide shortage of allied health personnel – particularly OT & PT – a serious issue

• Need for augmentation of post-

acute services

(16)

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