Baycrest

Capacity Building Abstracts Accepted, Posters and Presentations: Excellence in Aging Care Symposium (New Brunswick, Canada) 2014 Ontario Research Coalition Knowledge Translation Workshop and Ontario Long Term Care Association Applied Research Day (Toronto, Canada) 2014 April 1, 2014- March 31, 2015 ● KLAERU-PE Annual Report Page 10 CAPACITY BUILDING YEAR 1: EVALUATING BAYCREST'S TRANSITION FROM ACT TO INTERACT ® II AND THE EFFECTS ON POTENTIALLY AVOIDABLE ACUTE HOSPITAL TRANSFERS;CAPACITY BUILDING YEAR 2 Dr. Gary Naglie, Dr. Paul Katz, Dr. Jurgis Karuza, Angela Uy, Anna Berall, Anne Marie Shin, Zach Hyatt-Shaw, Collette Cameron (2013- present) This study aims to determine the rate of potentially avoidable transfers to acute care from Baycrest after the closure of the Acute Care Transition (ACT) unit and with the implementation of capacity building strategies, including the INTERACT® II program. With the closure of Baycrest's ACT unit, it is evident that further quality improvement initiatives are urgently needed to allow for patients to avoid acute care transfers, when appropriate. Potentially avoidable transfers to acute care are frequently defined as the presence of conditions that with early identification and adequate management should not result in an acute care admission. The PEU is writing an AFP grant and REB applications; designing evaluation methods; conducting data collection and analyses, volunteer placement, training and supervision of volunteers and staff; and collaborating with internal and external stakeholders. The PEU has also done medical chart reviews, interviews, and focus groups with staff to assess the clinical integration of the capacity building tools. The PEU has placed 7 volunteers with the study and supported 2 CLRI summer intern projects. EVALUATION OF THE INTEGRATED COMMUNITY CARE TEAM (ICCT) Dr. Gary Naglie 1 , Dr. Sid Feldman 1 , Ms. Jodeme Goldhar 2 ; Co-Investigators: Dr. Paul Katz 1 , Ms. Linda Jackson 1 , Dr. Jurgis Karuza 1 , Ms. Dipti Purbhoo 2 , Dr. Gabriel Chan 3 , Ms. Susan Woollard 3 , Ms. Mary Burello 4 ,Dr. Barbara Liu 5 , Dr. Andrea Gruneir 6 , Dr. Andrea Moser 1 (2004- present) Baycrest, along with the Toronto Central Community Care Access Centre (TC CCAC) and North York General Hospital (NYGH) are conducting an evaluation of the ICCT for the University of Toronto Building Bridges to Integrate Care (BRIDGES) initiative. The ICCT provides a unique, comprehensive spectrum of integrated care for frail, older adults who are at high risk for emergency department visits, hospitalization and institutionalization, who are cared for by one primary care physician or none, and who may have difficulty accessing traditional office-based primary and/or specialist care due to cognitive, physical, or functional issues. The ICCT model connects them to a dedicated, interprofessional team consisting of primary care practitioners, community services, and specialty care resources. This project received initial funding through the BRIDGES Initiative for two years and is currently receiving follow up funding through the AFP. The PEU is overseeing the project. This includes: writing the proposal, completing grant applications, REB applications, designing evaluation methods, data collection (quantitative and qualitative, chart reviews) data analyses, volunteer placement, training and supervision of volunteers, collaboration with internal and external stakeholders, writing project reports and executive summaries. Baycrest has been awarded a new Leading Practice designation by Accreditation Canada for the Integrated Community Care Team. 1 Baycrest; 2 TC CCAC; 3 NYGH; 4 Central CCAC; 5 Regional Geriatric Program of Toronto; 6 Women's College Hospital The PEU-ICCT team has had local, national and international presentations: 33rd Annual Conference of the Ontario Gerontology Association, Toronto, ON 2014 Health Quality Ontario, Toronto, ON, 2014 Canadian Geriatrics Society Annual Meeting, Edmonton, AB, 2014 American Geriatrics Society Annual Scientific Meeting, National Harbor, MD, 2015 PEU Project Highlights (continued)

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