Assess & Restore/Frail Seniors

Standardizing rehabilitative care best practice for frail older adults

The RCA's Direct Access Priority Process (DAPP) and other Assess & Restore initiatives across the province are designed to improve care for frail seniors.

DAPP supports early identification of individuals with restorative potential who require inpatient rehabilitative care and facilitates referrals directly from the community. The process is being implemented by various health service providers across the province.

The RCA supports the LHINs and Ministry of Health and Long-Term Care with A&R-related initiatives through evaluation and knowledge exchange activities. 

The RCA is also working with stakeholders to develop and implement evidence-informed care processes for older adults, such as secondary fall prevention care pathways. A more detailed list of all activities for all RCA initiatives is found here

Knowledge Exchange — A&R Evaluation
Assess & Restore 2017-18 Initiatives Summary (October 2018) Description of all 2017/18 A&R initiatives
Assess & Restore Shared Provincial Indicators (January 2018) Description and technical definitions of standardized indicators for Assess & Restore reporting
Assess & Restore 2016-17 Initiatives Summary (November 2017) Description of all 2016/17 A&R initiatives
Assess & Restore Review & Analysis (March 2017) Review and analysis of the provincial impact of A&R funding from 2014/15 to Q2 2016/17 
Pan-LHIN A&R Logic Model (March 2017) Logic model to demonstrate the collective impact of all initiatives funded by A&R funding 
Assess & Restore 2015-16 Initiatives Summary (November 2016) Description of all 2015/16 A&R initiatives
Assess & Restore 2014-15 Initiatives Summary (September 2015) Description of all 2014/15 A&R initiatives
Assess & Restore 2013-14 Initiatives Summary (March 2014) Description of all 2013/14 A&R initiatives
Knowledge Exchange — Geriatric Syndromes
Frail Senior/Medically Complex Compendium Summary of best practices from gold standard literature re: the assessment and treatment of geriatric syndromes 
Waterloo Wellington LHIN Frailty eLearning Modules (December 2015) Interactive eLearning modules on geriatric syndromes and other issues facing frail seniors
SW LHIN Interprofessional Comprehensive Geriatric Toolkit Online comprehensive geriatric assessment education resource developed by the SW LHIN A&R project
HNHB LHIN SMART Program Video explaining the HNHB A&R-funded SMART Program, including the patient story/voice
NE Comprehensive Geriatric Assessment Form Developed by North East A&R Collaborative