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Royal Victoria Regional Health Centre (ON): Nancy Corcoran, Dana Naylor, Jonathan Wiersma, Tricia Swartz.


Royal Victoria Regional Health Centre (ON)

  • Dana Naylor, Director of Medicine, Royal Victoria Regional Health Centre, Barrie, Ontario
  • Tricia Swartz, Director, Patient Safety, Quality and Risk Management, Royal Victoria Regional Health Centre, Barrie, Ontario
  • Jonathan Wiersma, Director of Decision Support, Royal Victoria Regional Health Centre, Barrie, Ontario
  • Nancy Corcoran, Nurse Practitioner Geriatrics, Royal Victoria Regional Health Centre, Barrie, Ontario

Smooth Transitions: A redesign of Geriatric inpatient services

Smooth Transitions: A redesign of Geriatric inpatient services is an initiative focused on evaluating current geriatric services and applying evidenced based practices to improve the quality of geriatric services within the Royal Victoria Regional Health Centre (RVH).

North Simcoe Muskoka (NSM) is the third oldest Local Health Integration Network (LHIN) in Ontario and by 2031 the increase in seniors in this region will grow by 152%. Currently the medicine program is designed to care for adult patients in general, with no specialized programming to meet the needs of the frail elderly patient population. The demand for specificity for care for this population has outgrown the programs’ ability to achieve the health system goals for this group of patients. As such, a new comprehensive geriatric model of care is required.

The number of seniors in NSM LHIN is 17% higher than the provincial average. Seniors often have complex healthcare needs and they rely on the healthcare system, consuming more than half of all direct hospital costs. Seniors account for 63% of acute inpatient days and 43% of provincial health expenditures in Ontario. Hospitalization is a pivotal event in a frail senior's life. It can add years and quality to life, or create complications that result in a difficult-to-reverse decline in physical or cognitive function. Without evidence-based senior-friendly processes in place, seniors will have higher rates of adverse events, surgical complications, and nosocomial infections. Poor outcomes result in increased length of stay, re-admission to hospital, and decreased capacity for independent living. Through the use of a gap analysis, forging diverse working teams, and implementing best practices, RVH aims to improve the clinical outcomes, reduce length of stay and the number of geriatric patients who become designated Alternate Level of Care (ALC). The overall impact to RVH and the NSM LHIN would create positive patient flow and improved quality outcomes for patients.