On Call Innovation Conversation

Transforming Care for the Elderly: ensuring that seniors receive appropriate and person-centred care

Session 1: Appropriate Use of Antipsychotics in Long Term Care: Practices, Outcomes and Lessons Learned from CFHI’s Pan-Canadian Antipsychotic Reduction Collaborative

Held November 30, 2016



Did you know?

  • Evidence shows that 5‒15% of seniors in long term care (LTC) facilities should be on antipsychotic medication, yet the national average is much higher. Currently, 27% of Canadian seniors in long term care are inappropriately using antipsychotics.
  • One in four residents in LTC in Canada receives antipsychotics without a diagnosis of psychosis.
  • The use of some medication, especially as people get older, can cause more harm than good. Antipsychotic use is associated with harmful side effects and is often not effective in treating behaviours in LTC residents.

Consider this …

As part of a one-year collaborative with partner organizations from across Canada, CFHI provided education and support to 15 inter-professional teams to improve antipsychotic medication prescribing in 56 LTC homes.

Teams adapted an approach to prescribing that originated in CFHI’s EXTRA program. The approach involved (1) using RAI-MDS 2.0 data to identify candidates for medication reduction, and measure and communicate success; and (2) training staff to use person-centred approaches to care and better communicate as a multi-disciplinary team.

The innovation improved the quality of life for patients and the satisfaction of staff and families. After only one year, results from 416 of the residents showed 54% of residents had their antipsychotic medications reduced or discontinued, with no negative side effects.

Session 1 of this On Call Series will feature a case study from Sienna Senior Living (Ontario) and will focus on strategies your organization can adapt and use to improve care for the elderly.

Be part of the conversation!

This interactive On Call session will be presented by participants of CFHI’s pan-Canadian Antipsychotic Reduction Collaborative and hosted by Kaye Phillips, Senior Director, CFHI, and Jennifer Major, Senior Improvement Lead, CFHI.  

Join us to learn:

  • About this innovative approach to improve appropriate prescribing of antipsychotic medication
  • How a team from Sienna Senior Living— one of the largest long term care providers in Ontario—has adapted and implemented the approach across all its homes
  • About a longitudinal analysis showing the successful overall impact of CFHI’s Pan-Canadian Antipsychotic Reduction Collaborative


Daile Moffat PhotoDaile Moffat RN/MBA
Daile has 25 years of experience as an industry leader in long term care, having held various positions from a frontline staff nurse, nurse consultant, and director of care. As the VP of Quality and Consulting for Sienna Senior Living, she is responsible for clinical data analytics, informatics, RAI-MDS, quality management, performance improvement and management consulting.  Her role in interpreting and utilizing data helps assist managers and frontline users understand key outcomes for clinical decision making—advancing practical system improvements in quality and safety for all of the long term care communities owned and managed by Sienna.

Daile holds a Masters of Business Administration from Athabasca University; Bachelors of Arts in Psychology, Queens University; Nursing Diploma, and Lean Six Sigma from Moresteam University. Daile is known as a key industry leader, and has spoken at several Canadian, North American, and International conferences related to her field of expertise.

John Hirdes PhotoJohn P. Hirdes, PhD FCAHS
Dr. Hirdes is a Professor in the School of Public Health and Health Systems, University of Waterloo. He is the senior Canadian Fellow and a Board Member of interRAI, an international consortium of researchers from over 35 countries. He chairs interRAI's International Network of Excellence in Mental Health and the interRAI Network of Canada. He is also a Fellow of the Canadian Academy of Health Sciences.

Dr. Hirdes has over 190 publications in peer-reviewed journals and academic book chapters. His primary areas of interest include assessment, mental health, aging, health care and service delivery, case mix systems, quality measurement, health information management, and quantitative research methods.

In 2012, Dr. Hirdes received the University of Waterloo Award for Excellence in Graduate Supervision. In addition, he received the Queen Elizabeth II Diamond Jubilee Medal through the Canadian Home Care Association and the Canadian Association on Gerontology.


Kaye Phillips PhotoKaye Phillips, Senior Director, CFHI

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Jennifer Major, Senior Improvement Lead, CFHI