On Call Innovation Conversation

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

Session 3: Tools & Resources to Improve Prescribing – Canadian and International Perspectives

Held February 8, 2017



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 …

Across Canada and internationally, there is a movement to reduce the inappropriate use of antipsychotics in long term care and across the continuum of healthcare.

Pan-Canadian initiatives such as the Canadian Appropriate Use of Antipsychotic (AUA) Connections, the Deprescribing Network and Choosing Wisely are working towards this common mission. There are also a number of provincial initiatives underway in British Columbia, Alberta, Saskatchewan, Ontario and New Brunswick. 

CFHI and the leads of these initiatives continue to collaborate to create and implement innovative strategies, tools and services that are transforming the care for the elderly. These quality improvement strategies include improved prescribing, ensuring effective communication, and successfully engaging healthcare providers to align on the appropriateness and safety of medical interventions.

Be part of the conversation!

This interactive On Call session will be presented by experts who are leading efforts to improve prescribing in the elderly across Canada and hosted by Kaye Phillips, Senior Director, CFHI, and Jennifer Major, Senior Improvement Lead, CFHI.

Join us to learn:

  • How long term care homes across Canada are improving prescribing and care outcomes for seniors
  • About tools that can help front-line care providers advance efforts to improve prescribing
  • Tips on how to engage healthcare providers in conversations about the appropriateness of interventions, like medications, in order to make more informed care decisions  


Dennis Cleaver PhotoDennis Cleaver, Executive Director, Seniors Health Strategic Clinical Network, Alberta Health Services





Cara Tannenbaum PhotoDr. Cara Tannenbaum is theDirector of the Canadian Deprescribing Network (CaDeN); Scientific Director, Institute of Gender and Health, Canadian Institutes of Health Research; Professor, Medicine & Pharmacy, Université de Montréal. Dr. Tannenbaum is a leader in cutting-edge geriatric research both nationally and internationally. She is the recipient of a 2004 New Investigator Award from the American Geriatrics Society and the 2008 May-Cohen Gender Equity Award from the Association of Faculties of Medicine of Canada. In 2008, Dr. Tannenbaum became the inaugural Chair of the Michel Saucier Endowed Fund in Geriatric Pharmacology, Health and Aging of the Faculty of Pharmacy at the Université de Montréal. In 2013, the Institute of Aging of the Canadian Institutes Health Research presented her with the Betty-Havens Knowledge Transfer Award. She holds an appointment as Full Professor in the Faculties of Medicine and Pharmacy at the Université de Montréal. As Director of the Geriatric Incontinence Clinic at the Institut universitaire de gériatrie de Montréal, her clinical practice fuels her vision for her patient-oriented research program.

Justin Turner PhotoDr. Justin Turner is the Assistant Director of the Canadian Deprescribing Network (CaDeN); Postdoctoral research fellow, Centre de Recherche Institut Universitaire de Gériatrie de Montréal. He received a Bachelor of Pharmacy and a Masters of Clinical Pharmacy from University of South Australia, and a PhD from Monash University. Justin worked as a clinical pharmacist in hospitals across South Australia and the United Kingdom for several years before starting a community pharmacy in regional South Australia. In this role, he worked closely with local family physicians and Residential Aged Care Facilities. Working closely with older people in the community and in care facilities enhanced his passion for optimizing medication management in vulnerable older people.

Wendy Levinson PhotoDr. Wendy Levinson is the Professor of Medicine and Past Chair of the Department of Medicine at the University of Toronto. She is a national and international expert in the field of physician-patient communication, studying topics including the disclosure of medical errors to patients and informed decision making. She is presently the Chair of Choosing Wisely Canada, a campaign to help physicians and patients engage in conversations about unnecessary tests, treatments and procedures.  She is also coordinating an international collaborative of Choosing Wisely campaigns in 17 countries worldwide. Dr. Levinson was appointed an Officer of the Order of Canada in 2015 for her work.



Kaye Phillips PhotoKaye Phillips, Senior Director, CFHI

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Jennifer Major, Senior Improvement Lead, CFHI