LTC+: Acting on Pandemic Learning Together

The COVID-19 pandemic hit the long-term care (LTC) and retirement home sector in Canada hard, particularly in long-term care. Canada has had a higher reported national proportion of COVID-19 deaths for LTC residents than any other OECD country worldwide, with more than 80 percent of total COVID-19 deaths occurring in LTC homes.1,2

Within this stark reality, we have seen some organizations respond to the challenge of the pandemic in resourceful ways.

To help support the LTC and retirement home sector to rapidly share with and learn from each other, and strengthen pandemic preparedness, the Canadian Foundation for Healthcare Improvement and the Canadian Patient Safety Institute launched LTC+: Acting on Pandemic Learning Together (LTC+).

The LTC+ program is based on findings captured in a new report – Reimagining Care for Older Adults: Next Steps in COVID-19 Response in Long-Term Care and Retirement Homes – and focuses on promising practices in six key areas that have the potential to help organizations prepare for possible future outbreaks, or mitigate their effects:

  • Preparation
  • Prevention
  • People in the workforce
  • Pandemic response and surge capacity
  • Planning for COVID-19 and non-COVID-19 care
  • Presence of family.

CFHI and CPSI have partnered with the CMA FoundationBC Patient Safety and Quality Council (BCPSQC), the New Brunswick Association of Nursing Homes, CADTH, Manitoba Institute for Patient Safety and the Canadian Institutes of Health Research (CIHR) and others, to help ensure our efforts continue to be aligned with what support is needed across the country.

In October 2020, the CMA Foundation announced a $2 million collaboration to support LTC+. This collaboration will allow for an additional 200 homes to be supported and increases funding available for homes to use to strengthen their pandemic plans.

Read more

Join the LTC+ Program

LTC+ supports teams delivering healthcare for older adults in congregate settings – staff, managers, policy makers, residents, family, caregiver partners and others who are all working hard to manage tough situations, while also trying to look and plan ahead. We are here to support LTC and retirement homes, whether they experienced a COVID-19 outbreak or did not but want to prepare for possible future outbreaks.

The program is designed to be flexible, supporting homes to quickly implement changes through a menu of virtual offerings: webinar learning series, national LTC+ huddles, coaching and funding. By joining LTC+, teams are joining a community of others facing similar pressures or experiences; they can share their own learning and support each other. 

Our ambition is to grow the LTC+ program so many homes join, and the potential collective learning is greater. There is no fee to join LTC+ and no requirement to share resident level data.

Teams need to register to join via our online portal to get access to the huddles and complete the self-assessment which gives access to coaching and potential funding. Teams that register by February 26 (11:59 ET) will be eligible to receive up to three dedicated coaching sessions and up to $10,000 to support improving their pandemic preparedness.


View step-by-step instructions to registering on the online portal

Self-Assessment Tool

As part of the registration process, teams can complete the Self-Assessment to help determine their level of preparedness for future waves of COVID-19, see where they can improve and identify specific improvement objectives. Teams can either respond to the Self-Assessment questions directly in in the online portal as part of the registration process, or upload a completed PDF. Completing the Self-Assessment gives access to apply for coaching and funding to help achieve improvement objectives. 

Download Self-Assessment Tool

Teams in British Columbia will need to complete an Assessment Tool developed by BCPSQC.

Download the BC Self-Assessment Tool

Resources to Help Teams Complete the Self-Assessment Tool

To complete the Self-Assessment, all teams should work with a patient partner(s) that can include a resident/client, family or care partner(s). These resources may be useful. 

National LTC+ Huddles

Teams can sign up for national huddles to discuss issues related to safe and effective care during COVID-19, and share practical improvements that can be implemented now. Decision makers, providers, residents, families and care partners can share their experiences openly in a safe and supportive learning environment. Huddles will be led by subject matter experts and organizations sharing how they tackled pandemic-related challenges. These huddles will take place every two weeks.

Read more about National Huddles


Teams that have completed the Self-Assessment and identified their improvement objectives can request coaching to support the implementation of promising practices in their homes. Coaching can help support teams in a variety of ways such as prioritizing their improvement work, providing change management expertise, addressing the barriers and discovering the enablers for their improvement work, and working through how to make sustainable improvements.

Teams that register to join LTC+ by December 18 are eligible to receive up to three one-on-one sessions with a dedicated coach. 


Funding will be distributed in phases. In this current phase, teams that complete the Self-Assessment can apply for up to $10,000 in funding. Funding can be used where the need is the greatest to strengthen pandemic preparedness and response. This could include (but is not limited to) the purchase of additional personal protective equipment (PPE), contribution towards additional staff time, mental health training/support or equipment to support virtual care needs. 

To be eligible, teams will need to:

  • Complete the Self-Assessment and identify at least one area for improvement 
  • Complete the Self-Assessment in partnership with a patient partner (including resident/client/family member or care partner) or ensure a patient partner is part of the improvement team. 
  • Have leadership support to participate in LTC+.

Implementation Science Teams – Strengthening Pandemic Preparedness in Long-Term Care

In partnership with CIHR, New Brunswick Health Research Foundation, Saskatchewan Health Research Foundation, the Centre for Aging + Brain Health Innovation and Michael Smith Foundation for Health Research 14 Implementation Science Teams are being funded to support the evidence-informed implementation of the six promising practices within and across LTC and retirement homes.

Find out more about the CIHR Implementation Science Teams

Webinar Series: Next Steps in COVID-19 Response in Long-Term Care and Retirement Homes

This webinar series brings people together from across the country to share promising practices and learn from others tackling similar challenges in LTC and retirement homes during the pandemic. Led by subject matter experts and patient partners, the webinars showcase promising practices implemented in response to the pandemic and discuss possible pathways for rapidly implementing these practices across jurisdictions. Anyone is welcome to join the webinar series.

Find out more about the LTC+ Webinars


Keep Up-to-Date

This program will continue to evolve with the needs of the sector. To be kept up to date on elements of the program, including funding opportunities, subscribe to our newsletter.
You can also reach out to the team via
LTC+ Pandemic Learning Together

This graphic shows an overview of LTC+ Pandemic Learning Together. One section in yellow colour coded shows the LTC+ Program (register via online portal) and then the national LTC+ Huddles run every 2 weeks. Also part of LTC+ Program is a Self-Assessment which leads to coaching (up to 3 hours) and potential funding (up to $10,000). In another section in blue there is the Webinar Series (Next Steps in COVID-19 Response in LTC and retirement homes – monthly, open to the public). Another section in green shows the CIHR Implement Science Teams. Underpinning these is the six promising practices (preparation, prevention, people in the workforce, pandemic response and surge capacity, plan for COVID-19 and Non-COVID-19 Care, Presence of Family)

BC Patient Safety & Quality Council logo
CPSI logo
CADTH logo
CMA Foundation Logo
Manitoba Institute for Patient Safety logo
The New Brunswick Association of Nursing Homes Logo

1Canadian Institute for Health Information. Pandemic Experience in the Long-Term Care Sector: How Does Canada Compare With Other Countries?. Ottawa, ON: CIHI; 2020; accessed on June 25, 2020: