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Proposal for a Specialized Geriatric Services Decision Making Tool
To date, there has been little literature published on the practice patterns of geriatric medicine (GM) and the determinants of contact with this specialist discipline by community dwelling older adults with complex needs, including those receiving publicly-funded home care (HC) services. Come hear about the findings of a population-based retrospective cohort study of older HC clients in Ontario (N=196,444; 2012-2015). Standardized HC assessments were linked to health administrative datasets (out-patient physician and acute care services use). Descriptive statistics were used to describe service use patterns. Multivariable generalized estimating equation modeling was used to examine associations between client characteristics and outpatient GM contact in 90 days post-assessment. Based on results, provincial stakeholders created a standardized decision-support tool to identify HC clients who would most benefit from GM referral. This decision-support tool could inform workforce planning, improve care provider collaboration, and promote more rational and equitable resource allocation.

The objectives for the session are as follows:

1) To describe patterns, outcomes, and determinants of geriatric medicine services use by older home care clients in Ontario

2) To propose a decision support tool for referral to specialized geriatric services

Feb 28, 2020 12:00 PM in Eastern Time (US and Canada)

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George Heckman, MD, FRCPC (C)
Schlegel Research Chair in Geriatric Medicine @University of Waterloo/Schlegal-UW Research Institute for Aging
Dr. George Heckman holds a BScH in Engineering Physics, a MMath in Computer Science, an MD with a specialization in both internal medicine and a geriatric medicine and an MSc in Health Research Methodology. He has been Primary Panelist for the CCS Consensus Conference on Heart Failure since 2005, Vice Chair of the CCS Quality Indicators for Heart Failure Working Group until 2018, led the Quality Indicators for CCS Heart Failure Sub-theme group for Palliative Care/End of Life Planning 2011-2012, and sits on the clinical advisory committee of CorHealth Ontario. He is a Fellow of interRAI, an international not-for-profit consortium of researchers and clinicians from over 35 countries and which develops, tests and implements standardized assessment systems for vulnerable individuals. His research interests include management of heart failure in long term care, chronic disease management of frailty in various care settings, and vascular aging.
Sophie Hogeveen, PhD
Health System Impact Fellow @Women’s College Hospital Institute for Health System Solutions and Virtual Care
Sophie completed her PhD at the School of Public Health and Health Systems, University of Waterloo. Her research focuses broadly on health services delivery through the investigation of decision support systems and innovative care processes that make use of health system resources in a sustainable and equitable manner. Her doctoral work investigated patterns of community-based specialized geriatric services use by community-dwelling older home care clients using secondary health assessment and administrative data. Sophie is currently a Health System Impact Fellow at the Women’s College Hospital Institute for Health System Solutions and Virtual Care. She is working on a project exploring access to home care and community support services using provincial health system data. Her academic institution is McMaster University, where she is a postdoctoral fellow at the McMaster Institute for Research on Aging.