The Centre for Studies in Aging& Health at Providence Care Dr. John Puxty

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ANNUAL REPORT The Centre fr Studies in Aging& Health at Prvidence Care 2017-2018 Dr. Jhn Puxty puxtyj@prvidencecare.ca

Centre fr Studies in Aging & Health at Prvidence Care 2017-18 The Centre fr Studies in Aging & Health at Prvidence Care seeks t be the leading surce fr knwledge translatin and exchange (KTE), resurces and expertise t supprt the health and well-being f lder adults including thse caring the care fr lder adults with cmplex needs. We are cmmitted t: wrking in cllabratin with bth internal and external partners being a lcal, prvincial and natinal resurce fr knwledge translatin and knwledge exchange ensuring excellence in prviding and supprting educatin in aging and health building knwledge, awareness and system capacity t prmte successful aging, and prevent r delay the expressin f frailty and its harmful cnsequences achieving excellence by integrating evidence infrmed practice, facilitatin and quality imprvement prmting an exceptinal learning experience fr students and trainees, staff, patients, care partner, families and cmmunity. Values: cmpassin, stewardship, advcacy, excellence and respect Assets include: Established inter-prfessinal team with brad cntent expertise in aging, cllabrative healthcare practice, adult educatin and training, quality imprvement, Knwledge Exchange, multimedia and use f infrmatin technlgy Unique web-based knwledge and infrmatin platfrm which supprts bth the transfer f infrmatin and cllabrative interactin between knwledge creatrs and users. Prven ability t create, adapt and translate knwledge-t-practice resurces and facilitate quality imprvements initiatives relating t aging and health suitable fr a variety f learners and settings Creatin f infrmatinal resurces, educatinal material and decisin-supprts relevant t multiple sectrs and tpics that can be readily accessed and shared using a variety f webbased tls Demnstrated success in generating and leveraging new funding and resurces Strng and emerging partnerships with reginal, prvincial and natinal rganizatins and netwrks in aging and health

CSAH Team 2018 CSAH Team 2018 Directr Dr Jhn Puxty Manager Ms Gail Hawley Knwles Web Prjects & Instructinal Design Lead Ms Phileen Dickinsn Prgram Evaluatr Mr Christian Keresztes Prject Resurce Cnsultant Ms Sarah Webster Research Assistant Ms Jessica Baumhur Knwledge Brker & Research Crdinatr Ms Julia Miller Research Assistant Ms Maria V

CSAH Activities 2017-18 Recent funded prjects Reginal Educatin and Knwledge Exchange Prgram fr Health Care Cnsent and Advanced Care Planning ($263,000 fr 2015-17 frm SE Ontari LHIN) The Center fr Studies in Aging & Health (CSAH) staff cmpleted a cllabrative prject with the Suth East Health Care Cnsent (SE HCC) and Advance Care Planning (ACP) wrking grup t strengthen health care prvider educatin in all health care sectrs. This included the creatin f an nline prtal f infrmatinal and educatinal resurces t supprt HCC and ACP in SE Ontari. Educatinal resurces were develped and pilted t increase capacity and knwledge exchange. A reginal awareness raising, and disseminatin strategy was successfully implemented t key stakehlders inclusive f primary care, cmmunity care and LTC settings Outreach and Supprt t Ontari Cmmunities in Develping Age-Friendly Cmmunities and Utilizing Finding the Right Fit Age-Friendly Cmmunity Planning Guide ($200,000 fr 2015-17 frm Ontari Senirs Secretariat) The CSAH in partnership with Senirs Health Knwledge Netwrk (SHKN), Universities f Waterl, Huntingtn and Queen s University and the Ontari Interdisciplinary Cuncil fr Aging and Health (OICAH) were the recipients f a $200,000 Senirs Secretariat Grant (lcal funding $120,000 ver 2 years). This was used t supprt the implementatin Age-Friendly Cmmunity initiatives in Ontari. The CSAH team prvides leadership t prject prmtin and knwledge exchange effrts by identifying, adapting and disseminating infrmatin thrugh use f a custmized web prtal, Knwledge Brker, mnthly e-newsletter, webinar series and scial media. An evaluatin f 56 funded AFC cmmunities in Ontari was cmpleted. Expanded Outreach and Supprt t Ontari Age-Friendly Cmmunities ($382,000 fr 2016-19 frm Ontari Ministry f Senirs Affairs) Fllwing the successful develpment f the Ontari Age-Friendly Cmmunities Outreach Prgram, we were successful c-applicants in an applicatin fr expansin f the prgram t extend the scpe and fcus t include meeting the needs f small urban-rural cmmunities, and special ppulatins (indigenus and immigrant grups). We cntinue t supprt 84 agefriendly cmmunities in planning, implementatin and evaluatin activities via a dynamic website, mnthly e-newsletter, webinar series and knwledge brker supprt t 4 reginal age-friendly netwrks.

CSAH Activities 2017-18 Recent funded prjects cntinued Blended e-learning Older Offender Prgram ($112,435 fr 2017-2018 frm Crrectinal Services Canada) We have been funded t create and pilt the develpment f new educatinal resurces and strategies t assist care f lder ffenders by health care prfessinals, crrectinal fficers and administrative staff. Discussins are underway t extend the wrk t tw ther prvinces (British Clmbia and Alberta)

CSAH Activities 2017-18 Onging Knwledge Exchange & Capacity Building Activities Reginal Integrated Falls Preventin and Management Strategy fr Older Adults in Suth East (SE) Ontari. CSAH is ne f the leads in Suth East Ontari Integrated Falls Strategy t supprt increased capacity fr falls preventin and management in Suth East Ontari. The grup prvides reginal leadership and strategic directin fr the develpment f an integrated evidence-infrmed apprach t senirs fall preventin acrss the cntinuum f care in Suth East Ontari. The wrk was supprted thrugh multiple funding surces (Ontari Research Calitin (ORC) Early Researcher Funding and in-kind cntributins by Ontari Neurtrauma Fundatin). CSAH and Divisin f Geriatrics internally supprt this wrk. BSS-2018 Online Training & Educatin: Team-based Persn-Centred Care The Behaviural Supprts Services (BSS) initiative aims t prvide a blend f self-directed and mentred nline learning pprtunities fr Mbile Respnse Team (MRT) members and their Lng-term Care Hme (LTC) liaisns. This wrk has been undertaken by CSAH in cllabratin with Prvidence Care s Cmmunity Senirs Mental Health & Behaviural Supprt Services. The bjective is t ptimize team-building within the MRT grup as well as prviding them with the skills t engage with and maintain cllabrative engagement with their LTC clients. Thrugh the sharing f infrmatin, educatin and mentrship, the MRT Team and LTC strive t wrk tgether t deliver persn-centred care fr the elderly in LTC hmes. Practicum and Mentring Opprtunities fr Graduate and Pst-Dctral Students Interested in Pursuing Research Opprtunities in Aging and Health CSAH regularly have 3-4 such students each year frm Queen s University Health Sciences Departments attached t CSAH frm a variety f disciplines and backgrunds. Annual Cnference The CSAH annual cnference is a successful way f engaging cmmunity members and health care prfessinals n tpics f particular interest t lder peple and thse wh care fr them. It blends research with emerging best-practices frm the field. It perates n a cstrecvery basis. The 2018 Cnference Empwering Older Adults: Opprtunities and Pssibilities, will be held n May 25th.

CSAH Activities 2017-18 Onging Knwledge Exchange & Capacity Building Activities cntinued Lng-Term Care Cntinuing Educatin Series at Prvidence Manr In cllabratin with the Department f Family Medicine at Queen s University these mnthly sessins feature educatin n care issues related t lng-term care. Sessins fcus primarily n the educatin needs f medical residents frm the Department f Family Medicine at Queen s University and the cntinuing educatin needs f Lng-term Care Hme based physicians in Suth East Ontari January 2017 - Frailty & Cmmn Cmrbidities February 2017 - High Risk Medicatins in the Elderly March 2017 Visin Lss in Older Peple April 2017 Diabetes in LTC May 2017 - Pain in the Elderly June 2017 - Antipsychtic Use in the Elderly September 2017 Pneumnia and UTI in LTC Octber and Nvember 2017 RAI-MDS Data Set Use in LTC December 2017 Pneumnia and UTI in LTC January 2018 - Palliative Care at LTC February 2018 - Pneumnia and UTI in LTC Linkages Mnthly E-Newsletter Linkages is a mnthly newsletter develped in partnership by CSAH and SHKN as a way f highlighting prvincial prjects, initiatives and pprtunities related t health and aging acrss Ontari. The newsletter is distributed t clse t 5000 stakehlders acrss Ontari.

CSAH Activities 2017-18 Onging Knwledge Exchange & Capacity Building Activities cntinued Research & Innvatin in Aging Frum (RIAF) This prvides a regular frum that prmtes netwrking, cllabratin and sharing f innvatin in research. Recent sessins include: Gazing Critically at Age-Friendly Cmmunities Dr. Mark Rsenberg January 17, 2017 Design f Devices t Increase Independence Dr. Claire Davies February 21, 2017 A Case- Example n Develping an Age-Friendly Actin Plan fr Addressing Scial Islatin in Older Chinese Adults (Nv 2017 Raza Mirza and Sander Hitzig Nvember 30, 2017

Web-based Delivery f Educatin Sagelink (website platfrm) This regularly updated platfrm links stakehlders t resurces, events and infrmatin n pririty and emerging issues impacting the care f lder adults. It features a prtal fr Senirs Health Knwledge Netwrk and prvincial Age Friendly Cmmunity prtal in French and in English. Pages are specifically designed fr caregivers and health care prviders frm multiple sectrs such as cmmunity, hspitals, lng-term care and primary care. Sageducatin Sageducatin is the centres learning cntent management website. Curses are maintained and updates fr specific audiences. Gerntlgical Online Learning and Develpment (GOLD) Resurces T address the cntinuing educatin needs f Regulated Health Care Prfessinals and Unregulated Health Care Prvides, CSAH has created and develped a series f nline curses geared at prviding engaging and interactive learning resurces n a variety f tpics that are f cncern t thse prviding care t lder ppulatins. The wrk has been supprted thrugh multiple external funding surces and internally supprted by CSAH and Divisin f Geriatrics. The resurces are available t be used by staff at Prvidence Manr, Prvidence Care Hspital, CCAC, and within cntinuing educatin activities.

Partnerships Partnerships We are actively prmting the creatin f an Ontari netwrk f researchers interested in age-friendly cmmunities, in cllabratin with Evergreen. The intent is t facilitate dialgue, sharing and cllabratin between researchers and practitiners. This prcess will culminate in at a tw- day meeting in May 2018. Representatives f CSAH are actively netwrking and participating in a number f lcal and prvincial initiatives including: OASIS Bard Reginal Elder Abuse Preventin (REAP) Suth East Health Care Cllabrative Cuncil f Clinical and Academic Prgrams in Aging and Health at Prvidence Care Ontari Interdisciplinary Cuncil f Aging and Health Reginal Geriatric Prgrams f Ontari (RGPs) Ministry f Senir s Affairs Liaisn Cmmittee, Ontari Geriatric Learning Center Steering Cmmittee We prvide nging supprt and leadership t the Senirs Health Knwledge Netwrk (SHKN), including hsting web prtal, crdinating e-newsletter and mnthly meetings. Emerging new partnerships are being frmed with Openlab (part f UHN), Canadian Standards Assciatin and Statistics Canada as part f ur nging wrk with Age-Friendly Cmmunities

Under Review: Additinal Funding Requests Under review: additinal funding requests Age-Friendly Cmmunities Pilt Mentrship Prgram fr $87,600 t the Senirs Cmmunity Grant Prgram Stream 3 fr 2018-19. A Cllabrative Age-Friendly Business Initiative fr Ontari $88,650 t the Senirs Cmmunity Grant Prgram Stream 3 fr 2018-19. RGPO Applicatin fr Caregiver Educatin and Training t MOH&LTC fr $890,000 2018-20 In cllabratin with Ontari Healthy Cmmunities Calitin Statement f Intent t supprt scially islated senirs in small urban/rural cmmunities - submissin t Health and Wellness Grant Prgram: Fcus Area 3 fr $450,000 ver 2 years. CSAH wuld participate thrughut the prject in an advisry capacity and design and hst tw prvincial knwledge exchange webinars t supprt the spread f innvatin. In additin, CSAH wuld develp a best-practice handbk t supprt scially islated senirs in Ontari.

Presentatins and Wrkshps 2017-18 Presentatins & Wrkshps 2017 Puxty J Age-Friendly Cmmunities Geriatrics Interest Grup, Queen s University, Feb 10, 2017 Miller J Advance Care Planning: because yu just never knw Perth Enrichment Prgram, Perth, March 28, 2017 Puxty J Advance Care Planning: We Need t Talk...Managing One f Life's Difficult Cnversatins at RGPs f Ontari Educatin Day May 11, 2017 Miller J & Riddick C Hw and Where t Find Reliable Health Infrmatin n the Internet Kingstn, Frntenac, Lennx & Addingtn Public Health, May 31, 2017 Puxty J Nrmal Aging Prcess, what is nrmal and what is nt Haltn AFC Cmmunity, Oakville, Ontari June 1, 2017 Puxty J and Keresztes C Presenters at Nrth-eastern Ontari Age-Friendly Cmmunities Engagement Wrkshp in Sudbury June 5, 2017 Puxty J and Webster S Presenters at Western Ontari Age-Friendly Cmmunities Engagement Wrkshp in Brant, June 9, 2017 Puxty J and Webster S Presenters at Central Ontari Age-Friendly Cmmunities Engagement Wrkshp in Barrie June 16, 2017 Puxty J and Webster S Presenters at Eastern Ontari Age-Friendly Cmmunities Engagement Wrkshp in Brckville June 19, 2017 Puxty J Dementia Alzheimer Sciety f LLG, Sharbt Lake, June 20, 2017 Puxty J and Webster S An Intrductin t Age-Friendly Cmmunities Presentatin at Niagara Age-Friendly Cnference June 21, 2017 Puxty J and Webster S Presenters at Nrth-Western Ontari Age-Friendly Cmmunities Engagement Wrkshp Thunder Bay June 22, 2017 Webster S Age-Friendly Cmmunities: An Ontari Mvement Presentatin at Thunder Bay Age-Friendly Cnference June 23, 2017 Puxty J Age Friendly Cmmunities: Building Inclusive Cmmunities fr Older Adults Invited presenter within Ontari Summit n Healthy Aging Trnt, June 28, 2017 Puxty J Overview f AFC Activities in Ontari Keynte Address at Assciatin f Municipalities f Ontari Annual Cnference Ottawa Aug 14, 2017

Presentatins and Wrkshps 2017-18 Presentatins & Wrkshps 2017 cntinued Puxty J Overview f AFC Activities in Ontari at Retired Teachers Organizatin Annual Cnference Trnt Sept 17, 2017 Miller J. Advance Care Planning: because yu just never knw Cmmunity & Primary Health Care, Brckville, Sept 25, 2017 Puxty J Multiple presentatins Intrductin t the Older Offender, Nrmal Aging, Frailty, Chrnic Disease and Older Offender at Crrectinal Service Canada Wrkshp Kingstn Oct 2, 2017 Frank C Multiple presentatins Plypharmacy and Falls at Crrectinal Service Canada Wrkshp Kingstn Oct 2, 2017 Puxty J and Webster S CAG Building & sustaining capacity fr Age Friendly Cmmunity initiatives in Ontari wrkshp at Canadian Assciatin n Gerntlgy Cnference Winnipeg, Manitba Oct 21, 2017 Puxty J and Sharpir M Expert Perspectives n Treating and Managing Patients at High Risk fr Fractures Kingstn, Oct. 25, 2017 Puxty J and Webster S Building & Sustaining Capacity fr Age-Friendly Cmmunity Initiatives in Ontari wrkshp at Canadian Assciatin n Gerntlgy Cnference Winnipeg, Manitba Oct 21, 2017 Puxty J Multiple presentatins Delirium, Depressin, Dementia and Respnsive Behaviurs at Crrectinal Service Canada Wrkshp Kingstn Oct 30, 2017 Hawley-Knwles G Quality Imprvement Crrectinal Service Canada Wrkshp Kingstn Oct 30, 2017 Puxty J Delirium, Depressin, Dementia at Annual Alzheimer Sciety Cnference Kingstn, Nvember 2, 2017 Webster S Hw Partnerships are Strengthening Age-Friendly presentatin at the Natinal Institute n Ageing cnference Nv 23, 2017 Miller J. Staying Active, Safe & Healthy in ur Cmmunities in Ontari at Prvidence Care Hspital, Nvember 17, 2017 Webster S Age-Friendly Cmmunities Outreach Prgram presentatin at Yrk Regin Age- Friendly Cnference 27 Nv 2017 Frank C Cntinence, WebEx presentatin fr Crrectinal Services Canada, Dec 11, 2017

Presentatins and Wrkshps 2017-18 Presentatins & Wrkshps 2018 Puxty J Osteprsis, Plyarthrpathy and PMR WebEx presentatin fr Crrectinal Services Canada, Jan. 22, 2018 Frank, C Transitins Crrectins t Cmmunity WebEx presentatin fr Crrectinal Services Canada, Feb 12, 2018 Miller J. Stay n Yur Feet Understanding falls and hw we can prevent them OASIS, Kingstn March. 15, 2018

Future CSAH Strategic Opprtunities Future CSAH Strategic Opprtunities Cntinue and expand scpe f existing funded activities related t Age-Friendly Cmmunities Outreach Prgram, and Older Offenders Prgram in Crrectinal Services. Tw Research Fellws frm Canadian Frailty Netwrk will be jining us in April 2018 t wrk in area f develpment f tlkits fr primary and cmmunity care f frail elderly in small urban-rural settings. Cntinue t expand prvincial and natinal netwrking and active cllabratins, including: Establishment f Prvincial Naturally Occurring Retirement Cmmunity (NORC) Resurce Centre is being explred by three rganizatins that are already cllabrating t bring an innvative Naturally Occurring Retirement Cmmunity (NORC) mdel t Ontari. The partners are: UHN OpenLab (Trnt), Oasis Senir Supprtive Living (Kingstn), and The Centre fr Studies in Aging and Health (CSAH) at Prvidence Centre/Queen s University (Kingstn). We have been invited thrugh the SHKN t submit a prpsal fr develpment f a Knwledge Translatin and Transfer Hub related t Develpmental Disabilities by Ontari Ministry f Cmmunity and Scial Services. The Research & Curriculum Librarians at Fanshawe Cllege have apprached us fr assistance n a research prject entitled "Digital Inclusin f Marginalized Senirs: Access t Health Care Infrmatin", t supprt senirs in the Lndn area in accessing healthrelated resurces. This prject is funded via a grant frm ecampus Ontari.