Wednesday, June 23, 2010 |
8:00 am |
Registration |
8:00 am – 8:30 am |
Continental Breakfast |
8:30 am – 8:55 am |
Welcome and Opening
|
8:55 am – 10:00 am |
Keynote Presentation
All Together Now—A Fresh Look at Integrating Seniors Care
Dennis L. Kodner, PhD, FGSA
Professor of Medicine & Gerontology;Director, NYIT Center for Gerontology & Geriatrics,
New York College of Osteopathic Medicine of New York Institute of Technology (NYIT), Old Westbury, New York
Seniors have social, emotional, health, and physical needs that change over time.
The poor health and decline in everyday functioning. Yet, accessing needed services— even in regions
with excellent medical, mental health, continuing care, wellness, housing and other supportive senior
options—can be problematic. The “continuum of care,” designed to provide the right help
to seniors at the right time and place, is an oft-recommended antidote to a fragmented and uncoordinated
system The building of a successful continuum of seniors’ care demands well-integrated providers,
professionals and services for accessibility, quality and cost. What does “integration” mean;
what does it take to integrate seniors’ care; and what are the obstacles likely to be encountered
along the way? Dr. Kodner will take a fresh look at what needs to be done to bring it “all
together now.”
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10:00 am – 10:15 am |
Refreshment Break |
10:15 am – 11:00 am |
Keynote Presentation
Chronic Disease and Aging: The Challenge for Medicine for the 21st Century
Howard Bergman, MD
Vice-President and Scientific Director, Fonds de la Recherche en Santé du Québec (FRSQ), Montreal, QC
Canada and its health care system are facing two major challenges which are inextricably related.
Canada’s population is aging very rapidly, with the most dramatic increases in the number of citizens over
80 years old. At the same time, chronic disease is the most important cause of illness and mortality burden,
becoming the leading driver of healthcare resource utilization. The cumulative effect of chronic disease
throughout life and the age related decline in physiological reserves contributes to the onset of frailty and
ultimately disability and dependency in the aging population. Aging and chronic disease are two key issues in the
challenge to improve the health of the Canadian population and delay the onset of frailty and dependency and
promote independent and healthy aging. Both the health and quality of life of older adults in the coming
50 years, as well as the sustainability of our healthcare system, depends on our ability to meet these challenges.
In spite of major changes in the demography and the epidemiogic transition to chronic disease, the paradigm of the
acute care hospital and its relation with the community has not really changed in the past 60 years. Dr. Bergman
will discuss the necessary changes in the organization and processes of care both within the hospital and its
relation with the community.
|
11:00 am – 12:00 pm |
Dialogue with Experts
Key Components to Building and Transforming Seniors’ Care: An International, National and Local Perspective
Following individual speakers addressing “What is the most important thing we need to do to achieve a strong seniors’ strategy?”, Dialogue with Experts will bring a broader context into the realm of participants. Will include questions from the audience.
Moderator:
Barbara Clive, MD, FRCPC
Geriatric Lead, Mississauga Halton Local Health Integration Network;
Medical Director, Regional Geriatric Services, The Credit Valley Hospital, Mississauga, ON
Panellists
Dennis L. Kodner, PhD, FGSA
Professor of Medicine & Gerontology; Director, NYIT Center for Gerontology & Geriatrics, New York College of Osteopathic Medicine of New York Institute of Technology (NYIT), Old Westbury, New York
Howard Bergman, MD
Vice-President and Scientific Director, Fonds de la Recherche en Santé du Québec (FRSQ), Montreal, QC
Janet E. McElhaney, MD, FRCPC, FACP
Division Head, PHC Division of Geriatric Medicine, St. Paul’s Hospital, Vancouver, BC
|
12:00 pm – 12:55 pm |
Lunch |
1:00 pm – 1:30 pm |
Keynote Presentation
Brain Sciences: An Innovative Model for Mental Health Care of Older Adults
Ken Shulman, MD, M.R.C.Psych., FRCP(C), M.Sc
Associate Scientist, Sunnybrook Health Sciences Centre, Toronto, ON
Mental health care of older adults inevitably involves multiple disciplines including allied health and medical disciplines.
The organization of health services and the training of health care professionals should facilitate the collaboration of
these disciplines and also ensure that limited resources are used in an efficient and cost-effective way.
The Brain Sciences program at Sunnybrook is an experiment in creating a model of care that aims to achieve these goals.
This presentation will describe our experience to date and assess the benefits and challenges of an organizational model
that utilizes a program management structure within an academic health sciences centre - thus changing the way the
world thinks about the brain.
|
1:30 pm – 2:00 pm |
Keynote Presentation
Transforming Seniors Care: Knowledge in Motion
Janet E. McElhaney, MD, FRCPC, FACP
Division Head, PHC Division of Geriatric Medicine, St. Paul’s Hospital, Vancouver, BC
Dr. McElhaney will help participants to understand that goal responsive acute care for elders means that:
1) Transforming seniors care has five key clinical issues
2) Change from baseline level of frailty reflects the margin for improvement and sets goal of care in acute illness
3) Mobility is the fifth vital sign
4) Interprofessional collaborative practice is needed for cost-effective care delivery
|
2:00 pm – 2:30 pm |
Keynote Presentation
New and Evolving Models of Geriatric Outreach
Barbara Liu, MD, FRCPC
Geriatric Medicine and Clinical Pharmacology;
Associate Professor of Medicine, University of Toronto;
Executive Director, Regional Geriatric Program, Toronto, ON
The Regional Geriatric Program of Toronto (RGP) and its partners have implemented three models of outreach services
through the Aging at Home Strategy. Dr. Liu will describe each of the models, highlight some commonalities and
differences in the models; provide insights into the enablers and challenges of the various models; and review
the importance of collaborative care in providing the right care to frail seniors in the right place, in a timely manner.
|
2:30 pm – 2:45 pm |
Refreshment Break |
2:45 pm – 4:00 pm |
Dialogue with Experts
Transforming Acute Care for Seniors
The panel will address the question:
What do acute care hospitals need to do differently in the future?
Moderator: Janet E. McElhaney, MD, FRCPC, FACP
Division Head, PHC Division of Geriatric Medicine, St. Paul’s Hospital, Vancouver, BC
Panellists
Richard W. Shulman, MD CM, FRCPC
Medical Director, Seniors Mental Health Services, Trillium Health Centre, Mississauga & West Toronto
Seagaram Chandrakumar, MB, FRCPC
CHE Geriatrician Lead, Seniors’ Health, Trillium Health Centre
Barbara Liu, M.D., FRCPC
Geriatric Medicine and Clinical Pharmacology;
Associate Professor of Medicine, University of Toronto;
Executive Director, Regional Geriatric Program, Toronto, ON
Joo Meng Soh, MD
Chief, Medical Health System, Trillium Health Centre
Ken Shulman, MD, M.R.C.Psych., FRCP(C), M.Sc
Associate Scientist, Sunnybrook Health Sciences Centre, Toronto, ON
|
4:00 pm – 4:30 pm |
Panels report back to the group |
Thursday, June 24, 2010 |
8:00 am |
Registration |
8:00 am – 8:30 am |
Continental Breakfast |
8:30 am – 8:50 am |
Welcome and Opening |
8:50 am – 9:20 am |
Keynote Presentation
Tools for Planning, Funding and Integrating Health Care Services
Colin Preyra, MA, MSc, PhD
Director, Canadian Health Services Research Group, Toronto, ON
This presentation uses the Ontario Health Based Allocation Model (HBAM) to review challenges and opportunities in the future delivery of seniors’ health care. Attention will be paid to important medical conditions, forecasting service use, and care across the continuum. The importance of coordinated funding and planning tools will be demonstrated using the HBAM approach.
|
9:20 am – 9:50 am |
Keynote Presentation
Challenging the Old Guard
Jane Barratt, BSc, MSc, PhD
Secretary General, International Federation on Ageing
Demographic change is a precursor to many serious social consequences experienced by older citizens in a world where there is a tendency to focus on the economic and burdensome costs of ‘care.’ Ageing is often associated with an increase in chronic conditions and yet misperceptions about the productivity or lack thereof of ‘older people’ are resulting in a one-sided conversation. Dr. Barratt will challenge some outdated definitions, question some ‘caring models’ and give purpose to the concept that older people are central to the community of tomorrow.
|
9:50 am – 10:20 am |
Frailty in Acute Care: Context, Complexity, and Limits
Melissa Andrew, MD
Division of Geriatric Medicine, Capital Health;
Assistant Professor of Geriatric Medicine, Dalhousie University, Halifax, NS
Dr. Andrew will describe frailty in relation to accumulation of deficits, including evidence suggesting that there is a limit to how frail a person can be. She will also describe how frailty challenges routine hospital care and discuss how we might make care better by embracing the complexity of frailty.
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10:20 am – 10:35 am |
Refreshment Break |
10:35 am – 10:55 am |
Transforming Seniors’ Care in the Mississauga Halton LHIN – Specialized Geriatric Services and the ASSIST Model
Barbara Clive, MD, FRCPC
Geriatric Lead, Mississauga Halton Local Health Integration Network;
Medical Director, Regional Geriatric Services, The Credit Valley Hospital, Mississauga, ON
Dr. Clive will discuss the work that has been done so far on planning for specialized geriatric services in the Mississauga Halton Local Health Integration Network (MH LHIN). She will also speak about the ASSIST model – an integrated seniors program in the MH LHIN. The vision for the future as well as the barriers and challenges met will be discussed.
|
11:00 am – 11:20 am |
Seniors’ Health at Trillium
Laurie Bernick, RN(EC), MScN, GNC(C),
Nurse Practitioner, Seniors’ Health, Trillium Health Centre
Aligned with the Mississauga Halton LHIN priorities, Trillium has invested in the development of a continuum of specialized geriatric services from inpatients to outreach, including education, research, leadership engagement and structural redesign to transform seniors’ care. The Seniors’ Health program’s vision, components of integration and future directions will be described.
|
11:25 am – 11:45 am |
Trillium Health Centre Seniors' Mental Health Program: Opportunities for Integration and Growth
Richard W. Shulman, MD CM, FRCPC
Medical Director, Seniors’ Mental Health Services, Trillium Health Centre, Mississauga and West Toronto
Trillium Health Centre has a comprehensive geriatric psychiatry program of hospital-based acute-care inpatient and outpatient ambulatory services, with community outreach to vulnerable people living at home or in long-term care facilities, to provide specialized assessment, diagnosis, treatment and case management services for older adults with complex psychiatric problems. Dr. Shulman will discuss opportunities to develop an integrated seniors program with mental health and all health systems working collaboratively for older adult outpatients and inpatients in any unit.
|
11:45 am – 12:45 pm |
Lunch |
12: 50 pm – 1:20 pm |
Identifying Changes Required to Realize Change
Dennis L. Kodner, PhD, FGSA
Professor of Medicine & Gerontology; Director, NYIT Center for Gerontology & Geriatrics, New York College of Osteopathic Medicine of New York Institute of Technology (NYIT), Old Westbury, New York
Dr. Kodner will be challenging the participants to identify what changes are required to realize change.
- What do we need to change?
- What is missing – gaps?
- What are the key priorities?
- What are the key challenges?
|
1:20 pm – 2:00 pm |
Breakout Sessions:
Building the Action Plan for Transforming the Sectors and Identifying the Top Three Priorities
Each table will discuss how to transform hospitals and community organizations – CCAC, MH LHIN, and Public Health.
|
2:20 pm – 2:30 pm |
Refreshment Break
|
2:30 pm – 3:15 pm |
Report from Breakout Sessions |
3:15 pm – 4:00 pm |
Dialogue with Experts
Overcoming the Barriers to Create an Integrated Continuum of Care for Seniors
Moderator:
Dennis L. Kodner, PhD, FGSA
Professor of Medicine & Gerontology; Director, NYIT Center for Gerontology & Geriatrics,
New York College of Osteopathic Medicine of New York Institute of Technology (NYIT), Old Westbury, New York
Panelists
Jane Barratt, BSc, MSc, PhD
Secretary General, International Federation on Ageing, Toronto, ON
Colin Preyra, MA, MSc, PhD
Director, Canadian Health Services Research Group, Toronto, ON
Melissa Andrew, MD
Division of Geriatric Medicine, Capital Health;
Assistant Professor of Geriatric Medicine, Dalhousie University, Halifax, NS
Barbara Clive, MD, FRCPC
Geriatric Lead, Mississauga Halton Local Health Integration Network;
Medical Director, Regional Geriatric Services, The Credit Valley Hospital, Mississauga, ON
Richard W. Shulman, MD CM, FRCPC.
Medical Director, Seniors Mental Health Services, Trillium Health Centre, Mississauga & West Toronto
|
4:00 pm – 4:30 pm |
Closing Speaker and Wrap-up |
