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Introduction
• Provincial Geriatrics Leadership Ontario (PGLO) was created in 2018/19 with funding from the Ministry of Health, and• coordinates the provincial infrastructure for clinical geriatrics care, and, in collaboration with health
professionals providing direct care, provides trusted leadership in advancing integrated, person-centred care for older adults and their caregivers living with complex health needs in Ontario.
• Integrates perspectives across clinical geriatric services (Care of the Elderly, Geriatric Medicine, Geriatric Psychiatry and Interprofessional Geriatric Teams) in order to improve the care for older adults across the continuum of care.
• Aligns with the Framework for Collective Impact, providing backbone support to achieve a common vision for older adult health services.
• PGLO and regional specialized geriatric services are important resources for Ontario Health Teams (OHTs) to support their efforts to assist older adults living with complex health concerns (e.g. frailty) – a population of focus for the majority of OHTs
Ministry of Health Expectations
1. Fostering health system transformational change relevant to the care of older people (e.g. dementia care);
2. Advancing collaboration with primary care and the broader health system with respect to older persons' care;
3. Supporting the development and implementation of clinical standards relevant to older persons' care (in collaboration with Ontario Health Quality);
4. Continuing to advance the implementation, spread and evaluation of the Senior Friendly Care framework;
5. Informing provincial, regional and local planning related to seniors’ initiatives with clinical expertise, including existing initiatives such as Behavioural Supports Ontario, Assess and Restore, Geriatric Rehabilitation and emergent activities such as Alternate Levels of Care and Ontario Health Teams;
6. Leading the engagement to provide annual updates the SGS Asset Map Project; and
7. Supporting the preparation of geriatric practitioners of any health profession.
Develop and advance capacity building, education, knowledge exchange, innovative best practices relating to clinical and service delivery aspects concerning SGS across geriatric specialties and primary care.
1Develop, implement and begin monitoring a standardized outcome-based performance measurement and evaluation framework.
2Serve in an advisory role to the ministry on policy and priorities pertinent to SGS and frail senior care.
3
2020-2023 Strategic PlanOur purpose
To coordinate the provincial infrastructure for clinical geriatrics care and a trusted leader in advancing integrated, person-centred care for older adults and their caregivers living with
complex health needs in Ontario
Our work is:§ Reflective of and responsive to the ongoing feedback of older adults and their caregivers;§ Reinforced by a robust evidence base; and§ Rooted in the principles of interprofessional, collaborative care and a culture of learning
ValuesAdvocacy Coordination Accessibility Compassion
Equity Quality Integration Person-centredStrategic Directions
Drive Clinical Excellence Build Capacity Across the System Advance Seniors Health Policy
Measures
Health Outcomes Individual/Family Experience Provider Experience Value
Sample measures (in development)• Time at home • Experience
• Choice and options• Access
• Recruitment• Retention
• ROI based evaluation
Steering CommitteeMOH
Executive DirectorMedical Director/
Co-Medical Directors
Staff and Contractors
RGPT
PGLO Operations• Paid staff employed by RGP-T• ED supervises all staff and is
accountable to the Steering Committee
• Secretariat to all PGLO groups, serving core functions of information sharing, analysis, coordination, integration
Legend & Comments
Steering Committee• Governance, approvals, formal voice
of the PGLO• Terms of reference, prescribed
membership
Engagement StructureClinical Services Council/Consortium
Committees
Working Groups
Town Halls
PGLO Governance & Operating Structure
SGS Administrators
Virtual Care
SGS Asset Map
CGA Knowledge to Action
Retirement Homes
Long-Term Care
In-home & Ambulatory SGS Care
Performance Measurement
Research & Evaluation
Coordinated Access
Home Care Regulations
Working Groups• Ad hoc, action-oriented• No terms of reference, just clearly
defined goals & endgame• May be self organized, spontaneous
but require a link to PGLO mandate to be included as PGLO work
• Open targeted membership
Committees• Longer term structures with defined
terms of reference• Open targeted membership• May be a community of practice• Brings sectoral/disciplinary issues into
focus
Legend & Comments
Clinical Services Council/Consortium• Standing body with a terms of reference• Closed targeted membership• Maintains focus on work streams (i.e. strategic directions)• Integrative and coordinating function, examining trends raising issues, sourcing expertise• Includes stakeholders external to geriatricsEngagement Structure
Clinical Services Council
Committees
Working Groups
Town Halls
Town Hall• Structured information sharing with broad geriatrics communityItalicized items to be developed
Engagement (Operational) Structure