Our 2013 – 16 Strategic Plan includes four strategic priorities, based on a comprehensive consultation process with key partners and stakeholders:
1. Foster matching care to values
Our health system needs to align with the values of Canadians, providing appropriate interventions that maximize outcomes and quality of life, while reducing moral distress in care providers. To support this, we will:
- Develop an ethical framework for care of older Canadians living with frailty and their family caregivers to provide a foundation for choices and decisions for the creation, dissemination and implementation of health care technologies.
- Develop interventions to address the “moral distress” in health care providers working with the seriously ill, older adults living with frailty.
- Foster improved inter-professional collaboration for health care providers working with the seriously ill, older adults living with frailty.
2. Empower, engage and support patients and their families/caregivers
More knowledge and support is required to help patients, families and caregivers navigate the health care system and make decisions, particularly during times of acute illness or at the end of life. We intend to:
- Support strategies for patient engagement in Network research and knowledge translation.
- Develop and evaluate tools for care planning and shared decision making.
- Develop interventions to improve communication between health care providers and patients, families and caregivers.
3. Improve clinical outcomes
We need to know more about the impact of treatments and health decisions on older Canadians living with frailty, who commonly suffer from multiple chronic conditions and are often excluded from studies. We will:
- Increase evidence-informed practice to improve and maintain function in older adults living with frailty.
- Develop and encourage the appropriate use of technology in both treatment and in end-of-life care.
- Promote quality indicators for care of the sick older adults at the individual, institutional and system level.
4. Improve care across the continuum
The care needs of older adults living with frailty are complex and often require collaboration among a number of health professionals, community organizations and institutions, in a system that typically isolates institutions and methods of care. We must:
- Develop standardized measurement and evaluation frameworks for the system of care for older adults living with frailty.
- Promote the implementation of best practices around systems of care.
- Provide capacity and awareness throughout the system on how best to break down barriers between different care settings.
- Evaluate methods to improve the effectiveness of patient and system navigation.
- Develop interventions to improve communication among health care providers across different settings of care.