Anticipatory Long-term care Electronic Resident Triage Tool (ALERT) for Canadian Long-Term Care Homes
This project aims to develop a triage tool for long-term care homes (LTCHs), similar to e-INTERACT in the United States, to proactively identify residents at risk of transfer to emergency departments (ED) and/or death in the GTA, with potential for spread across Canada.
Possible Research Results
Anticipated findings: We anticipate we will develop a triage tool based on e-INTERACT for LTCHs in the Greater Toronto Area (GTA) with potential for spread across Canada.
Impact of findings: PointClickCare’s extensive involvement in Canada’s LTCH electronic health record market will facilitate spread of ALERT system-wide across the country. If successful, it is expected to set the standard in early identification and prompting of LTCH staff to review care plans proactively, thereby reducing potentially avoidable hospitalizations (PAHs). Development of such an IT solution for Canadian LTCHs is expected to transform frontline staff’s documentation and communication practices. Coupled with education on palliative care, this is expected to promote proactive individualized care plan reviews and enhanced in-house care, which has been proven to reduce PAHs.
About the Project
Seniors hospitalized for non-life-threatening conditions are at higher risk of confusion, complications and death compared to elders treated at home. Potentially avoidable hospitalizations (PAH) may occur if LTCHs staff do not identify early warning signs of illness, missing opportunities to modify care plans before residents are in crisis.
For more details on the project rationale, hypothesis, objectives and research plan, click here.
Michelle Grinman, MD, FRCPC, MPH -- University of Calgary
Greta Cummings, RN, PhD, FCAHS, FAAN -- University of Alberta
Tracey Human, RN, CHPCN(C) -- Palliative Pain & Symptom Management Consultation/Toronto Service (PPSMC)
Aynharan Sinnarajah, MD, MPH, CCFP -- Alberta Health Services/University of Calgary
Hannah Wong, PhD -- School of Health Policy and Management, York University
Robert Wu, MD, MSc -- University Health Network
Irene Ying, MD, MHSc, CCFP -- Sunnybrook Health Sciences Centre
Knowledge Users and Partners:
Stuart Feldman -- PointClickCare
Daile Moffat, RN, MBA -- Sienna Senior Living
Project Contact: Dr. Michelle Grinman -- firstname.lastname@example.org
Key words: long-term care; potentially avoidable hospitalizations; trigger tool; end-of-life