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Technology and health care for the elderly medical research studies

Focus on strategic priorities that have significant social impact.

TG2015-15

Better tArgetting, Better outcomes for frail ELderly patients (BABEL)

We expect that the alignment of patient wishes with the care that is received will be beneficial to patients, their families and caregivers. This type of intervention has the potential to reduce unnecessary transfers to emergency departments and hospitals, as well as reducing unnecessary procedures.

Prinicpal Investigators:

Paul Hébert, MD -- Centre de recherche du Centre Hospitalier de l’université de Montréal (CHUM)

Allan Garland, MD, MA, BS -- University of Manitoba

John Hirdes, PhD -- University of Waterloo

Rationale: Poor detection of frail patients, silos in the healthcare system and a lack of information on patient wishes limits effective interventions.  Our grant name is BABEL in reference to the city where everyone spoke the same language prior to the confounding of speech.  We will use a common structure and language.  Thus, we aim to identify frail elderly persons so that we may offer personalized care plans in home care and nursing homes.

Hypothesis: Better understanding and detection of people with advanced frailty will support them, their families, and healthcare providers in making better, person-centered decisions.

Objectives: To determine whether personalized interventions applied in home care and in nursing homes can lead to better outcomes for people, their families, caregivers and decision makers.

Research Plan: Our program of research contains three linked projects: 1) a patient-centered intervention in home care trying to reduce use of emergency departments and improve patient safety; 2) introduction of best-practice advanced care planning and care interventions in nursing homes; 3) introduction of interRAI instruments into nursing homes in Quebec and measuring the impact of these standardized evaluations on patient care.

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