2020 National Conference on Frailty Submission Form Call for Submissions-CFN National Conference 2020 The Canadian Frailty Network (CFN) invites you to submit your initiative for an opportunity to be highlighted at the National Conference on Frailty on either September 21st or 22nd at the Westin Nova Scotian, Halifax, Nova Scotia. Submissions should describe real-world implementation or knowledge translation of evidence based initiatives or cutting-edge research results. From all submissions, we will be inviting a select number to be presented in either oral (podium) or storyboard form . If you are a care organization or agency involved in innovative programs or policy initiatives that improve care for older Canadians living with frailty and/or their family/friend caregivers, we want to hear from you! Initiatives may be submitted for an oral presentation or storyboard forum. Please indicate for which you would you would like to be considered* Oral Presentation Storyboard Forum only Under which theme(s) does your initiative fit:* Social Frailty Climate Change and Vulnerability Marginalized Populations Policy and its Impact on Frailty and/or Caregiving Caregiver Support Practice Change Frailty Identification Biology of Frailty Project Lead Name* First Last This is the primary contact for the initiative.Project Lead Email* Project Lead Phone*Initiative Name*Organization where initiative was tested/implemented*Initiative Location* City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland & LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Please provide the name(s) and contact information of additional significant team members who are involved in the initiative.Name First Last Email Organization/InstitutionName First Last Email Organization/InstitutionName First Last Email Organization/InstitutionInitiative Summary*350 words max. Summaries must be submitted in a structured format comprising four sections: • Background and reason for initiative • Key elements and how it works • Evaluation• Impact For innovations without formal evaluations (i.e., works in progress), for which the results will not be available by the application deadline, please describe anticipated results or impacts.What is the setting of your innovation?* Rural Remote Indigenous Inner City Hospital (Acute Care) Hospital (Community or Rehabilitation) Private Residence Home Care Services Palliative Care Hospice Primary Care Retirement/Assisted Living Residence Long Term Care Select all that applyHow have patients or citizens been involved or engaged within various stages of the innovation (e.g. design, implementation, evaluation)*150 words max. CFN defines a "citizen" as older Canadians living with frailty, or, current or former family or friend caregivers of an older adult living with frailty, or, others from the general public interested in the care of older adults living with frailty. “General public” refers to citizens with lived or personal experience with the issues relevant to CFN’s mandate who are preferably not affiliated with public or private healthcare providers, government, or industry in the area of care of older adults living with frailty.List all units, regions and organizations that have adapted and implemented the program.*Is there anything else you would like us to know?200 words max.