Strategic Plan & Operational Structure

Strategic Plan &Operational Structure

2020-2023

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