Geriatric Service Integration Models

Clinical Services Plan

The Hamilton Niagara Haldimand Brant Local Health Integration Network brought together Planning Advisory Groups (PAGS) to advise the LHIN Clinical Services Plan Steering Committee on future models of service that will ensure the right care, in the right place, at the right time. The desired outcome is a system plan that will be operationalized over the next three to four years.

The Division of Geriatric Medicine, McMaster University in collaboration with community stakeholders participated as one of 18 PAGS. Their clinical service plan was submitted to the LHIN in June, 2009. Four clinical models have been proposed:

Integration of SGS with Primary Care
Transitional Care

Geriatric Access & Integration Network (GAIN)

GAIN Report: Priorities for Specialized Geriatric Services in the HNHB LHIN

Following a review of Year 1 proposals submitted for funding from the Aging at Home (AAH) Strategy, the HNHB LHIN Board recognized the need to have a set of Specialized Geriatric Services (SGS) priorities that could be used to assist them in making future funding decisions related to year 2 and 3 AAH proposals.

At the request of the HNHB LHIN, GAIN engaged participants from various sectors adn all LHIN regions in focus groups during May-June to solicit information on service gaps, barriers to care etc. for patients needing SGS. A Delphi process was then used to assist in the development of consensus on priorities.

GAIN Consultation on Specialized Geriatric Services
Background Document to Inform Consultation
Appendix A: Summary of Integrated Models of Care

What Patients Tell Us

I finally gathered enough courage to ask for your help regarding memory loss. I am 75 years old and have been noticing memory loss for the past year. I have an older brother who has Alzheimer’s and I would like to get help before I reach that stage.

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