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Their commitment, and the support from CFHI, has resulted in improvements in care and quality of life for people living in long-term care. While this project has concluded, our commitment to improving outcomes in this area will continue.\"",{"type":1085},{"type":1085},"The Honourable John Haggie","Minister of Health and Community Services, Government of Newfoundland and Labrador (2019)",{"id":16,"_uid":1767,"content":1768,"component":462},"e3e2293c-0505-4974-ad73-14c30473144c",[1769],{"_uid":1770,"content":1771,"component":461},"2d038131-046e-4ec4-a420-bf0a3b502b5b",{"type":12,"content":1772},[1773],{"type":15,"attrs":1774,"content":1775},{"textAlign":53},[1776,1779],{"text":621,"type":300,"marks":1777},[1778],{"type":624},{"text":1780,"type":300},"Of those who were still participating in the AUA program at the end of both Phase 1 and Phase 2.",{"id":16,"cta":1782,"_uid":1787,"items":1788,"title":1115,"component":1116},[1783],{"_uid":1784,"link":1785,"label":1112,"component":478},"c9571b4b-2c88-4e85-85c0-ef39582a2ec9",{"id":275,"url":16,"linktype":470,"fieldtype":471,"cached_url":341,"story":1786},{"name":270,"id":274,"uuid":275,"slug":340,"url":341,"full_slug":341,"_stopResolving":344},"811351cc-ec6b-4490-9a9c-95b72b53f9b0",[308,337,324,323,327],[143,129,136,150],[],"newfoundland-pei-sqli-aua","programs/newfoundland-pei-sqli-aua",-17580,[],"39631746-2323-4ccd-b7d2-ed80c4b29af6","2026-01-06T20:52:08.164Z",[],[1799],{"path":1800,"name":53,"lang":353,"published":53},"programmes/newfoundland-pei-sqli-aua",{"name":1802,"created_at":1803,"published_at":1804,"updated_at":1805,"id":1806,"uuid":325,"content":1807,"slug":2105,"full_slug":2106,"sort_by_date":53,"position":2107,"tag_list":2108,"is_startpage":290,"parent_id":345,"meta_data":53,"group_id":2109,"first_published_at":2110,"release_id":53,"lang":348,"path":53,"alternates":2111,"default_full_slug":2106,"translated_slugs":2112},"Northern and Indigenous Health Program","2025-12-22T13:45:57.617Z","2026-03-01T16:09:51.392Z","2026-03-01T16:09:51.413Z",125835500070225,{"seo":1808,"_uid":1812,"hero":1813,"type":1836,"theme":402,"banner":1837,"format":1838,"topics":1839,"Noindex":290,"content":1840,"audience":2065,"component":501,"contentSticky":2066},{"_uid":1809,"title":1810,"plugin":279,"og_image":16,"og_title":16,"description":1811,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"30060250-ce5f-4210-abf5-389b0c3f68ed","Northern and Indigenous Health ","Healthcare Excellence Canada (HEC) supports the advancement of First Nations, Inuit and Métis priorities, and culturally safe and equitable care.","68b405f3-4bbf-42ac-b828-89cb1e51a3ee",[1814],{"get":1815,"_uid":1818,"image":1819,"title":1810,"status":1825,"component":390,"description":1826,"programType":290,"requirements":1833,"programEndDate":16,"programStartDate":16,"inscriptionsEndDate":16,"inscriptionsStartDate":16},{"type":12,"content":1816},[1817],{"type":15},"a9953c31-28d1-4fe4-81ee-338249b9b4ae",{"id":1820,"alt":1821,"name":16,"focus":16,"title":1822,"source":16,"filename":1823,"copyright":16,"fieldtype":288,"meta_data":1824,"is_external_url":290},114299910549477,"A closeup of a person’s Mukluks while they’re walking on an ice road.","Northern and Indigenous Health","https://a-ca.storyblok.com/f/850807391887861/70e00f624a/nih-image.png",{"alt":1821,"title":1822,"source":16,"copyright":16},"in-progress",{"type":12,"content":1827},[1828],{"type":15,"attrs":1829,"content":1830},{"textAlign":53},[1831],{"text":1832,"type":300},"Healthcare Excellence Canada (HEC) supports the advancement of First Nations, Inuit and Métis priorities and culturally safe and equitable care in three program areas: Truth and Reconciliation, First Nations, Inuit, Métis and Northern health system partnerships, and addressing systemic racism and supporting cultural safety.",{"type":12,"content":1834},[1835],{"type":15},[222],[],[],[62,91,84,32,76,46],[1841,1861,1983,2057],{"id":16,"_uid":1842,"items":1843,"component":1860},"73ca396c-72ee-41c3-bbcf-da563ab8a90c",[1844],{"_uid":1845,"link":1846,"image":1847,"title":16,"component":1852,"description":1853},"0087c4d1-1c82-4853-9cca-2e60e77d92ac",[],{"id":1848,"alt":1849,"name":16,"focus":16,"title":1849,"source":16,"filename":1850,"copyright":16,"fieldtype":288,"meta_data":1851,"is_external_url":290},114297398779227,"Tile First Nations, Inuit And Métis Priorities","https://a-ca.storyblok.com/f/850807391887861/00783fa805/tile-first-nations-inuit-and-metis-priorities.jpg",{},"image-text-colored-item",{"type":12,"content":1854},[1855],{"type":15,"attrs":1856,"content":1857},{"textAlign":53},[1858],{"text":1859,"type":300},"We recognize the diversity of experiences, knowledge and perspectives among First Nations, Inuit and Métis, and the importance of a distinctions-based approach. 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We are committed to building the capacity of HEC staff and leadership to engage meaningfully with First Nations, Inuit and Métis as we work together to support lasting improvements in healthcare safety and quality.  ","image-text-colored",{"id":16,"_uid":1862,"content":1863,"component":462},"bb935e8e-9ef0-47ea-b560-785f9c1d2d57",[1864,1892,1911,1924],{"_uid":1865,"content":1866,"component":461},"6ffbace4-a75f-4929-8b2f-7cee86bad4cd",{"type":12,"content":1867},[1868,1874,1879,1884],{"type":490,"attrs":1869,"content":1871},{"level":1870,"textAlign":53},2,[1872],{"text":1873,"type":300},"Our approach: Supporting First Nations, Inuit and Métis priorities and culturally safe and equitable care",{"type":15,"attrs":1875,"content":1876},{"textAlign":53},[1877],{"text":1878,"type":300},"First Nations, Inuit and Métis have inherent rights to health and wellness in Canada, yet many experience poorer health outcomes compared to other people. These outcomes are the result of inequities in access to safe, high-quality care connected to the ongoing impacts of colonization and systemic racism.",{"type":15,"attrs":1880,"content":1881},{"textAlign":53},[1882],{"text":1883,"type":300},"Culturally safe healthcare shows respect for culture and identity. It incorporates a person’s needs and rights, and is free of discrimination. Equitable care is about meeting every individual’s health needs, no matter their age, gender, ethnicity, sexuality, ability or other factors. Both concepts recognize that racism, discrimination and bias create power imbalances that prevent certain people and groups from getting the care they want and deserve. ",{"type":15,"attrs":1885,"content":1886},{"textAlign":53},[1887],{"text":1888,"type":300,"marks":1889},"There is incredible strength and resilience among First Nations, Inuit and Métis governments, organizations and communities. There is also a deep understanding of what is required to improve health and wellness, and access to high-quality, culturally safe care. That’s why HEC works to support the healthcare safety and quality priorities of First Nations, Inuit and Métis through partnerships rooted in reciprocity, respect and trust.",[1890],{"type":617,"attrs":1891},{"color":16},{"_uid":1893,"content":1894,"component":461},"55a6aaa4-34c8-4e66-b81d-767b151546b7",{"type":12,"content":1895},[1896,1901,1906],{"type":490,"attrs":1897,"content":1898},{"level":1870,"textAlign":53},[1899],{"text":1900,"type":300},"Our three program areas",{"type":490,"attrs":1902,"content":1903},{"level":492,"textAlign":53},[1904],{"text":1905,"type":300},"Truth and Reconciliation ",{"type":15,"attrs":1907,"content":1908},{"textAlign":53},[1909],{"text":1910,"type":300},"In 2022 we developed and began implementing our Truth and Reconciliation Action Plan to provide a roadmap for the work the organization will undertake in 2022-26 to live up to our commitments and continue developing our ability to help shape a future where everyone in Canada has safe and high-quality healthcare.",{"_uid":1912,"file":1913,"link":1915,"label":1919,"linkType":454,"component":1922,"linkLabel":1923},"9a6e4d43-fb0f-4b56-8dd2-70dd96237eb2",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":1914},{},{"id":1916,"url":16,"linktype":470,"fieldtype":471,"cached_url":1917,"story":1918},"c98b6957-6340-49bf-a613-2c42caaee5ea","about-us/truth-and-reconciliation-action-plan",{"name":1919,"id":1920,"uuid":1916,"slug":1921,"url":1917,"full_slug":1917,"_stopResolving":344},"Truth and Reconciliation Action Plan",136472887961217,"truth-and-reconciliation-action-plan","banner-link","Learn more",{"_uid":1925,"content":1926,"component":461},"fdae2bbc-2e59-4064-80e4-d4dc61197c5f",{"type":12,"content":1927},[1928,1936,1955,1960,1965],{"type":490,"attrs":1929,"content":1930},{"level":492,"textAlign":446},[1931],{"text":1932,"type":300,"marks":1933},"Partnering with First Nations, Inuit and Métis",[1934],{"type":1935},"bold",{"type":15,"attrs":1937,"content":1938},{"textAlign":446},[1939,1941,1953],{"text":1940,"type":300},"We continue to broaden our circle by building and nurturing respectful and reciprocal relationships and partnerships with First Nations, Inuit, Métis and Northern health system leaders, governments and organizations (including the ",{"text":1942,"type":300,"marks":1943},"Canadian and Northern Remote Health Network",[1944],{"type":454,"attrs":1945},{"href":1946,"uuid":312,"anchor":53,"custom":1947,"target":1259,"linktype":470,"story":1948},"/programs/canadian-northern-and-remote-health-network",{},{"name":1949,"id":1950,"uuid":312,"slug":1951,"url":1952,"full_slug":1952,"_stopResolving":344},"Canadian Northern and Remote Health Network",123451107411119,"canadian-northern-and-remote-health-network","programs/canadian-northern-and-remote-health-network",{"text":1954,"type":300}," and the FNHMA-HEC First Nations Health Leaders Network).",{"type":15,"attrs":1956,"content":1957},{"textAlign":53},[1958],{"text":1959,"type":300},"We continue to seek opportunities to partner with First Nations, Inuit and Métis governments, organizations and communities to collaborate on shared priorities.",{"type":490,"attrs":1961,"content":1962},{"level":492,"textAlign":446},[1963],{"text":1964,"type":300},"Supporting system change: Addressing systemic racism and improving cultural safety",{"type":15,"attrs":1966,"content":1967},{"textAlign":446},[1968,1970,1981],{"text":1969,"type":300},"As a result of our internal work and partnerships, we're beginning to support the healthcare system to address racism experienced by First Nations, Inuit and Métis through the ",{"text":1971,"type":300,"marks":1972},"Cultural Safety Design Collaborative",[1973],{"type":454,"attrs":1974},{"href":1975,"uuid":311,"anchor":53,"custom":1976,"target":1259,"linktype":470,"story":1977},"/programs/cultural-safety-design-collaborative",{},{"name":1971,"id":1978,"uuid":311,"slug":1979,"url":1980,"full_slug":1980,"_stopResolving":344},123451175949496,"cultural-safety-design-collaborative","programs/cultural-safety-design-collaborative",{"text":1982,"type":300},". 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Canada",123415549576261,"bringing-care-closer-how-new-brunswick-s-nursing-home-without-walls-model-inspired-change-across-canada","Read the story",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2156},{},{"type":12,"content":2158},[2159],{"type":15,"attrs":2160},{"textAlign":53},{"_uid":2162,"link":2163,"image":2174,"title":2176,"component":1996,"description":2177},"44b6d5f6-0829-4dda-aba2-860d5fc51f73",[2164],{"_uid":2165,"link":2166,"label":2173,"component":1993},"6251fe6b-4230-4dc5-810d-cea530ea4aa3",{"id":2167,"url":16,"linktype":470,"fieldtype":471,"cached_url":2168,"story":2169},"beca2a34-4e17-40c2-876f-c0657f2f467c","resources/nursing-home-without-walls-nhww-guide-for-nursing-homes-and-long-term-care-homes",{"name":2170,"id":2171,"uuid":2167,"slug":2172,"url":2168,"full_slug":2168,"_stopResolving":344},"Nursing Home Without Walls (NHWW): Guide for Nursing Homes and Long-Term Care Homes",113880325422569,"nursing-home-without-walls-nhww-guide-for-nursing-homes-and-long-term-care-homes","Read the report",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2175},{}," Implementation Guide for LTC Homes",{"type":12,"content":2178},[2179],{"type":15,"attrs":2180,"content":2181},{"textAlign":53},[2182],{"text":2183,"type":300},"Provides a step-by-step roadmap for implementing the model in nursing and long-term care settings, drawing on proven strategies, insights and best practices",{"_uid":2185,"link":2186,"image":2196,"title":2198,"component":1996,"description":2199},"01ea3a05-4861-4e2b-bb01-794786802306",[2187],{"_uid":2188,"link":2189,"label":2173,"component":1993},"a5057d5c-1c65-4b6f-ac44-6395a8fa6515",{"id":2190,"url":16,"linktype":470,"fieldtype":471,"cached_url":2191,"story":2192},"79564da6-b68b-4258-b20f-2176986a8f8f","resources/nursing-home-without-walls-nhww-guide-for-jurisdictions",{"name":2193,"id":2194,"uuid":2190,"slug":2195,"url":2191,"full_slug":2191,"_stopResolving":344},"Nursing Home Without Walls (NHWW): Guide for Jurisdictions",113880471957010,"nursing-home-without-walls-nhww-guide-for-jurisdictions",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2197},{},"Implementation Guide for Jurisdictions  ",{"type":12,"content":2200},[2201],{"type":15,"attrs":2202,"content":2203},{"textAlign":53},[2204],{"text":2205,"type":300},"A practical resource and a decision-making framework designed to help assess whether NHWW is the right fit for your region.","Get involved with Nursing Home Without Walls",{"type":12,"content":2208},[2209,2217,2229,2231],{"type":15,"attrs":2210,"content":2211},{"textAlign":53},[2212],{"text":2213,"type":300,"marks":2214},"There are opportunities for jurisdictions, nursing homes and LTC homes to get involved with NHWW.",[2215],{"type":617,"attrs":2216},{"color":619},{"type":15,"attrs":2218,"content":2219},{"textAlign":53},[2220,2222],{"text":2221,"type":300},"For more information, email ",{"text":2223,"type":300,"marks":2224},"nhww-fssm@hec-esc.ca",[2225],{"type":454,"attrs":2226},{"href":2227,"uuid":53,"anchor":53,"custom":53,"target":53,"linktype":2228},"mailto:nhww-fssm@hec-esc.ca","url",{"type":15,"attrs":2230},{"textAlign":53},{"type":15,"attrs":2232},{"textAlign":53},{"id":16,"_uid":2234,"items":2235,"component":1090},"f195970a-23ad-4b13-b0bd-4713f146f6d2",[2236],{"_uid":2237,"image":2238,"quote":2240,"author":2247,"component":1088,"author_title":16},"3bdc42ef-4a6b-4fdc-b386-9f7d54f4a0fe",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2239},{},{"type":12,"content":2241},[2242],{"type":15,"attrs":2243,"content":2244},{"textAlign":53},[2245],{"text":2246,"type":300},"“Nothing is as rewarding as hearing our participants tell us how much our services have improved their quality of life and kept them at home longer. It reminds us of what a difference we’re making in their lives.”","Inkerman and Paquetville NHWW team",{"id":16,"_uid":2249,"link":2250,"image":2251,"title":2253,"video_id":2254,"component":2255,"video_mp4":2256,"media_type":2258,"video_type":2259,"description":2260,"video_title":2311,"video_mp4_thumbnail":2312},"a7475ecd-947e-4f12-a854-2e2829cd8484",[],{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2252},{},"From pilot to pan-Canadian spread","bKDaFYrHvR4","text-media",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2257},{},"video","youtube",{"type":12,"content":2261},[2262,2270,2275,2298,2303],{"type":15,"attrs":2263,"content":2264},{"textAlign":53},[2265],{"text":2266,"type":300,"marks":2267},"This webinar provides an overview of the Nursing Home Without Walls (NHWW) program, an initiative designed to enable older adults to age in place. Developed by Dr. Suzanne Dupuis-Blanchard, this evidence-based program started out as four pilot sites in New Brunswick. Over the past two years, and through a partnership with the Government of New Brunswick’s Department of Social Development, Université de Moncton, and Healthcare Excellence Canada, NHWW has expanded to reach communities across the province.",[2268],{"type":617,"attrs":2269},{"color":619},{"type":490,"attrs":2271,"content":2272},{"level":492,"textAlign":53},[2273],{"text":2274,"type":300},"Speakers",{"type":420,"content":2276},[2277,2284,2291],{"type":423,"content":2278},[2279],{"type":15,"attrs":2280,"content":2281},{"textAlign":53},[2282],{"text":2283,"type":300},"Stephanie Lagosky",{"type":423,"content":2285},[2286],{"type":15,"attrs":2287,"content":2288},{"textAlign":53},[2289],{"text":2290,"type":300},"Dr. Suzanne Dupuis-Blanchard",{"type":423,"content":2292},[2293],{"type":15,"attrs":2294,"content":2295},{"textAlign":53},[2296],{"text":2297,"type":300},"Judy Freeze",{"type":490,"attrs":2299,"content":2300},{"level":492,"textAlign":53},[2301],{"text":2302,"type":300},"Host",{"type":420,"content":2304},[2305],{"type":423,"content":2306},[2307],{"type":15,"attrs":2308,"content":2309},{"textAlign":53},[2310],{"text":2283,"type":300},"Nursing Home Without Walls: From pilot to pan-Canadian spread",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2313},{},{"id":16,"_uid":2315,"title":2316,"columns":2317,"component":2497,"description":2498},"c89e837a-9413-480d-8b11-46eb06fa951e","The Story of Nursing Home Without Walls",[2318,2424,2446],{"_uid":2319,"image":2320,"title":16,"content":2322,"component":2423},"5b0abf87-e528-4c4e-9d14-05e2a14c6d9f",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"filename":53,"copyright":53,"fieldtype":288,"meta_data":2321,"is_external_url":290},{},[2323,2415],{"_uid":2324,"content":2325,"component":461},"448c64e9-815f-4bac-9137-07a4e73fab67",{"type":12,"content":2326},[2327,2332,2337,2351,2395,2410],{"type":15,"attrs":2328,"content":2329},{"textAlign":53},[2330],{"text":2331,"type":300},"Nursing Home Without Walls (NHWW) helps nursing and long-term care (LTC) homes support older adults to age in place with access to essential services and support.",{"type":15,"attrs":2333,"content":2334},{"textAlign":446},[2335],{"text":2336,"type":300},"Created by researcher Dr. Suzanne Dupuis-Blanchard from the Université de Moncton, this program facilitates healthy aging at home by providing access to essential knowledge, support, and services.",{"type":15,"attrs":2338,"content":2339},{"textAlign":446},[2340,2342,2349],{"text":2341,"type":300},"In 2019, four English and French-speaking rural communities began implementing the NHWW model in their local nursing homes in 2019 through the ",{"text":2343,"type":300,"marks":2344},"Healthy Seniors Pilot Project",[2345],{"type":454,"attrs":2346},{"href":2347,"uuid":53,"anchor":53,"custom":2348,"target":457,"linktype":2228},"https://www.gnb.ca/en/campaign/healthy-seniors/nursing-home.html",{},{"text":2350,"type":300},". Although somewhat different in their approaches, their goals were the same – to support aging in place in their local communities. Early results of the NHWW pilot programs include:",{"type":420,"content":2352},[2353,2360,2367,2374,2381,2388],{"type":423,"content":2354},[2355],{"type":15,"attrs":2356,"content":2357},{"textAlign":53},[2358],{"text":2359,"type":300},"Increased satisfaction with levels of social interactions and outings.",{"type":423,"content":2361},[2362],{"type":15,"attrs":2363,"content":2364},{"textAlign":53},[2365],{"text":2366,"type":300},"Increased knowledge on who to contact to get information on services for aging at home.",{"type":423,"content":2368},[2369],{"type":15,"attrs":2370,"content":2371},{"textAlign":53},[2372],{"text":2373,"type":300},"69% of older adults stating that the services received are accessible and support them to stay in their home.",{"type":423,"content":2375},[2376],{"type":15,"attrs":2377,"content":2378},{"textAlign":53},[2379],{"text":2380,"type":300},"Increased feeling of security in their home and the community.",{"type":423,"content":2382},[2383],{"type":15,"attrs":2384,"content":2385},{"textAlign":53},[2386],{"text":2387,"type":300},"100% of older adults are satisfied with the services offered by NHWW.",{"type":423,"content":2389},[2390],{"type":15,"attrs":2391,"content":2392},{"textAlign":53},[2393],{"text":2394,"type":300},"Prevented some non-urgent visits to the Emergency Deptartment or medical after-hours clinic.",{"type":15,"attrs":2396,"content":2397},{"textAlign":446},[2398,2400,2408],{"text":2399,"type":300},"To advance the adoption of NHWW and support older adults living and aging in community, the New Brunswick Department of Social Development (Social Development), Université de Moncton and Healthcare Excellence Canada partnered together to spread and scale the NHWW initiative beyond the four pilot sites. In 2025, a funding opportunity was ",{"text":2401,"type":300,"marks":2402},"announced",[2403],{"type":454,"attrs":2404},{"href":2405,"uuid":2148,"anchor":53,"custom":2406,"target":1259,"linktype":470,"story":2407},"/updates/bringing-care-closer-how-new-brunswick-s-nursing-home-without-walls-model-inspired-change-across-canada",{},{"name":2151,"id":2152,"uuid":2148,"slug":2153,"url":2149,"full_slug":2149,"_stopResolving":344},{"text":2409,"type":300}," for Nursing Homes in New Brunswick to establish a Nursing Home Without Walls program within their local communities.",{"type":15,"attrs":2411,"content":2412},{"textAlign":446},[2413],{"text":2414,"type":300},"Over the course of the next year, Social Development, Healthcare Excellence Canada and the Université de Moncton provided support, coaching and resources to sites during the planning and implementation of their NHWW programs. Learnings and impacts from the spread and scale of this innovation are currently being measured with the plan to share, so that other jurisdictions across Canada can learn from the work being done in New Brunswick.",{"_uid":2416,"image":2417,"component":2422},"94d99832-dc23-4ded-b969-f2bb679e82af",{"id":2418,"alt":2419,"name":16,"focus":16,"title":2419,"source":16,"filename":2420,"copyright":16,"fieldtype":288,"meta_data":2421,"is_external_url":290},114299883118556,"NHWW Group Photo","https://a-ca.storyblok.com/f/850807391887861/fca73031a5/nhww-group-photo.jpg",{"alt":2419,"title":2419,"source":16,"copyright":16},"simple-image","wysiwyg-column",{"_uid":2425,"image":2426,"title":2428,"content":2429,"component":2423},"db5cd3df-7b9c-4c17-9b4a-6fb75152866e",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2427},{},"Nursing Home Without Walls Participating Teams",[2430,2439],{"_uid":2431,"content":2432,"component":461},"b8193953-0618-4eb1-a3fd-b229fe50595b",{"type":12,"content":2433},[2434],{"type":15,"attrs":2435,"content":2436},{"textAlign":53},[2437],{"text":2438,"type":300},"The Nursing Home Without Walls (NHWW) program, a partnership with Healthcare Excellence Canada, the Government of New Brunswick Department of Social Development and the Université de Moncton’s Research Centre on Aging is supporting sites from across New Brunswick to enable older adults to age in place.",{"_uid":2440,"image":2441,"component":2422},"2f25921a-92c7-412b-9214-0c03f2abebd8",{"id":2442,"alt":2443,"name":16,"focus":16,"title":16,"source":16,"filename":2444,"copyright":16,"fieldtype":288,"meta_data":2445,"is_external_url":290},139662253475250,"Map of New Brunswick representing the communities currently supported by Nursing Homes Without Walls.","https://a-ca.storyblok.com/f/850807391887861/2100x1200/58152ddd7d/nhww-location-map-w-title-mar24.webp",{"alt":2443,"title":16,"source":16,"copyright":16},{"_uid":2447,"image":2448,"title":2450,"content":2451,"component":2423},"067a5168-32fb-4c0e-b4df-d047e897c1d9",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2449},{},"About the pilot sites",[2452],{"_uid":2453,"content":2454,"component":461},"bbf73dda-1bfd-4c0a-b676-7de55f1c615a",{"type":12,"content":2455},[2456,2461,2466,2472,2477,2482,2487,2492],{"type":15,"attrs":2457,"content":2458},{"textAlign":53},[2459],{"text":2460,"type":300},"Four nursing homes volunteered to pilot the NHWW program. These homes were in the rural communities of Port Elgin, Lamèque, Inkerman and Paquetville. Access to services is complex in rural communities -New Brunswick is composed of 49% rural communities.",{"type":15,"attrs":2462,"content":2463},{"textAlign":53},[2464],{"text":2465,"type":300},"All four nursing homes implemented the program at the same time and offer services to meet the needs of their communities (based on previous consultations and community needs assessment), without duplicate existing resources or services.",{"type":490,"attrs":2467,"content":2469},{"level":2468,"textAlign":53},4,[2470],{"text":2471,"type":300},"Lamèque",{"type":15,"attrs":2473,"content":2474},{"textAlign":53},[2475],{"text":2476,"type":300},"In Lamèque, NHWW initially assisted older adults with frailty at home with personal care, meals, medication and socialization. Services expanded to include transportation, community activities, home maintenance and caregiver support, reflecting a community- and person-centered approach to holistically address the diverse needs of older adults and their caregivers.",{"type":490,"attrs":2478,"content":2479},{"level":2468,"textAlign":53},[2480],{"text":2481,"type":300},"Inkerman and Paquetville",{"type":15,"attrs":2483,"content":2484},{"textAlign":53},[2485],{"text":2486,"type":300},"In Inkerman and Paquetville, NHWW provides home maintenance, transportation, bathing, foot care, health clinics, and socialization for older adults. Paquetville collaborates with a local volunteer organization for meal services. Sharing a coordinator, the nursing homes maintain distinct service approaches while leveraging proximity and similar needs between the communities.",{"type":490,"attrs":2488,"content":2489},{"level":2468,"textAlign":53},[2490],{"text":2491,"type":300},"Port Elgin",{"type":15,"attrs":2493,"content":2494},{"textAlign":53},[2495],{"text":2496,"type":300},"In Port Elgin, NHWW prioritizes community service access. The program aids older adults in accessing federal, provincial, and local services by assessing their needs and assisting with applications. Addressing social isolation, weekly coffee chats are hosted, and transportation is coordinated for appointments and errands. Expanding services, Port Elgin lends equipment and supplies to support older adults in comfortable home living.","wysiwyg-double-column",{"type":12,"content":2499},[2500],{"type":15,"attrs":2501,"content":2502},{"textAlign":53},[2503],{"text":2504,"type":300},"Originating in New Brunswick, this program enables nursing and LTC homes to support older adults to age in place with access to essential services and support.",{"id":16,"_uid":2506,"items":2507,"component":1090},"7ff1bc06-1812-47c3-ad6f-8c4f6049f94b",[2508,2524,2536,2548],{"_uid":2509,"image":2510,"quote":2512,"author":2523,"component":1088,"author_title":16},"6182381d-3e1a-4549-ae9a-5bb23f83fd4d",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2511},{},{"type":12,"content":2513},[2514],{"type":15,"attrs":2515,"content":2516},{"textAlign":53},[2517],{"text":2518,"type":300,"marks":2519},"\"I just wanted you to know how very much I look forward to and enjoy the exercise class. It may be a senior’s class, but I assure you we all get our heart rates up and we stretch every single part of our bodies including places that we didn’t know we had! Thank you for organizing such a lovely class to enrich our lives.\" ",[2520],{"type":617,"attrs":2521},{"color":2522},"#1F1F1F","A note from a NHWW client",{"_uid":2525,"image":2526,"quote":2528,"author":2535,"component":1088,"author_title":16},"f15f0fe3-7d95-41d2-8d7f-0ffa6c3ce477",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2527},{},{"type":12,"content":2529},[2530],{"type":15,"attrs":2531,"content":2532},{"textAlign":53},[2533],{"text":2534,"type":300},"\"My mother is a new person. She now smiles and has something to look forward too.\" ","From a daughter about her mother who lives alone",{"_uid":2537,"image":2538,"quote":2540,"author":2547,"component":1088,"author_title":16},"062537b4-30bd-4796-98b7-d84a084a485e",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2539},{},{"type":12,"content":2541},[2542],{"type":15,"attrs":2543,"content":2544},{"textAlign":53},[2545],{"text":2546,"type":300},"\"Thank you for the information and links, and for all the time and care you took with us yesterday. Your visit was a huge help to us, and we are grateful to be able to benefit from NHWW.\"","A couple receiving a home visit",{"_uid":2549,"image":2550,"quote":2552,"author":2559,"component":1088,"author_title":16},"a8036181-b928-4a83-a742-e4ee2939b266",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2551},{},{"type":12,"content":2553},[2554],{"type":15,"attrs":2555,"content":2556},{"textAlign":53},[2557],{"text":2558,"type":300},"\"I am so happy, I can't stop crying. There is no way I could have spent another winter in that home. NHWW has literally saved my life and I cannot thank you enough, thank you very much.\""," An 85-year-old man who was housing challenged",{"id":16,"cta":2561,"_uid":2572,"items":2573,"title":484,"component":1116},[2562],{"_uid":2563,"link":2564,"label":2571,"component":478},"9748279f-8964-4fe0-aedd-2456ad875c74",{"id":2565,"url":16,"linktype":470,"fieldtype":471,"cached_url":2566,"story":2567},"c0994de2-19e1-4311-b3e8-b4ddd7069dc6","resources/",{"name":2568,"id":2569,"uuid":2565,"slug":2570,"url":2566,"full_slug":2566,"_stopResolving":344},"Resources",112494035151922,"resources","See all resources ","ee1fec44-4ae2-4940-aaf5-9668607ed799",[2190,2167,2574,2575,2576,2577],"51f7a9e3-217e-4e50-9ffe-d8e7b95c7af0","ede9d43a-4683-4bbd-b222-07bde68562e2","efb02f61-6d53-4d27-9131-5e6eefcc8c80","d1a0ccab-fd83-4a8d-9a1b-154ef057dba2",[115,129,150],[2580,2606,2620],{"_uid":2581,"content":2582,"component":2096},"026279e3-a863-464b-a19f-11e59a078912",[2583],{"_uid":2584,"content":2585,"component":461},"7ea856ea-80d0-4233-a51f-f13823bb424f",{"type":12,"content":2586},[2587,2592,2601],{"type":490,"attrs":2588,"content":2589},{"level":1870,"textAlign":53},[2590],{"text":2591,"type":300},"What is Nursing Home Without Walls?",{"type":15,"attrs":2593,"content":2594},{"textAlign":53},[2595,2599],{"text":2596,"type":300,"marks":2597},"Nursing Home Without Walls (NHWW) ",[2598],{"type":1935},{"text":2600,"type":300},"helps nursing and long-term care (LTC) homes support older adults to age where they call home with access to essential services and support. By helping older adults stay in their homes longer, NHWW supports their independence and aims to delay premature admission to long-term care. It also helps to ease pressure on emergency departments.",{"type":15,"attrs":2602,"content":2603},{"textAlign":53},[2604],{"text":2605,"type":300},"Originating in New Brunswick, Nursing Home Without Walls has spread to 36 nursing homes across the province, supported by HEC, Université de Moncton and the Government of New Brunswick.",{"id":16,"_uid":2607,"link":2608,"image":2609,"title":16,"video_id":16,"component":2611,"media_type":2612,"description":2613,"video_title":16},"957bc3de-aac6-4513-a45f-f92e032deaef",[],{"id":53,"alt":53,"name":16,"focus":53,"title":53,"filename":53,"copyright":53,"fieldtype":288,"meta_data":2610,"is_external_url":290},{},"info-block-program-sticky","none",{"type":12,"content":2614},[2615],{"type":15,"attrs":2616,"content":2617},{"textAlign":53},[2618],{"text":2619,"type":300},"89% of older adults surveyed feel Nursing Home Without Walls helps them stay at home, fostering stronger community connections",{"id":16,"_uid":2621,"content":2622,"component":2096},"251a6fa7-9f69-431f-a670-11bbcb052a73",[2623],{"_uid":2624,"content":2625,"component":461},"581dd346-f3c9-4a39-95b0-0b546099030a",{"type":12,"content":2626},[2627,2632,2637,2642,2668,2675,2680,2685,2690,2695],{"type":490,"attrs":2628,"content":2629},{"level":1870,"textAlign":53},[2630],{"text":2631,"type":300},"How Nursing Home Without Walls works",{"type":15,"attrs":2633,"content":2634},{"textAlign":53},[2635],{"text":2636,"type":300},"Nursing and LTC homes implement NHWW models. They provide space, staff support, and valuable knowledge about the local community, available services, and aging-related needs. In some cases, they also provide direct supports to older adults living at home.",{"type":15,"attrs":2638,"content":2639},{"textAlign":53},[2640],{"text":2641,"type":300},"Each NHWW program is shaped by the needs of its community. Nursing homes adjust the program to fit their local context, using their unique strengths. Every program is defined by three key elements:",{"type":2643,"attrs":2644,"content":2646},"ordered_list",{"order":2645},1,[2647,2654,2661],{"type":423,"content":2648},[2649],{"type":15,"attrs":2650,"content":2651},{"textAlign":53},[2652],{"text":2653,"type":300},"Support for older adults in the community: Services are designed to help people stay safe, healthy, and connected while living at home.",{"type":423,"content":2655},[2656],{"type":15,"attrs":2657,"content":2658},{"textAlign":53},[2659],{"text":2660,"type":300},"Using what’s already in place: NHWW uses the space, staff, and other resources already available in nursing homes.",{"type":423,"content":2662},[2663],{"type":15,"attrs":2664,"content":2665},{"textAlign":53},[2666],{"text":2667,"type":300},"Focusing on aging challenges: Programs address common issues like loneliness and access to services, supporting people age in place more comfortably.",{"type":490,"attrs":2669,"content":2670},{"level":1870,"textAlign":446},[2671],{"text":2672,"type":300,"marks":2673},"Pan-Canadian spread",[2674],{"type":1935},{"type":15,"attrs":2676,"content":2677},{"textAlign":446},[2678],{"text":2679,"type":300},"Building on the remarkable success of the NHWW program in New Brunswick, and with support from the Waltons Trust, Healthcare Excellence Canada is partnering with Université de Moncton to spread and scale the NHWW model across additional provinces and territories.",{"type":15,"attrs":2681,"content":2682},{"textAlign":446},[2683],{"text":2684,"type":300},"HEC is taking a jurisdictional approach, with a lead organization in each province or territory serving as HEC’s primary partner to support implementation of the NHWW model across selected nursing and long-term care homes.",{"type":15,"attrs":2686,"content":2687},{"textAlign":446},[2688],{"text":2689,"type":300},"Through this pan-Canadian program, jurisdictions across the country will be supported to adopt and spread the NHWW model in partnership with nursing and long-term care homes, enabling older adults to age in place with access to the services and supports they need.",{"type":15,"attrs":2691,"content":2692},{"textAlign":446},[2693],{"text":2694,"type":300},"The pan-Canadian program will be delivered over a two-year period, with formal implementation support running from January 2026 to March 2028.",{"type":15,"attrs":2696,"content":2697},{"textAlign":446},[2698],{"text":2699,"type":300},"Details about participating jurisdictions will be shared as recruitment continues.","nursing-home-without-walls","programs/nursing-home-without-walls",-4760,[],{"parent_slug":340,"umbraco_path":2705,"umbraco_uuid":2706},"/HealthcareExcellenceCanada/WhatWeDo/AllPrograms/NursingHomeWithoutWalls","1ba2c73c-e173-4e8c-941d-43d6a1a37147","161ebdcb-f100-4140-8d65-149559cef00b","2025-12-15T20:03:54.918Z",[],[2711],{"path":2712,"name":2713,"lang":353,"published":344},"programmes/foyer-de-soins-sans-mur","Foyer de soins sans mur",{"name":2715,"created_at":2716,"published_at":2717,"updated_at":2718,"id":2719,"uuid":327,"content":2720,"slug":3419,"full_slug":3420,"sort_by_date":53,"position":3421,"tag_list":3422,"is_startpage":290,"parent_id":345,"meta_data":53,"group_id":3423,"first_published_at":3424,"release_id":53,"lang":348,"path":53,"alternates":3425,"default_full_slug":3420,"translated_slugs":3426},"Integrated approach for optimal use of medication in long-term care centres in Quebec (OPUS-AP – PEPS)","2026-01-06T21:27:10.878Z","2026-03-25T18:23:25.411Z","2026-03-25T18:23:25.436Z",131257265759666,{"seo":2721,"_uid":2725,"hero":2726,"type":2747,"theme":402,"banner":2748,"format":2749,"topics":2750,"Noindex":290,"content":2751,"audience":3417,"component":501,"contentSticky":3418},{"_uid":2722,"title":2723,"plugin":279,"og_image":16,"og_title":16,"description":2724,"twitter_image":16,"twitter_title":16,"og_description":16,"twitter_description":16},"e876e86f-0519-4342-9e85-186f81362bbc","Integrated approach for optimal use of medication in long-term care centres in Quebec","Launched in 2017 in Quebec, the Optimizing Practices, Use, Care and Services - Antipsychotics (OPUS-AP) collaborative aims to reduce or discontinue the inappropriate use of antipsychotic medications in long-term care centres.","fb5150af-c4b7-4ce6-9e3d-f33d526172c5",[2727],{"get":2728,"_uid":2731,"image":2732,"title":2715,"status":536,"component":390,"description":2737,"programType":290,"requirements":2744,"programEndDate":16,"programStartDate":16,"inscriptionsEndDate":16,"inscriptionsStartDate":16},{"type":12,"content":2729},[2730],{"type":15},"53e73237-ba54-4d25-b7e0-d0ab7a080e9c",{"id":2733,"alt":2734,"name":16,"focus":16,"title":16,"source":16,"filename":2735,"copyright":16,"fieldtype":288,"meta_data":2736,"is_external_url":290},133285229339722,"Older adult woman in a mask talking to a caregiver; another caregiver aids an older adult woman with a walker on a covered walkway.","https://a-ca.storyblok.com/f/850807391887861/1801x1257/81ffbceb47/appropriate-use-of-antipsychotics.webp",{"alt":2734,"title":16,"source":16,"copyright":16},{"type":12,"content":2738},[2739],{"type":15,"attrs":2740,"content":2741},{"textAlign":53},[2742],{"text":2743,"type":300},"Launched in 2017 in Quebec, the Optimizing Practices, Use, Care and Services - Antipsychotics (OPUS-AP) collaborative aims to reduce or discontinue the inappropriate use of antipsychotic medications in long-term care centres. Phase 3 will integrate the PEPS program (Projet d'évaluation de la personnalisation des soins infirmiers, médicaux et pharmaceutiques), leading to the rollout of the approach for the optimal use of medications in long-term care centres in all of the province’s CHSLDs, as well as in long-term care homes and alternative homes.",{"type":12,"content":2745},[2746],{"type":15},[222],[],[],[106,69,76,98],[2752,2792,2812,2948,3002,3376,3409],{"id":16,"_uid":2753,"content":2754,"component":462},"a1bba363-32e5-4f23-bd7f-9cba54c643f6",[2755],{"_uid":2756,"content":2757,"component":461},"68ac3a9d-fa8f-4fdd-9daf-0552f527fbe5",{"type":12,"content":2758},[2759,2764,2769],{"type":15,"attrs":2760,"content":2761},{"textAlign":53},[2762],{"text":2763,"type":300},"Based on the Appropriate Use of Antipsychotics (AUA) approach, the Optimizing Practices, Use, Care and Services – Antipsychotics (OPUS-AP) collaborative is a partnership between Healthcare Excellence Canada, the Ministry of Health and Social Services of Quebec, the Institut national d’excellence en santé et en services sociaux (INESSS), and Quebec’s leading experts from the four integrated university health and social services networks. OPUS-AP aims to improve the quality and experience of care for residents living with a major neurocognitive disorder, as well as for their families, care partners and providers.",{"type":15,"attrs":2765,"content":2766},{"textAlign":53},[2767],{"text":2768,"type":300},"The OPUS-AP collaborative has three phases:",{"type":420,"content":2770},[2771,2778,2785],{"type":423,"content":2772},[2773],{"type":15,"attrs":2774,"content":2775},{"textAlign":53},[2776],{"text":2777,"type":300},"Phase 1 (April 2017 to October 2018): 24 CHSLDs participated (one unit per CHSLD);",{"type":423,"content":2779},[2780],{"type":15,"attrs":2781,"content":2782},{"textAlign":53},[2783],{"text":2784,"type":300},"Phase 2 (January 2019 to April 2020): 129 CHSLDs participated (329 units);",{"type":423,"content":2786},[2787],{"type":15,"attrs":2788,"content":2789},{"textAlign":53},[2790],{"text":2791,"type":300},"Phase 3 (October 2022 to March 2026): all 313 publicly funded CHSLDs, long-term care homes and alternative homes participating.",{"id":16,"_uid":2793,"items":2794,"component":1090},"52818fd7-daf8-4c99-b0ff-eb465c45cbbf",[2795],{"_uid":2796,"image":2797,"quote":2799,"author":2810,"component":1088,"author_title":2811},"4a84b6ed-bc22-4760-b944-74274de44309",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":2798},{},{"type":12,"content":2800},[2801],{"type":15,"attrs":2802,"content":2803},{"textAlign":53},[2804,2806,2807],{"text":2805,"type":300},"“This is about putting our scientific knowledge into action. Through this collaborative, we have created a highway of knowledge transfer, and by working together, we will make change happen.”",{"type":1085},{"type":1085,"marks":2808},[2809],{"type":1935},"Martin Beaumont","Co-CEO lead for OPUS-AP and CEO of the CIUSSS de la Mauricie-et-du-Centre-du-Québec (2018)",{"id":16,"_uid":2813,"title":558,"video_id":2814,"component":2815,"transcript":2816,"video_type":2259,"description":2918,"video_title":2938,"video_description":2939},"1d42b860-3363-40ca-9208-f98ba01d4ad8","hXy3Htyyi9Y","video-transcript",{"type":12,"content":2817},[2818,2823,2828,2833,2838,2843,2848,2853,2858,2863,2868,2873,2878,2883,2888,2893,2898,2903,2908,2913],{"type":15,"attrs":2819,"content":2820},{"textAlign":53},[2821],{"text":2822,"type":300},"[0:00:00] (Logo) OPUS-AP OPTIMIZING PRACTICES, USES, CARE AND SERVICES - ANTIPSYCHOTICS (LOGO) Gouvernement du Québec ",{"type":15,"attrs":2824,"content":2825},{"textAlign":53},[2826],{"text":2827,"type":300},"[00:00:06] Reducing antipsychotic use in seniors through basic, non-pharmacological approaches is possible! [00:00:09] The approach seen through the eyes of a unit head and project manager ",{"type":15,"attrs":2829,"content":2830},{"textAlign":53},[2831],{"text":2832,"type":300},"[00:00:10] Carole Unit head and project manager CHSLD Gertrude-Lafrance CISSS de la Montérégie-Centre ",{"type":15,"attrs":2834,"content":2835},{"textAlign":53},[2836],{"text":2837,"type":300},"[00:00:16] So, Carole Leblanc ",{"type":15,"attrs":2839,"content":2840},{"textAlign":53},[2841],{"text":2842,"type":300},"[00:00:15] In phase I, I was a unit head in Montérégie, and now I’ll be the project manager for phase II. I’m also the coordinator for long-term care centres for another organization. ",{"type":15,"attrs":2844,"content":2845},{"textAlign":53},[2846],{"text":2847,"type":300},"[00:00:28] The OPUS project led to other approaches, formalized other approaches that were being used, but in a common language. ",{"type":15,"attrs":2849,"content":2850},{"textAlign":53},[2851],{"text":2852,"type":300},"[00:00:38] So, it was very rewarding to know whether we were overseeing the decision\u0002 making process, doing the validation, diversion strategies, doing refusal management. ",{"type":15,"attrs":2854,"content":2855},{"textAlign":53},[2856],{"text":2857,"type":300},"[00:00:52] All the terminology determined a common way of doing things for the entire team. ",{"type":15,"attrs":2859,"content":2860},{"textAlign":53},[2861],{"text":2862,"type":300},"[00:00:59] And when it came to the basic approach, it wasn’t limited simply to being polite to the person, knocking on their door, waiting for them to understand, or just respecting their rhythm. It went beyond that, and that’s how the team learned and developed a truly appropriate approach. ",{"type":15,"attrs":2864,"content":2865},{"textAlign":53},[2866],{"text":2867,"type":300},"[00:01:19] We created a real sense of cohesion, a dialogue, by talking about a resident, about a specific problem; we all agreed to work the same way, to avoid division. ",{"type":15,"attrs":2869,"content":2870},{"textAlign":53},[2871],{"text":2872,"type":300},"[00:01:33] The project is a success because of the people and their dedication, and the fact they truly understand the purpose and the aim.",{"type":15,"attrs":2874,"content":2875},{"textAlign":53},[2876],{"text":2877,"type":300}," [00:01:44] And when it comes to caring for seniors and who’s best placed to improve their autonomy, it’s really about what we want to give. ",{"type":15,"attrs":2879,"content":2880},{"textAlign":53},[2881],{"text":2882,"type":300},"[00:01:57] When we talk about dedicated people, when we see the changes happening directly, when we see people becoming more alert, starting to talk, starting to eat on their own, that’s when we realize how much of an impact our care really has. ",{"type":15,"attrs":2884,"content":2885},{"textAlign":53},[2886],{"text":2887,"type":300},"[00:02:13] This project really needs people to take the lead, but it also needs people to get involved. ",{"type":15,"attrs":2889,"content":2890},{"textAlign":53},[2891],{"text":2892,"type":300},"[00:02:23] And to get people involved, they need to understand the urgent need for action ",{"type":15,"attrs":2894,"content":2895},{"textAlign":53},[2896],{"text":2897,"type":300},"[00:02:29] The care staff and the interdisciplinary team need to understand the side effects of these medications and realize that, by improving our approach, we can cut back on these medications, which have harmful side effects, and improve quality of life. ",{"type":15,"attrs":2899,"content":2900},{"textAlign":53},[2901],{"text":2902,"type":300},"[00:02:52] I’ve been working in long-term care centres for many years, and this is the most rewarding project I’ve ever seen for the clients, but also for the staff. ",{"type":15,"attrs":2904,"content":2905},{"textAlign":53},[2906],{"text":2907,"type":300},"[00:03:05] (Logo) Canadian Foundation for Healthcare Improvement Fondation canadienne pour l’amélioration des services de santé",{"type":15,"attrs":2909,"content":2910},{"textAlign":53},[2911],{"text":2912,"type":300}," [00:03:11] (Logo) Gouvernement du Québec ",{"type":15,"attrs":2914,"content":2915},{"textAlign":53},[2916],{"text":2917,"type":300},"END",{"type":12,"content":2919},[2920,2925],{"type":15,"attrs":2921,"content":2922},{"textAlign":53},[2923],{"text":2924,"type":300},"In Phase 1 of the OPUS-AP collaborative, 85.9% of residents for whom deprescription was attempted had their antipsychotic medication dosage reduced or discontinued entirely. Among the participating CHSLDs, the collaborative also had a positive impact on patient experience, population health, and healthcare provider work-life balance.  ",{"type":15,"attrs":2926,"content":2927},{"textAlign":53},[2928,2930,2937],{"text":2929,"type":300},"You can read more about phase 1 results in the ",{"text":2931,"type":300,"marks":2932},"OPUS-AP Results Poster for Phase 1",[2933],{"type":454,"attrs":2934},{"href":2935,"uuid":53,"anchor":53,"custom":2936,"target":1259,"linktype":288},"https://a-ca.storyblok.com/f/850807391887861/b7f8dbcbcc/opus-ap-poster-e-final-ua.pdf",{},{"text":460,"type":300},"Témoignage de chargée de projet et chef d’unité OPUS-AP – Mme Carole Leblanc",{"type":12,"content":2940},[2941,2946],{"type":15,"attrs":2942,"content":2943},{"textAlign":53},[2944],{"text":2945,"type":300},"For more details about phase 1 of OPUS-AP, including a testimonial from one of our participating unit chiefs and project managers, you can watch the video.  ",{"type":15,"attrs":2947},{"textAlign":53},{"id":16,"_uid":2949,"title":570,"video_id":2950,"component":2815,"transcript":2951,"video_type":2259,"description":2987,"video_title":2994,"video_description":2995},"1a2db19c-3dee-4c2c-a699-530e9942e799","IF3A014heos",{"type":12,"content":2952},[2953,2958,2963,2968,2973,2978,2983],{"type":15,"attrs":2954,"content":2955},{"textAlign":53},[2956],{"text":2957,"type":300},"[0:00:00] Training for trainers. OPUS-AP Phase II ",{"type":15,"attrs":2959,"content":2960},{"textAlign":53},[2961],{"text":2962,"type":300},"[00:00:21] (Logo) OPUS-AP ",{"type":15,"attrs":2964,"content":2965},{"textAlign":53},[2966],{"text":2967,"type":300},"OPTIMIZING PRACTICES, USES, ",{"type":15,"attrs":2969,"content":2970},{"textAlign":53},[2971],{"text":2972,"type":300},"CARE AND SERVICES - ANTIPSYCHOTICS ",{"type":15,"attrs":2974,"content":2975},{"textAlign":53},[2976],{"text":2977,"type":300},"(Logo) Canadian Foundation for Healthcare Improvement Fondation canadienne pour l’amélioration des services de santé ",{"type":15,"attrs":2979,"content":2980},{"textAlign":53},[2981],{"text":2982,"type":300},"(Logo) Gouvernement du Québec ",{"type":15,"attrs":2984,"content":2985},{"textAlign":53},[2986],{"text":2917,"type":300},{"type":12,"content":2988},[2989],{"type":15,"attrs":2990,"content":2991},{"textAlign":53},[2992],{"text":2993,"type":300},"Phase 2 took place between March 2019 and April 2020 in 329 units of 129 CHSLDs. It was successful in 77.1% of the 1,402 residents for whom deprescription was attempted (47.1% discontinued their use entirely and 30% reduced their dosage).","La formation des formateurs OPUS-AP phase II février 2019",{"type":12,"content":2996},[2997],{"type":15,"attrs":2998,"content":2999},{"textAlign":53},[3000],{"text":3001,"type":300},"In Phase 2 of the OPUS-AP collaborative, the team supported an additional 129 CHSLDs in Quebec in rolling out the AUA approach. 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Sixty-two percent of people living in Canada who receive palliative care do so in an acute care hospital and often in their last month of life.",{"text":4126,"type":300,"marks":4127},"2",[4128],{"type":624},{"text":4130,"type":300}," As part of this program’s four-year collaboration, more than 7,500 paramedics and 200 additional healthcare providers across seven provincial teams were trained to provide patients with in-home support when they have a palliative emergency, require pain and symptom management or have an unexpected health event.",[4132],{"_uid":4133,"link":4134,"image":4135,"component":3963,"partner_name":4140},"c401d2d0-65dc-4689-ad29-abb6bcdd0425",[],{"id":4136,"alt":4137,"name":16,"focus":16,"title":4137,"source":16,"filename":4138,"copyright":16,"fieldtype":288,"meta_data":4139,"is_external_url":290},114300046622726,"CPAC Logo","https://a-ca.storyblok.com/f/850807391887861/f288a19be6/cpac-logo.png",{},"Canadian Partnership Against Cancer",{"id":16,"_uid":4142,"title":4143,"component":3941,"description":4144,"partners_list":4212},"5a5d641f-af10-4efc-939c-c9d3e117e016","The Partnership",{"type":12,"content":4145},[4146,4167,4172,4202,4207],{"type":15,"attrs":4147,"content":4148},{"textAlign":53},[4149,4151,4157,4159,4165],{"text":4150,"type":300},"Through the program, paramedics were trained to assess people with palliative care needs (for example, pain management) and treat them on the spot at home. Paramedics are trained to provide this care without a transfer to hospital, if appropriate. Paramedic services are using a variety of training approaches and supports including LEAP (Learning Essential Approaches to Palliative Care) which is provided by ",{"text":4152,"type":300,"marks":4153},"Pallium Canada,",[4154],{"type":454,"attrs":4155},{"href":4156,"uuid":53,"anchor":53,"custom":53,"target":457,"linktype":2228},"https://www.pallium.ca/courses/",{"text":4158,"type":300}," ",{"text":4160,"type":300,"marks":4161},"MyGriefToolbox.ca",[4162],{"type":454,"attrs":4163},{"href":4164,"uuid":53,"anchor":53,"custom":53,"target":457,"linktype":2228},"https://grieftoolbox.ca/",{"text":4166,"type":300}," developed by Canadian Virtual Hospice, and other education developed by teams as part of the program. ",{"type":15,"attrs":4168,"content":4169},{"textAlign":446},[4170],{"text":4171,"type":300},"Participating teams received:",{"type":420,"content":4173},[4174,4181,4188,4195],{"type":423,"content":4175},[4176],{"type":15,"attrs":4177,"content":4178},{"textAlign":53},[4179],{"text":4180,"type":300},"Seed funding to support implementation",{"type":423,"content":4182},[4183],{"type":15,"attrs":4184,"content":4185},{"textAlign":53},[4186],{"text":4187,"type":300},"Tailored learning opportunities through webinars and coaching calls",{"type":423,"content":4189},[4190],{"type":15,"attrs":4191,"content":4192},{"textAlign":53},[4193],{"text":4194,"type":300},"Opportunities to share, learn and problem-solve with peers",{"type":423,"content":4196},[4197],{"type":15,"attrs":4198,"content":4199},{"textAlign":53},[4200],{"text":4201,"type":300},"Support to measure and evaluate the success of their project",{"type":15,"attrs":4203,"content":4204},{"textAlign":446},[4205],{"text":4206,"type":300},"Teams engaged patient and family/caregiver advisors to ensure that the program met their needs. Patient and family/caregiver advisors also helped develop evaluation tools, such as patient and family surveys, to help measure the impact of the program and inform ongoing improvements.",{"type":15,"attrs":4208,"content":4209},{"textAlign":446},[4210],{"text":4211,"type":300},"This approach to person-centred care was identified through an open call for innovations in 2017 as the Paramedics Providing Palliative Care at Home Program in Nova Scotia and Prince Edward Island, and Alberta Health Services’ Provincial Emergency Medical Services Palliative and End-of-Life Care Assess, Treat and Refer Program. HEC and the Partnership worked closely with the original innovators to drive the adoption of this approach to teams in other areas of the country.",[4213,4222],{"_uid":4214,"link":4215,"image":4216,"component":3963,"partner_name":4221},"889aef7c-7bd4-4a20-a255-acea2c907f53",[],{"id":4217,"alt":4218,"name":16,"focus":16,"title":4218,"source":16,"filename":4219,"copyright":16,"fieldtype":288,"meta_data":4220,"is_external_url":290},114300054425610,"CVH Logo","https://a-ca.storyblok.com/f/850807391887861/78eb56f401/cvh-logo.png",{},"Canadian Virtual Hospice",{"_uid":4223,"link":4224,"image":4225,"component":3963,"partner_name":4230},"de36f991-6679-4c8d-9432-688b62d76f0b",[],{"id":4226,"alt":4227,"name":16,"focus":16,"title":4227,"source":16,"filename":4228,"copyright":16,"fieldtype":288,"meta_data":4229,"is_external_url":290},114300048609287,"Pallium Canada Horizontal Logo","https://a-ca.storyblok.com/f/850807391887861/276478e581/pallium-canada-horizontal-logo.jpg",{},"Pallium Canada",{"id":16,"_uid":4232,"items":4233,"component":1860},"7f7e647d-d967-49af-adc7-2b35471bd48c",[4234],{"_uid":4235,"link":4236,"image":4247,"title":4252,"component":1852,"description":4253},"606eaefa-c5e3-4c11-927e-7b288845bbe1",[4237],{"_uid":4238,"file":4239,"component":4246},"e19da376-f720-4cb5-a15e-b1123c00ea52",{"id":4240,"alt":4241,"name":4242,"focus":16,"title":4243,"source":16,"filename":4244,"copyright":16,"fieldtype":288,"meta_data":4245,"is_external_url":290},114293153380646,"Paramedics Palliative Care Change Package FRE","Download","Paramedics Palliative Care Change Package","https://a-ca.storyblok.com/f/850807391887861/84afce0a30/paramedics-palliative-care-change-package-fre.pdf",{"alt":4241,"title":4243,"source":16,"copyright":16},"simple-file-only",{"id":4248,"alt":4249,"name":16,"focus":16,"title":4249,"source":16,"filename":4250,"copyright":16,"fieldtype":288,"meta_data":4251,"is_external_url":290},114295395986306,"2022 Program Tiles Paramedicspalliativecare","https://a-ca.storyblok.com/f/850807391887861/0db67978c3/2022-program-tiles-paramedicspalliativecare.png",{},"Paramedics and Palliative Care: Bringing Vital Services to Canadians Change Package",{"type":12,"content":4254},[4255,4260],{"type":15,"attrs":4256,"content":4257},{"textAlign":446},[4258],{"text":4259,"type":300},"The Paramedics and Palliative Care: Bringing Vital Services to Canadians change package provides core principles and elements required to develop and implement a palliative approach to care for paramedic services. It brings together the experiences and learnings from 10 teams across nine provinces and territories who have successfully implemented this approach to home care services.",{"type":15,"attrs":4261,"content":4262},{"textAlign":446},[4263],{"text":4264,"type":300},"The change package includes examples of how teams participating in the Paramedics and Palliative Care program  implemented a palliative approach to care for paramedics in their jurisdiction. It also includes tips from program coaches and project team members, and recommendations for engaging patients, family members and essential care partners.",{"_uid":4266,"content":4267,"component":462},"65b1e972-1a91-468b-9296-805d78f009de",[4268,4292,4299,4313],{"_uid":4269,"content":4270,"component":461},"5629b43b-70fb-43b1-8640-7e24c68adb3e",{"type":12,"content":4271},[4272,4277,4282,4287],{"type":490,"attrs":4273,"content":4274},{"level":1870,"textAlign":53},[4275],{"text":4276,"type":300},"Teams",{"type":15,"attrs":4278,"content":4279},{"textAlign":53},[4280],{"text":4281,"type":300},"Ten teams across nine provinces participated in the Paramedics Providing Palliative Care: Bringing Vital Services to Canadians program.",{"type":15,"attrs":4283,"content":4284},{"textAlign":53},[4285],{"text":4286,"type":300},"The original innovator sites in Nova Scotia, Prince Edward Island and Alberta formed three of the teams. They participated as coaching jurisdictions and worked with HEC and the Partnership to spread and scale the Paramedics and Palliative care program to other areas of Canada.",{"type":15,"attrs":4288,"content":4289},{"textAlign":53},[4290],{"text":4291,"type":300},"Newfoundland and Labrador, New Brunswick, Ontario, Manitoba, Saskatchewan, and British Columbia participated as implementation teams. They were supported to successfully implement the program.",{"_uid":4293,"image":4294,"component":2422},"4bf058cd-cd5e-4fd0-b40a-fbaafec24d78",{"id":4295,"alt":4296,"name":16,"focus":16,"title":16,"source":16,"filename":4297,"copyright":16,"fieldtype":288,"meta_data":4298,"is_external_url":290},134004171048050,"Participating and coaching jurisdictions located on a map of Canada. British Columbia Emergency Health Services is in Vancouver, British Columbia. It is a participating jurisdiction. Alberta Health Services Emergency Medical Services and Alberta Health is shown in Calgary, Alberta. It is a coaching jurisdiction. Saskatchewan Health Authority, Regina Area is in Regina, Saskatchewan. It is a participating jurisdiction. Interlake-Eastern Regional Health Authority is shown in Winnipeg, Manitoba. It is a participating jurisdiction. York Region Paramedic Services is in the Regional Municipality of York, Ontario. It is a participating jurisdiction. The Ottawa Hospital Research Institute is shown in Ottawa, Ontario. It is a participating jurisdiction. Ambulance New Brunswick/Extra Mural Program is in Moncton, New Brunswick. It is a participating jurisdiction. Nova Scotia Emergency Health Services and Nova Scotia Health Authority is a coaching team. It is shown in Halifax, Nova Scotia. Island Emergency Medical Services and Health PEI is another coaching jurisdiction. On the map it is shown in Charlottetown, Prince Edward Island. Finally, is the participating jurisdiction of Eastern Health. It is in St John’s, Newfoundland and Labrador.","https://a-ca.storyblok.com/f/850807391887861/1800x1390/938eedc406/map.webp",{"alt":4296,"title":16,"source":16,"copyright":16},{"_uid":4300,"content":4301,"component":461},"b896054a-284a-4f4d-89cf-cc2f9890def8",{"type":12,"content":4302},[4303,4308],{"type":490,"attrs":4304,"content":4305},{"level":1870,"textAlign":53},[4306],{"text":4307,"type":300},"Advisors",{"type":15,"attrs":4309,"content":4310},{"textAlign":53},[4311],{"text":4312,"type":300},"The Paramedics and Palliative Care: Bringing Vital Services to Canadians program was supported by several advisors, subject matter experts, patient and family advisors and coaches. Advisors shared their experiences either as individuals and families who had lived experiences of receiving palliative care, or as professionals who had expertise in palliative approaches to care as well as healthcare improvement. For a full list of contributors, see the Paramedics and Palliative Care change package.",{"_uid":4314,"content":4315,"component":461},"695052f7-0b48-4d9f-a399-e2ea8556d70a",{"type":12,"content":4316},[4317,4322,4327,4332,4337,4346,4351,4367,4372,4381,4386,4402],{"type":490,"attrs":4318,"content":4319},{"level":1870,"textAlign":53},[4320],{"text":4321,"type":300},"Paramedics and Palliative Care Program Outcomes",{"type":15,"attrs":4323,"content":4324},{"textAlign":53},[4325],{"text":4326,"type":300},"The Paramedics and Palliative Care program equipped paramedics and other healthcare providers to provide appropriate, patient-centred palliative care closer to home and community, resulting in improved efficiencies in the healthcare system.",{"type":490,"attrs":4328,"content":4329},{"level":492,"textAlign":53},[4330],{"text":4331,"type":300},"How Paramedics and Palliative Care contributed to better healthcare in Canada",{"type":490,"attrs":4333,"content":4334},{"level":2468,"textAlign":53},[4335],{"text":4336,"type":300},"Decreased transports to hospital in both rural and urban areas",{"type":420,"content":4338},[4339],{"type":423,"content":4340},[4341],{"type":15,"attrs":4342,"content":4343},{"textAlign":53},[4344],{"text":4345,"type":300},"52.8 percent of calls enabled people receiving palliative care to remain in their homes, diverting patients from the emergency department",{"type":490,"attrs":4347,"content":4348},{"level":2468,"textAlign":53},[4349],{"text":4350,"type":300},"Improved access to patient-centred care closer to home and community",{"type":420,"content":4352},[4353,4360],{"type":423,"content":4354},[4355],{"type":15,"attrs":4356,"content":4357},{"textAlign":53},[4358],{"text":4359,"type":300},"Almost 7,000 calls were received from people wishing to access palliative care in their homes",{"type":423,"content":4361},[4362],{"type":15,"attrs":4363,"content":4364},{"textAlign":53},[4365],{"text":4366,"type":300},"Over 92 percent of surveyed patients and families were satisfied with the care they received by paramedics and 86.6 percent of calls improved the presenting complaint",{"type":490,"attrs":4368,"content":4369},{"level":2468,"textAlign":53},[4370],{"text":4371,"type":300},"Improved efficiency in the healthcare system",{"type":420,"content":4373},[4374],{"type":423,"content":4375},[4376],{"type":15,"attrs":4377,"content":4378},{"textAlign":53},[4379],{"text":4380,"type":300},"An average of 31 minutes were saved per call by treating palliative patients at home compared with transporting them to the emergency department",{"type":490,"attrs":4382,"content":4383},{"level":2468,"textAlign":53},[4384],{"text":4385,"type":300},"Improved comfort and confidence for paramedic team members delivering palliative care",{"type":420,"content":4387},[4388,4395],{"type":423,"content":4389},[4390],{"type":15,"attrs":4391,"content":4392},{"textAlign":53},[4393],{"text":4394,"type":300},"71.3 percent of paramedics felt more comfortable and confident providing palliative care",{"type":423,"content":4396},[4397],{"type":15,"attrs":4398,"content":4399},{"textAlign":53},[4400],{"text":4401,"type":300},"More than 7,500 paramedics and 200 additional healthcare providers were trained to support palliative patients at home",{"type":490,"attrs":4403},{"level":2468,"textAlign":53},{"id":16,"_uid":4405,"items":4406,"component":1090},"d5674615-ba59-46c4-aaec-46af4dd38e62",[4407,4420,4432,4444],{"_uid":4408,"image":4409,"quote":4411,"author":4418,"component":1088,"author_title":4419},"61a55367-9d5e-46e4-9b3e-d1f7e5938554",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4410},{},{"type":12,"content":4412},[4413],{"type":15,"attrs":4414,"content":4415},{"textAlign":53},[4416],{"text":4417,"type":300},"\"Paramedics feel this is some of the most rewarding work they do, and patients and families describe the relief they feel being more able to remain home with the support of this new program.\"","Alix Carter, MD","Medical Director of Research at EHS Nova Scotia and member of the Paramedics Providing Palliative Care at Home Program team in Nova Scotia and Prince Edward Island (2019)",{"_uid":4421,"image":4422,"quote":4424,"author":4431,"component":1088,"author_title":3788},"b7ebaedd-96eb-45c0-9bf2-938bdf4a099a",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4423},{},{"type":12,"content":4425},[4426],{"type":15,"attrs":4427,"content":4428},{"textAlign":53},[4429],{"text":4430,"type":300},"“I will be forever grateful for the Paramedics and Palliative Care program for the very diligent patient-centred way in which they were willing to accommodate my unique request because it enabled my father-in-law to get a good night’s sleep, it enabled me to do what I needed to do as a family member in providing comfort, and it enabled my mother-in-law to have the necessary medication... and it was as simple as a phone call.”","Family member",{"_uid":4433,"image":4434,"quote":4436,"author":4443,"component":1088,"author_title":3769},"1ead6a86-5874-4df3-aeb2-8f3ff40730a0",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4435},{},{"type":12,"content":4437},[4438],{"type":15,"attrs":4439,"content":4440},{"textAlign":53},[4441],{"text":4442,"type":300},"“Yes, we responded to this call for an Extra-Mural palliative patient; the family was concerned about their loved one who was having difficulty breathing. We were able to provide the patient some comfort with supplemental oxygen decreasing his accessory muscle use. It was nice as we were able to reassure the family, provide some help during this difficult time by answering some questions they had and also prepare them for some difficult decisions that they possibly may have to make.”","Paramedic",{"_uid":4445,"image":4446,"quote":4448,"author":4457,"component":1088,"author_title":3577},"02dc2f28-17af-4efc-a9d2-a1887b155f75",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4447},{},{"type":12,"content":4449},[4450,4455],{"type":15,"attrs":4451,"content":4452},{"textAlign":53},[4453],{"text":4454,"type":300},"“Patients often express their wish to have end of life care at home. They want to die peacefully in their own home surrounded by their loved ones. However, if they experience acute symptoms such as shortness of breath or delirium, their caregivers may panic and call 911. In the past, this has led to patients being transferred to the emergency room sometimes in the final hours or days of life. The paramedics and palliative care program allow paramedics to treat those acute symptom needs, avoid transfer to the hospital and ensure continuity of care with the community team. It is an example of interprofessional collaboration where the patient’s needs are at the centre. It allows the patient to get the right care, in the right place at the right time. Ultimately, it honours the patient’s wishes for a peaceful death at home.”",{"type":15,"attrs":4456},{"textAlign":53},"Palliative Care Physician",{"id":16,"_uid":4459,"link":4460,"image":4461,"title":16,"video_id":16,"component":485,"media_type":2612,"description":4463,"video_title":16},"05e2e618-5b26-48c3-8258-32d7df0db1ab",[],{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4462},{},{"type":12,"content":4464},[4465,4472,4477],{"type":490,"attrs":4466,"content":4467},{"level":492,"textAlign":53},[4468],{"text":4469,"type":300,"marks":4470},"Suggested Citation",[4471],{"type":1935},{"type":15,"attrs":4473,"content":4474},{"textAlign":53},[4475],{"text":4476,"type":300},"These outcomes are informed by data collected by HEC, the Partnership, and the seven teams in six provinces, representing 31 paramedic services, that participated in the program. When citing this information, we ask that you use the following reference:",{"type":420,"content":4478},[4479],{"type":423,"content":4480},[4481],{"type":15,"attrs":4482,"content":4483},{"textAlign":53},[4484],{"text":4485,"type":300},"Healthcare Excellence Canada, the Canadian Partnership Against Cancer, and Paramedics and Palliative Care teams. How Paramedics and Palliative Care contributed to better healthcare in Canada. August 2023.",{"id":16,"_uid":4487,"items":4488,"component":1090},"74dffccd-ece5-46c7-a49e-f3ecac19cf52",[4489,4500,4513,4524,4536],{"_uid":4490,"image":4491,"quote":4493,"author":4443,"component":1088,"author_title":16},"f151fa9e-079f-4af0-aaf2-8259e4a3249c",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4492},{},{"type":12,"content":4494},[4495],{"type":15,"attrs":4496,"content":4497},{"textAlign":53},[4498],{"text":4499,"type":300},"“I have never experienced similar gratitude displayed by patients and families as much as I have when supporting this population. It has really changed my mind and opened my eyes to the difference paramedics providing palliative care can make.”",{"_uid":4501,"image":4502,"quote":4504,"author":4457,"component":1088,"author_title":3577},"925674c3-ec61-4d1e-a157-fef306db9c01",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4503},{},{"type":12,"content":4505},[4506,4511],{"type":15,"attrs":4507,"content":4508},{"textAlign":53},[4509],{"text":4510,"type":300},"“The paramedics were able to give several different medications to comfortably settle the patient.  I had ordered for urgent delivery of a symptom relief kit but knew it wouldn't arrive until sometime the next morning. The paramedics had to go back at 7 a.m. the next morning to administer more meds.  The patient died that next morning (before the symptom relief kit had even arrived).  I feel like this patient would have likely ended up in the ER and died there if it had not been for the paramedics.”",{"type":15,"attrs":4512},{"textAlign":53},{"_uid":4514,"image":4515,"quote":4517,"author":4443,"component":1088,"author_title":16},"e131a9d9-ff5a-4da8-8a49-29aa48efc43e",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4516},{},{"type":12,"content":4518},[4519],{"type":15,"attrs":4520,"content":4521},{"textAlign":53},[4522],{"text":4523,"type":300},"“It left me with a good feeling being able to respect this patient’s wishes to be left at home and yet still be able to provide some care to keep her comfortable in her time of need. For myself, I felt connected to the patient and her family even having just met them. I left there feeling comforted by the fact that I was able to make a difference in this patient’s life.”",{"_uid":4525,"image":4526,"quote":4528,"author":4535,"component":1088,"author_title":16},"50e81621-f9ef-46a5-b3b1-e493fc2aac76",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4527},{},{"type":12,"content":4529},[4530],{"type":15,"attrs":4531,"content":4532},{"textAlign":53},[4533],{"text":4534,"type":300},"“Caregivers hold their breath and hope an unexpected crisis won’t occur. But it does and it usually happens after hours on a weekend, or on a holiday. This is precisely when help is not easily accessible, but our experience tells us that if you call the paramedics, they will come. You aren’t waiting for a callback on the phone. Paramedics offer much needed reassurance and expertise in the face of an urgent situation.”","Carer",{"_uid":4537,"image":4538,"quote":4540,"author":4443,"component":1088,"author_title":3788},"7048a6e9-6fe5-48d9-8c71-2fd11dee03ee",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":288,"meta_data":4539},{},{"type":12,"content":4541},[4542],{"type":15,"attrs":4543,"content":4544},{"textAlign":53},[4545],{"text":4546,"type":300},"“I believe this program has provided the community with a positive avenue for end of life and comfort care. In allowing individuals and families 24-hour access to paramedics who are well trained in providing care/interventions for those experiencing crisis related to their disease, I believe we have saved our health care system, time, money, and resources by assisting these families within their homes. Allowing those who are ill autonomy in their treatment plans, who may otherwise feel they have lost control over their lives.” ",{"id":16,"_uid":4548,"items":4549,"title":2568,"component":1065,"description":5047},"4f9b2c34-0fae-4860-9d68-ba2e7fb502ad",[4550,4717,4768,4806,4877,4916],{"_uid":4551,"title":4552,"ctaLeft":4553,"ctaRight":4554,"component":638,"columnLeft":4555,"columnRight":4559},"ffd26cb4-c57f-469a-980a-d481be77b16e","Communications and Awareness Resources",[],[],{"type":12,"content":4556},[4557],{"type":15,"attrs":4558},{"textAlign":53},{"type":12,"content":4560},[4561,4566,4571,4586,4590,4615,4620,4644,4648,4661,4666,4671],{"type":15,"attrs":4562,"content":4563},{"textAlign":53},[4564],{"text":4565,"type":300},"See the Paramedics and Palliative Care program in action in some of the participating 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