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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":570,"content":571},{"textAlign":53},[572],{"text":573,"type":354},"Newfoundland and Labrador, New Brunswick, Ontario, Manitoba, Saskatchewan, and British Columbia participated as implementation teams. They were supported to successfully implement the program.","simple-richtext",{"_uid":576,"image":577,"component":582},"4bf058cd-cd5e-4fd0-b40a-fbaafec24d78",{"id":578,"alt":579,"name":16,"focus":16,"title":16,"source":16,"filename":580,"copyright":16,"fieldtype":283,"meta_data":581,"is_external_url":285},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":579,"title":16,"source":16,"copyright":16},"simple-image",{"_uid":584,"content":585,"component":574},"b896054a-284a-4f4d-89cf-cc2f9890def8",{"type":12,"content":586},[587,592],{"type":374,"attrs":588,"content":589},{"level":555,"textAlign":53},[590],{"text":591,"type":354},"Advisors",{"type":15,"attrs":593,"content":594},{"textAlign":53},[595],{"text":596,"type":354},"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":598,"content":599,"component":574},"695052f7-0b48-4d9f-a399-e2ea8556d70a",{"type":12,"content":600},[601,606,611,616,622,631,636,652,657,666,671,687],{"type":374,"attrs":602,"content":603},{"level":555,"textAlign":53},[604],{"text":605,"type":354},"Paramedics and Palliative Care Program Outcomes",{"type":15,"attrs":607,"content":608},{"textAlign":53},[609],{"text":610,"type":354},"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":374,"attrs":612,"content":613},{"level":376,"textAlign":53},[614],{"text":615,"type":354},"How Paramedics and Palliative Care contributed to better healthcare in Canada",{"type":374,"attrs":617,"content":619},{"level":618,"textAlign":53},4,[620],{"text":621,"type":354},"Decreased transports to hospital in both rural and urban areas",{"type":450,"content":623},[624],{"type":453,"content":625},[626],{"type":15,"attrs":627,"content":628},{"textAlign":53},[629],{"text":630,"type":354},"52.8 percent of calls enabled people receiving palliative care to remain in their homes, diverting patients from the emergency department",{"type":374,"attrs":632,"content":633},{"level":618,"textAlign":53},[634],{"text":635,"type":354},"Improved access to patient-centred care closer to home and community",{"type":450,"content":637},[638,645],{"type":453,"content":639},[640],{"type":15,"attrs":641,"content":642},{"textAlign":53},[643],{"text":644,"type":354},"Almost 7,000 calls were received from people wishing to access palliative care in their homes",{"type":453,"content":646},[647],{"type":15,"attrs":648,"content":649},{"textAlign":53},[650],{"text":651,"type":354},"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":374,"attrs":653,"content":654},{"level":618,"textAlign":53},[655],{"text":656,"type":354},"Improved efficiency in the healthcare system",{"type":450,"content":658},[659],{"type":453,"content":660},[661],{"type":15,"attrs":662,"content":663},{"textAlign":53},[664],{"text":665,"type":354},"An average of 31 minutes were saved per call by treating palliative patients at home compared with transporting them to the emergency department",{"type":374,"attrs":667,"content":668},{"level":618,"textAlign":53},[669],{"text":670,"type":354},"Improved comfort and confidence for paramedic team members delivering palliative 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home",{"type":374,"attrs":688},{"level":618,"textAlign":53},"wysiwyg-program",{"id":16,"_uid":691,"items":692,"component":748},"d5674615-ba59-46c4-aaec-46af4dd38e62",[693,707,720,733],{"_uid":694,"image":695,"quote":697,"author":704,"component":705,"author_title":706},"61a55367-9d5e-46e4-9b3e-d1f7e5938554",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":696},{},{"type":12,"content":698},[699],{"type":15,"attrs":700,"content":701},{"textAlign":53},[702],{"text":703,"type":354},"\"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","quote-item","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":708,"image":709,"quote":711,"author":718,"component":705,"author_title":719},"b7ebaedd-96eb-45c0-9bf2-938bdf4a099a",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":710},{},{"type":12,"content":712},[713],{"type":15,"attrs":714,"content":715},{"textAlign":53},[716],{"text":717,"type":354},"“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","Newfoundland and Labrador",{"_uid":721,"image":722,"quote":724,"author":731,"component":705,"author_title":732},"1ead6a86-5874-4df3-aeb2-8f3ff40730a0",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":723},{},{"type":12,"content":725},[726],{"type":15,"attrs":727,"content":728},{"textAlign":53},[729],{"text":730,"type":354},"“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","New Brunswick",{"_uid":734,"image":735,"quote":737,"author":746,"component":705,"author_title":747},"02dc2f28-17af-4efc-a9d2-a1887b155f75",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":736},{},{"type":12,"content":738},[739,744],{"type":15,"attrs":740,"content":741},{"textAlign":53},[742],{"text":743,"type":354},"“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":745},{"textAlign":53},"Palliative Care Physician","Ontario","quote",{"id":16,"_uid":750,"link":751,"image":752,"title":16,"video_id":16,"component":754,"media_type":755,"description":756,"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":283,"meta_data":753},{},"info-block-program","none",{"type":12,"content":757},[758,766,771],{"type":374,"attrs":759,"content":760},{"level":376,"textAlign":53},[761],{"text":762,"type":354,"marks":763},"Suggested Citation",[764],{"type":765},"bold",{"type":15,"attrs":767,"content":768},{"textAlign":53},[769],{"text":770,"type":354},"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":450,"content":772},[773],{"type":453,"content":774},[775],{"type":15,"attrs":776,"content":777},{"textAlign":53},[778],{"text":779,"type":354},"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":781,"items":782,"component":748},"74dffccd-ece5-46c7-a49e-f3ecac19cf52",[783,794,807,818,830],{"_uid":784,"image":785,"quote":787,"author":731,"component":705,"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":283,"meta_data":786},{},{"type":12,"content":788},[789],{"type":15,"attrs":790,"content":791},{"textAlign":53},[792],{"text":793,"type":354},"“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":795,"image":796,"quote":798,"author":746,"component":705,"author_title":747},"925674c3-ec61-4d1e-a157-fef306db9c01",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":797},{},{"type":12,"content":799},[800,805],{"type":15,"attrs":801,"content":802},{"textAlign":53},[803],{"text":804,"type":354},"“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":806},{"textAlign":53},{"_uid":808,"image":809,"quote":811,"author":731,"component":705,"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":283,"meta_data":810},{},{"type":12,"content":812},[813],{"type":15,"attrs":814,"content":815},{"textAlign":53},[816],{"text":817,"type":354},"“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":819,"image":820,"quote":822,"author":829,"component":705,"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":283,"meta_data":821},{},{"type":12,"content":823},[824],{"type":15,"attrs":825,"content":826},{"textAlign":53},[827],{"text":828,"type":354},"“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":831,"image":832,"quote":834,"author":731,"component":705,"author_title":719},"7048a6e9-6fe5-48d9-8c71-2fd11dee03ee",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":833},{},{"type":12,"content":835},[836],{"type":15,"attrs":837,"content":838},{"textAlign":53},[839],{"text":840,"type":354},"“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. 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It brought together 16 teams from across seven provinces to implement the patient-oriented care transitions bundle. The teams were composed of healthcare leaders and staff, patients and families from across .",{"type":15,"attrs":1749,"content":1750},{"textAlign":387},[1751],{"text":1752,"type":354},"Participating teams reported:",{"type":450,"content":1754},[1755,1762,1769,1776],{"type":453,"content":1756},[1757],{"type":15,"attrs":1758,"content":1759},{"textAlign":53},[1760],{"text":1761,"type":354},"improvements in patient and essential care partner experience of care transitions and their confidence to manage at home",{"type":453,"content":1763},[1764],{"type":15,"attrs":1765,"content":1766},{"textAlign":53},[1767],{"text":1768,"type":354},"improvements in their ability to effectively partner with patients and essential care partners in improvement efforts",{"type":453,"content":1770},[1771],{"type":15,"attrs":1772,"content":1773},{"textAlign":53},[1774],{"text":1775,"type":354},"improved provider experience of care",{"type":453,"content":1777},[1778],{"type":15,"attrs":1779,"content":1780},{"textAlign":53},[1781],{"text":1782,"type":354},"reduced avoidable readmissions",{"type":374,"attrs":1784,"content":1785},{"level":555,"textAlign":387},[1786],{"text":1787,"type":354},"Bridge-to-Home in Quebec",{"type":15,"attrs":1789,"content":1790},{"textAlign":387},[1791,1793,1799,1801,1807],{"text":1792,"type":354},"In 2021, HEC partnered with the ",{"text":1794,"type":354,"marks":1795},"Centre intégré de santé et des services sociaux (CISSS) de la Gaspésie",[1796],{"type":429,"attrs":1797},{"href":1798,"uuid":53,"anchor":53,"custom":53,"target":432,"linktype":433},"https://www.cisss-gaspesie.gouv.qc.ca/",{"text":1800,"type":354},", a team who participated in the original spread collaborative. HEC supported a “train-the-trainer” model across four regions in Quebec to support teams to implement the patient-oriented care transitions bundle. A series of ",{"text":1802,"type":354,"marks":1803},"Bridge-to-Home Quebec workshop recordings",[1804],{"type":429,"attrs":1805},{"href":1806,"uuid":53,"anchor":53,"custom":53,"target":432,"linktype":433},"https://www.youtube.com/playlist?list=PLXppU70IRw-EcfB6osnsW1qLxoRh2PffE",{"text":1808,"type":354}," developed during this partnership is available to support those interested in implementing this model in other contexts. ",{"type":15,"attrs":1810,"content":1811},{"textAlign":387},[1812,1814,1819],{"text":1813,"type":354},"This work was done in partnership with the Quebec Ministry of Health and with funding from the ",{"text":414,"type":354,"marks":1815},[1816],{"type":429,"attrs":1817},{"href":1818,"uuid":53,"anchor":53,"custom":53,"target":432,"linktype":433},"https://www.partnershipagainstcancer.ca/",{"text":1737,"type":354},{"type":15,"attrs":1821,"content":1822},{"textAlign":387},[1823,1826],{"text":392,"type":354,"marks":1824},[1825],{"type":395},{"text":1827,"type":354}," Burke, R. E., Kripalani, S., Vasilevskis, E. E., & Schnipper, J. L. (2013). Moving beyond readmission penalties: Creating an ideal process to improve transitional care. Journal of Hospital Medicine, 8(2), 102-109. doi:10.1002/jhm.1990",{"type":15,"attrs":1829,"content":1830},{"textAlign":387},[1831,1834,1836],{"text":399,"type":354,"marks":1832},[1833],{"type":395},{"text":1835,"type":354}," Canadian Institute for Health Information. [Online] All Patients Readmitted to Hospital. Retrieved from: ",{"text":1837,"type":354,"marks":1838},"https://yourhealthsystem.cihi.ca/hsp/inbrief?lang=en",[1839],{"type":429,"attrs":1840},{"href":1837,"uuid":53,"anchor":53,"custom":53,"target":53,"linktype":433},{"type":15,"attrs":1842,"content":1843},{"textAlign":387},[1844,1848,1850],{"text":1845,"type":354,"marks":1846},"3",[1847],{"type":395},{"text":1849,"type":354}," Canadian Institute for Health Information. (2012). All cause readmission to acute care and return to the emergency department. Retrieved from: ",{"text":1851,"type":354,"marks":1852},"https://publications.gc.ca/collections/collection_2013/icis-cihi/H118-93-2012-eng.pdf",[1853],{"type":429,"attrs":1854},{"href":1851,"uuid":53,"anchor":53,"custom":53,"target":432,"linktype":433},[115,122,129,150],[],"bridge-to-home","programs/bridge-to-home",-17610,[],"8a045db1-857b-485a-acc2-ddd6daf4367b","2026-01-12T20:16:12.670Z",[],[1865],{"path":1866,"name":1867,"lang":305,"published":291},"programmes/faire-le-pont-vers-la-maison","Faire le pont vers la maison",{"name":1869,"created_at":1870,"published_at":1871,"updated_at":1872,"id":1873,"uuid":1874,"content":1875,"slug":2590,"full_slug":2591,"sort_by_date":53,"position":2592,"tag_list":2593,"is_startpage":285,"parent_id":1413,"meta_data":53,"group_id":2594,"first_published_at":2595,"release_id":53,"lang":299,"path":53,"alternates":2596,"default_full_slug":2591,"translated_slugs":2597},"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,"8ef28fbb-f90c-42e0-9163-548594f9fbd7",{"seo":1876,"_uid":1880,"hero":1881,"type":1902,"theme":359,"banner":1903,"format":1904,"topics":1905,"Noindex":285,"content":1906,"audience":2588,"component":1407,"contentSticky":2589},{"_uid":1877,"title":1878,"plugin":330,"og_image":16,"og_title":16,"description":1879,"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",[1882],{"get":1883,"_uid":1886,"image":1887,"title":1869,"status":345,"component":346,"description":1892,"programType":285,"requirements":1899,"programEndDate":16,"programStartDate":16,"inscriptionsEndDate":16,"inscriptionsStartDate":16},{"type":12,"content":1884},[1885],{"type":15},"53e73237-ba54-4d25-b7e0-d0ab7a080e9c",{"id":1888,"alt":1889,"name":16,"focus":16,"title":16,"source":16,"filename":1890,"copyright":16,"fieldtype":283,"meta_data":1891,"is_external_url":285},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":1889,"title":16,"source":16,"copyright":16},{"type":12,"content":1893},[1894],{"type":15,"attrs":1895,"content":1896},{"textAlign":53},[1897],{"text":1898,"type":354},"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":1900},[1901],{"type":15},[222],[],[],[106,69,76,98],[1907,1947,1968,2106,2161,2535,2569],{"id":16,"_uid":1908,"content":1909,"component":689},"a1bba363-32e5-4f23-bd7f-9cba54c643f6",[1910],{"_uid":1911,"content":1912,"component":574},"68ac3a9d-fa8f-4fdd-9daf-0552f527fbe5",{"type":12,"content":1913},[1914,1919,1924],{"type":15,"attrs":1915,"content":1916},{"textAlign":53},[1917],{"text":1918,"type":354},"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":1920,"content":1921},{"textAlign":53},[1922],{"text":1923,"type":354},"The OPUS-AP collaborative has three phases:",{"type":450,"content":1925},[1926,1933,1940],{"type":453,"content":1927},[1928],{"type":15,"attrs":1929,"content":1930},{"textAlign":53},[1931],{"text":1932,"type":354},"Phase 1 (April 2017 to October 2018): 24 CHSLDs participated (one unit per CHSLD);",{"type":453,"content":1934},[1935],{"type":15,"attrs":1936,"content":1937},{"textAlign":53},[1938],{"text":1939,"type":354},"Phase 2 (January 2019 to April 2020): 129 CHSLDs participated (329 units);",{"type":453,"content":1941},[1942],{"type":15,"attrs":1943,"content":1944},{"textAlign":53},[1945],{"text":1946,"type":354},"Phase 3 (October 2022 to March 2026): all 313 publicly funded CHSLDs, long-term care homes and alternative homes participating.",{"id":16,"_uid":1948,"items":1949,"component":748},"52818fd7-daf8-4c99-b0ff-eb465c45cbbf",[1950],{"_uid":1951,"image":1952,"quote":1954,"author":1966,"component":705,"author_title":1967},"4a84b6ed-bc22-4760-b944-74274de44309",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":283,"meta_data":1953},{},{"type":12,"content":1955},[1956],{"type":15,"attrs":1957,"content":1958},{"textAlign":53},[1959,1961,1963],{"text":1960,"type":354},"“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":1962},"hard_break",{"type":1962,"marks":1964},[1965],{"type":765},"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":1969,"title":1970,"video_id":1971,"component":1972,"transcript":1973,"video_type":2075,"description":2076,"video_title":2096,"video_description":2097},"1d42b860-3363-40ca-9208-f98ba01d4ad8","Phase 1","hXy3Htyyi9Y","video-transcript",{"type":12,"content":1974},[1975,1980,1985,1990,1995,2000,2005,2010,2015,2020,2025,2030,2035,2040,2045,2050,2055,2060,2065,2070],{"type":15,"attrs":1976,"content":1977},{"textAlign":53},[1978],{"text":1979,"type":354},"[0:00:00] (Logo) OPUS-AP OPTIMIZING PRACTICES, USES, CARE AND SERVICES - ANTIPSYCHOTICS (LOGO) Gouvernement du Québec ",{"type":15,"attrs":1981,"content":1982},{"textAlign":53},[1983],{"text":1984,"type":354},"[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":1986,"content":1987},{"textAlign":53},[1988],{"text":1989,"type":354},"[00:00:10] Carole Unit head and project manager CHSLD Gertrude-Lafrance CISSS de la Montérégie-Centre ",{"type":15,"attrs":1991,"content":1992},{"textAlign":53},[1993],{"text":1994,"type":354},"[00:00:16] So, Carole Leblanc ",{"type":15,"attrs":1996,"content":1997},{"textAlign":53},[1998],{"text":1999,"type":354},"[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":2001,"content":2002},{"textAlign":53},[2003],{"text":2004,"type":354},"[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":2006,"content":2007},{"textAlign":53},[2008],{"text":2009,"type":354},"[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":2011,"content":2012},{"textAlign":53},[2013],{"text":2014,"type":354},"[00:00:52] All the terminology determined a common way of doing things for the entire team. ",{"type":15,"attrs":2016,"content":2017},{"textAlign":53},[2018],{"text":2019,"type":354},"[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":2021,"content":2022},{"textAlign":53},[2023],{"text":2024,"type":354},"[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":2026,"content":2027},{"textAlign":53},[2028],{"text":2029,"type":354},"[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":2031,"content":2032},{"textAlign":53},[2033],{"text":2034,"type":354}," [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":2036,"content":2037},{"textAlign":53},[2038],{"text":2039,"type":354},"[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":2041,"content":2042},{"textAlign":53},[2043],{"text":2044,"type":354},"[00:02:13] This project really needs people to take the lead, but it also needs people to get involved. ",{"type":15,"attrs":2046,"content":2047},{"textAlign":53},[2048],{"text":2049,"type":354},"[00:02:23] And to get people involved, they need to understand the urgent need for action ",{"type":15,"attrs":2051,"content":2052},{"textAlign":53},[2053],{"text":2054,"type":354},"[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":2056,"content":2057},{"textAlign":53},[2058],{"text":2059,"type":354},"[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":2061,"content":2062},{"textAlign":53},[2063],{"text":2064,"type":354},"[00:03:05] (Logo) Canadian Foundation for Healthcare Improvement Fondation canadienne pour l’amélioration des services de santé",{"type":15,"attrs":2066,"content":2067},{"textAlign":53},[2068],{"text":2069,"type":354}," [00:03:11] (Logo) Gouvernement du Québec ",{"type":15,"attrs":2071,"content":2072},{"textAlign":53},[2073],{"text":2074,"type":354},"END","youtube",{"type":12,"content":2077},[2078,2083],{"type":15,"attrs":2079,"content":2080},{"textAlign":53},[2081],{"text":2082,"type":354},"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":2084,"content":2085},{"textAlign":53},[2086,2088,2095],{"text":2087,"type":354},"You can read more about phase 1 results in the ",{"text":2089,"type":354,"marks":2090},"OPUS-AP Results Poster for Phase 1",[2091],{"type":429,"attrs":2092},{"href":2093,"uuid":53,"anchor":53,"custom":2094,"target":1298,"linktype":283},"https://a-ca.storyblok.com/f/850807391887861/b7f8dbcbcc/opus-ap-poster-e-final-ua.pdf",{},{"text":1737,"type":354},"Témoignage de chargée de projet et chef d’unité OPUS-AP – Mme Carole Leblanc",{"type":12,"content":2098},[2099,2104],{"type":15,"attrs":2100,"content":2101},{"textAlign":53},[2102],{"text":2103,"type":354},"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":2105},{"textAlign":53},{"id":16,"_uid":2107,"title":2108,"video_id":2109,"component":1972,"transcript":2110,"video_type":2075,"description":2146,"video_title":2153,"video_description":2154},"1a2db19c-3dee-4c2c-a699-530e9942e799","Phase 2","IF3A014heos",{"type":12,"content":2111},[2112,2117,2122,2127,2132,2137,2142],{"type":15,"attrs":2113,"content":2114},{"textAlign":53},[2115],{"text":2116,"type":354},"[0:00:00] Training for trainers. OPUS-AP Phase II ",{"type":15,"attrs":2118,"content":2119},{"textAlign":53},[2120],{"text":2121,"type":354},"[00:00:21] (Logo) OPUS-AP ",{"type":15,"attrs":2123,"content":2124},{"textAlign":53},[2125],{"text":2126,"type":354},"OPTIMIZING PRACTICES, USES, ",{"type":15,"attrs":2128,"content":2129},{"textAlign":53},[2130],{"text":2131,"type":354},"CARE AND SERVICES - ANTIPSYCHOTICS ",{"type":15,"attrs":2133,"content":2134},{"textAlign":53},[2135],{"text":2136,"type":354},"(Logo) Canadian Foundation for Healthcare Improvement Fondation canadienne pour l’amélioration des services de santé ",{"type":15,"attrs":2138,"content":2139},{"textAlign":53},[2140],{"text":2141,"type":354},"(Logo) Gouvernement du Québec ",{"type":15,"attrs":2143,"content":2144},{"textAlign":53},[2145],{"text":2074,"type":354},{"type":12,"content":2147},[2148],{"type":15,"attrs":2149,"content":2150},{"textAlign":53},[2151],{"text":2152,"type":354},"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":2155},[2156],{"type":15,"attrs":2157,"content":2158},{"textAlign":53},[2159],{"text":2160,"type":354},"In Phase 2 of the OPUS-AP collaborative, the team supported an additional 129 CHSLDs in Quebec in rolling out the AUA approach. To learn about the train-the-trainer approach being implemented as part of this collaborative, you can watch the video.",{"id":16,"_uid":2162,"items":2163,"title":2531,"component":1347,"description":2532},"8704f997-c4d2-4316-a7d0-111f7ef205c6",[2164,2183,2202,2221,2240,2259,2285,2304,2330,2349,2368,2387,2406,2439,2493,2512],{"_uid":2165,"title":2166,"ctaLeft":2167,"ctaRight":2168,"component":849,"columnLeft":2169,"columnRight":2172},"3a903886-db8a-4796-8ab2-bcff77ebb19e","Abitibi-Témiscamingue",[],[],{"type":12,"content":2170},[2171],{"type":15},{"type":12,"content":2173},[2174],{"type":450,"content":2175},[2176],{"type":453,"content":2177},[2178],{"type":15,"attrs":2179,"content":2180},{"textAlign":53},[2181],{"text":2182,"type":354},"Centre intégré de santé et de services sociaux de 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Participating teams reported that they:",{"type":450,"content":2765},[2766,2773,2780,2787],{"type":453,"content":2767},[2768],{"type":15,"attrs":2769,"content":2770},{"textAlign":53},[2771],{"text":2772,"type":354},"Increased their knowledge of quality improvement",{"type":453,"content":2774},[2775],{"type":15,"attrs":2776,"content":2777},{"textAlign":53},[2778],{"text":2779,"type":354},"Made their organization’s culture more conducive to quality improvement",{"type":453,"content":2781},[2782],{"type":15,"attrs":2783,"content":2784},{"textAlign":53},[2785],{"text":2786,"type":354},"Increased their organization’s adoption of long-term care best practices",{"type":453,"content":2788},[2789],{"type":15,"attrs":2790,"content":2791},{"textAlign":53},[2792],{"text":2793,"type":354},"Developed new relationships with other leaders and organizations",{"type":15,"attrs":2795,"content":2796},{"textAlign":387},[2797],{"text":2798,"type":354},"Teams implementing quality improvement projects focusing on person-centred care reported:",{"type":450,"content":2800},[2801,2808,2815,2822],{"type":453,"content":2802},[2803],{"type":15,"attrs":2804,"content":2805},{"textAlign":53},[2806],{"text":2807,"type":354},"Strengthened relationships between staff and residents",{"type":453,"content":2809},[2810],{"type":15,"attrs":2811,"content":2812},{"textAlign":53},[2813],{"text":2814,"type":354},"Reduced falls",{"type":453,"content":2816},[2817],{"type":15,"attrs":2818,"content":2819},{"textAlign":53},[2820],{"text":2821,"type":354},"Improved resident experience and quality of life",{"type":453,"content":2823},[2824],{"type":15,"attrs":2825,"content":2826},{"textAlign":53},[2827],{"text":2828,"type":354},"Improved social engagement among residents",{"type":15,"attrs":2830,"content":2831},{"textAlign":387},[2832],{"text":2833,"type":354},"Teams implementing quality improvement projects  focused specifically on staff well-being reported:",{"type":450,"content":2835},[2836,2843,2850,2857],{"type":453,"content":2837},[2838],{"type":15,"attrs":2839,"content":2840},{"textAlign":53},[2841],{"text":2842,"type":354},"Clearer communication",{"type":453,"content":2844},[2845],{"type":15,"attrs":2846,"content":2847},{"textAlign":53},[2848],{"text":2849,"type":354},"Effective teamwork",{"type":453,"content":2851},[2852],{"type":15,"attrs":2853,"content":2854},{"textAlign":53},[2855],{"text":2856,"type":354},"A more positive work environment",{"type":453,"content":2858},[2859],{"type":15,"attrs":2860,"content":2861},{"textAlign":53},[2862],{"text":2863,"type":354},"Improved staffing",{"type":374,"attrs":2865,"content":2866},{"level":555,"textAlign":387},[2867],{"text":2868,"type":354,"marks":2869},"The approach of the LTC Quality Improvement program",[2870],{"type":765},{"type":15,"attrs":2872,"content":2873},{"textAlign":387},[2874],{"text":2875,"type":354},"Participating long-term care homes received a range of supports through this program, including:",{"type":450,"content":2877},[2878,2885,2892,2899],{"type":453,"content":2879},[2880],{"type":15,"attrs":2881,"content":2882},{"textAlign":53},[2883],{"text":2884,"type":354},"Seed funding of up to $15,000 per long-term care home",{"type":453,"content":2886},[2887],{"type":15,"attrs":2888,"content":2889},{"textAlign":53},[2890],{"text":2891,"type":354},"Coaching and opportunities to connect with and learn from long-term care homes across Canada working on similar projects or in similar regions",{"type":453,"content":2893},[2894],{"type":15,"attrs":2895,"content":2896},{"textAlign":53},[2897],{"text":2898,"type":354},"Training on quality improvement principles and methods",{"type":453,"content":2900},[2901],{"type":15,"attrs":2902,"content":2903},{"textAlign":53},[2904],{"text":2905,"type":354},"Access to monthly webinars featuring topics related to best practices in long-term care",{"type":15,"attrs":2907,"content":2908},{"textAlign":387},[2909,2911,2917],{"text":2910,"type":354},"HEC continues to support long-term care homes across Canada. Learn more about ",{"text":2912,"type":354,"marks":2913},"Reimagining LTC",[2914],{"type":429,"attrs":2915},{"href":2916,"uuid":53,"anchor":53,"custom":53,"target":53,"linktype":433},"https://www.healthcareexcellence.ca/en/what-we-do/all-programs/reimagining-ltc/enabling-a-healthy-workforce-to-provide-person-centred-care/",{"text":2918,"type":354},", our current programming to enable a healthy workforce to provide person-centred care.",{"id":16,"cta":2920,"_uid":2925,"items":2926,"title":2934,"component":1405},[2921],{"_uid":2922,"link":2923,"label":2580,"component":1398},"e224d1ba-83f9-4e86-89bc-de65bddc8b0e",{"id":2574,"url":16,"linktype":1299,"fieldtype":1392,"cached_url":2575,"story":2924},{"name":2577,"id":2578,"uuid":2574,"slug":2579,"url":2575,"full_slug":2575,"_stopResolving":291},"85c20467-d888-4d88-90f0-35edcbbfb64d",[2927,2928,2929,2930,2931,2932,2933],"ecaff6cc-5958-4c59-a452-2b850d50ddb8","c7d30cd3-f22b-4ab4-bfdd-57d053fefd1b","940f2fdc-7a78-4749-acb8-14fd90d06467","b0733d54-3022-4ca6-a600-fafa8da73bd1","bc609f13-3833-4463-9191-be14b9e194b0","abb1289b-5e6c-4db3-a936-99e9630d77be","45a0356b-8d8e-4e1f-b761-57e22c116c2c","Related Programs and Resources",[143,129,150],[],"ltc-quality-improvement","programs/ltc-quality-improvement",-17630,[],"7d229177-4fe9-461f-955c-f98f01d83f7b","2026-01-19T19:22:51.824Z",[],[2945],{"path":2946,"name":2947,"lang":305,"published":291},"programmes/amelioration-de-la-qualite-en-sld","Amélioration de la qualité en SLD",13,1776087593892]