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It brought together 16 teams from across seven provinces to implement the patient-oriented care transitions bundle. 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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":2045,"content":2046},{"textAlign":1698},[2047,2051,2053],{"text":2048,"type":352,"marks":2049},"2",[2050],{"type":416},{"text":2052,"type":352}," Canadian Institute for Health Information. [Online] All Patients Readmitted to Hospital. Retrieved from: ",{"text":2054,"type":352,"marks":2055},"https://yourhealthsystem.cihi.ca/hsp/inbrief?lang=en",[2056],{"type":456,"attrs":2057},{"href":2054,"uuid":53,"anchor":53,"custom":53,"target":53,"linktype":1726},{"type":15,"attrs":2059,"content":2060},{"textAlign":1698},[2061,2065,2067],{"text":2062,"type":352,"marks":2063},"3",[2064],{"type":416},{"text":2066,"type":352}," Canadian Institute for Health Information. (2012). All cause readmission to acute care and return to the emergency department. Retrieved from: ",{"text":2068,"type":352,"marks":2069},"https://publications.gc.ca/collections/collection_2013/icis-cihi/H118-93-2012-eng.pdf",[2070],{"type":456,"attrs":2071},{"href":2068,"uuid":53,"anchor":53,"custom":53,"target":1725,"linktype":1726},[115,122,129,150],[],"bridge-to-home","programs/bridge-to-home",-17610,[],"8a045db1-857b-485a-acc2-ddd6daf4367b","2026-01-12T20:16:12.670Z",[],[2082],{"path":2083,"name":2084,"lang":305,"published":291},"programmes/faire-le-pont-vers-la-maison","Faire le pont vers la maison",{"name":2086,"created_at":2087,"published_at":2088,"updated_at":2089,"id":2090,"uuid":1010,"content":2091,"slug":2793,"full_slug":2794,"sort_by_date":53,"position":2795,"tag_list":2796,"is_startpage":285,"parent_id":1020,"meta_data":53,"group_id":2797,"first_published_at":2798,"release_id":53,"lang":299,"path":53,"alternates":2799,"default_full_slug":2794,"translated_slugs":2800},"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":2092,"_uid":2096,"hero":2097,"type":2118,"theme":390,"banner":2119,"format":2120,"topics":2121,"Noindex":285,"content":2122,"audience":2791,"component":1014,"contentSticky":2792},{"_uid":2093,"title":2094,"plugin":329,"og_image":16,"og_title":16,"description":2095,"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",[2098],{"get":2099,"_uid":2102,"image":2103,"title":2086,"status":343,"component":344,"description":2108,"programType":285,"requirements":2115,"programEndDate":16,"programStartDate":16,"inscriptionsEndDate":16,"inscriptionsStartDate":16},{"type":12,"content":2100},[2101],{"type":15},"53e73237-ba54-4d25-b7e0-d0ab7a080e9c",{"id":2104,"alt":2105,"name":16,"focus":16,"title":16,"source":16,"filename":2106,"copyright":16,"fieldtype":283,"meta_data":2107,"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":2105,"title":16,"source":16,"copyright":16},{"type":12,"content":2109},[2110],{"type":15,"attrs":2111,"content":2112},{"textAlign":53},[2113],{"text":2114,"type":352},"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":2116},[2117],{"type":15},[222],[],[],[106,69,76,98],[2123,2163,2184,2321,2375,2749,2783],{"id":16,"_uid":2124,"content":2125,"component":471},"a1bba363-32e5-4f23-bd7f-9cba54c643f6",[2126],{"_uid":2127,"content":2128,"component":470},"68ac3a9d-fa8f-4fdd-9daf-0552f527fbe5",{"type":12,"content":2129},[2130,2135,2140],{"type":15,"attrs":2131,"content":2132},{"textAlign":53},[2133],{"text":2134,"type":352},"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":2136,"content":2137},{"textAlign":53},[2138],{"text":2139,"type":352},"The OPUS-AP collaborative has three phases:",{"type":354,"content":2141},[2142,2149,2156],{"type":357,"content":2143},[2144],{"type":15,"attrs":2145,"content":2146},{"textAlign":53},[2147],{"text":2148,"type":352},"Phase 1 (April 2017 to October 2018): 24 CHSLDs participated (one unit per CHSLD);",{"type":357,"content":2150},[2151],{"type":15,"attrs":2152,"content":2153},{"textAlign":53},[2154],{"text":2155,"type":352},"Phase 2 (January 2019 to April 2020): 129 CHSLDs participated (329 units);",{"type":357,"content":2157},[2158],{"type":15,"attrs":2159,"content":2160},{"textAlign":53},[2161],{"text":2162,"type":352},"Phase 3 (October 2022 to March 2026): all 313 publicly funded CHSLDs, long-term care homes and alternative homes participating.",{"id":16,"_uid":2164,"items":2165,"component":976},"52818fd7-daf8-4c99-b0ff-eb465c45cbbf",[2166],{"_uid":2167,"image":2168,"quote":2170,"author":2182,"component":974,"author_title":2183},"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":2169},{},{"type":12,"content":2171},[2172],{"type":15,"attrs":2173,"content":2174},{"textAlign":53},[2175,2177,2178],{"text":2176,"type":352},"“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":971},{"type":971,"marks":2179},[2180],{"type":2181},"bold","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":2185,"title":1070,"video_id":2186,"component":2187,"transcript":2188,"video_type":2290,"description":2291,"video_title":2311,"video_description":2312},"1d42b860-3363-40ca-9208-f98ba01d4ad8","hXy3Htyyi9Y","video-transcript",{"type":12,"content":2189},[2190,2195,2200,2205,2210,2215,2220,2225,2230,2235,2240,2245,2250,2255,2260,2265,2270,2275,2280,2285],{"type":15,"attrs":2191,"content":2192},{"textAlign":53},[2193],{"text":2194,"type":352},"[0:00:00] (Logo) OPUS-AP OPTIMIZING PRACTICES, USES, CARE AND SERVICES - ANTIPSYCHOTICS (LOGO) Gouvernement du Québec ",{"type":15,"attrs":2196,"content":2197},{"textAlign":53},[2198],{"text":2199,"type":352},"[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":2201,"content":2202},{"textAlign":53},[2203],{"text":2204,"type":352},"[00:00:10] Carole Unit head and project manager CHSLD Gertrude-Lafrance CISSS de la Montérégie-Centre ",{"type":15,"attrs":2206,"content":2207},{"textAlign":53},[2208],{"text":2209,"type":352},"[00:00:16] So, Carole Leblanc ",{"type":15,"attrs":2211,"content":2212},{"textAlign":53},[2213],{"text":2214,"type":352},"[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":2216,"content":2217},{"textAlign":53},[2218],{"text":2219,"type":352},"[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":2221,"content":2222},{"textAlign":53},[2223],{"text":2224,"type":352},"[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":2226,"content":2227},{"textAlign":53},[2228],{"text":2229,"type":352},"[00:00:52] All the terminology determined a common way of doing things for the entire team. ",{"type":15,"attrs":2231,"content":2232},{"textAlign":53},[2233],{"text":2234,"type":352},"[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":2236,"content":2237},{"textAlign":53},[2238],{"text":2239,"type":352},"[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":2241,"content":2242},{"textAlign":53},[2243],{"text":2244,"type":352},"[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":2246,"content":2247},{"textAlign":53},[2248],{"text":2249,"type":352}," [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":2251,"content":2252},{"textAlign":53},[2253],{"text":2254,"type":352},"[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":2256,"content":2257},{"textAlign":53},[2258],{"text":2259,"type":352},"[00:02:13] This project really needs people to take the lead, but it also needs people to get involved. ",{"type":15,"attrs":2261,"content":2262},{"textAlign":53},[2263],{"text":2264,"type":352},"[00:02:23] And to get people involved, they need to understand the urgent need for action ",{"type":15,"attrs":2266,"content":2267},{"textAlign":53},[2268],{"text":2269,"type":352},"[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":2271,"content":2272},{"textAlign":53},[2273],{"text":2274,"type":352},"[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":2276,"content":2277},{"textAlign":53},[2278],{"text":2279,"type":352},"[00:03:05] (Logo) Canadian Foundation for Healthcare Improvement Fondation canadienne pour l’amélioration des services de santé",{"type":15,"attrs":2281,"content":2282},{"textAlign":53},[2283],{"text":2284,"type":352}," [00:03:11] (Logo) Gouvernement du Québec ",{"type":15,"attrs":2286,"content":2287},{"textAlign":53},[2288],{"text":2289,"type":352},"END","youtube",{"type":12,"content":2292},[2293,2298],{"type":15,"attrs":2294,"content":2295},{"textAlign":53},[2296],{"text":2297,"type":352},"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":2299,"content":2300},{"textAlign":53},[2301,2303,2310],{"text":2302,"type":352},"You can read more about phase 1 results in the ",{"text":2304,"type":352,"marks":2305},"OPUS-AP Results Poster for Phase 1",[2306],{"type":456,"attrs":2307},{"href":2308,"uuid":53,"anchor":53,"custom":2309,"target":461,"linktype":283},"https://a-ca.storyblok.com/f/850807391887861/b7f8dbcbcc/opus-ap-poster-e-final-ua.pdf",{},{"text":1951,"type":352},"Témoignage de chargée de projet et chef d’unité OPUS-AP – Mme Carole Leblanc",{"type":12,"content":2313},[2314,2319],{"type":15,"attrs":2315,"content":2316},{"textAlign":53},[2317],{"text":2318,"type":352},"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":2320},{"textAlign":53},{"id":16,"_uid":2322,"title":1082,"video_id":2323,"component":2187,"transcript":2324,"video_type":2290,"description":2360,"video_title":2367,"video_description":2368},"1a2db19c-3dee-4c2c-a699-530e9942e799","IF3A014heos",{"type":12,"content":2325},[2326,2331,2336,2341,2346,2351,2356],{"type":15,"attrs":2327,"content":2328},{"textAlign":53},[2329],{"text":2330,"type":352},"[0:00:00] Training for trainers. OPUS-AP Phase II ",{"type":15,"attrs":2332,"content":2333},{"textAlign":53},[2334],{"text":2335,"type":352},"[00:00:21] (Logo) OPUS-AP ",{"type":15,"attrs":2337,"content":2338},{"textAlign":53},[2339],{"text":2340,"type":352},"OPTIMIZING PRACTICES, USES, ",{"type":15,"attrs":2342,"content":2343},{"textAlign":53},[2344],{"text":2345,"type":352},"CARE AND SERVICES - ANTIPSYCHOTICS ",{"type":15,"attrs":2347,"content":2348},{"textAlign":53},[2349],{"text":2350,"type":352},"(Logo) Canadian Foundation for Healthcare Improvement Fondation canadienne pour l’amélioration des services de santé ",{"type":15,"attrs":2352,"content":2353},{"textAlign":53},[2354],{"text":2355,"type":352},"(Logo) Gouvernement du Québec ",{"type":15,"attrs":2357,"content":2358},{"textAlign":53},[2359],{"text":2289,"type":352},{"type":12,"content":2361},[2362],{"type":15,"attrs":2363,"content":2364},{"textAlign":53},[2365],{"text":2366,"type":352},"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":2369},[2370],{"type":15,"attrs":2371,"content":2372},{"textAlign":53},[2373],{"text":2374,"type":352},"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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