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While they may seem small, their consistent use can have a big impact — and together, they help form the foundation of a safer healthcare system. 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It’s about adopting proactive approaches to establishing safe conditions through every conversation, decision and action, and emphasizing that everyone has a role to play in actively shaping safer healthcare.",{"type":15,"attrs":771,"content":772},{"textAlign":53},[773,775,782],{"text":774,"type":361},"This activity builds on the ",{"text":776,"type":361,"marks":777},"One Safe Act",[778],{"type":442,"attrs":779},{"href":780,"uuid":53,"anchor":53,"custom":781,"target":471,"linktype":472},"https://www.auanet.org/guidelines-and-quality/quality-and-measurement/quality-improvement/engage-with-quality-improvement-and-patient-safety-(e-qips)/one-safe-act-works-in-progress",{},{"text":783,"type":361}," (OSA) concept. In the United States, OSA was developed to foster personal and positive discussions about patient safety in perioperative teams. 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By leveraging existing nursing home, long-term care home, and community assets and infrastructure, jurisdictions can create flexible, person-centered care models that support older adults to age safely and independently in their communities.",{"type":15,"attrs":971,"content":972},{"textAlign":53},[973],{"text":974,"type":361},"This guide provides decision-makers, policy-makers and healthcare leaders with a structured approach to determine whether NHWW aligns with their strategic priorities and how best to integrate the program into their settings.",{"type":427,"attrs":976,"content":977},{"level":429,"textAlign":53},[978],{"text":979,"type":361},"What’s inside this guide?",{"type":368,"content":981},[982,989,996,1003],{"type":371,"content":983},[984],{"type":15,"attrs":985,"content":986},{"textAlign":53},[987],{"text":988,"type":361},"A framework for decision-making: Assess whether NHWW is the right fit for your jurisdiction, considering factors like policy alignment, infrastructure readiness, and community needs.",{"type":371,"content":990},[991],{"type":15,"attrs":992,"content":993},{"textAlign":53},[994],{"text":995,"type":361},"Implementation strategies: Gain insights into developing partnerships, securing funding, and leveraging leadership to drive successful NHWW adoption.",{"type":371,"content":997},[998],{"type":15,"attrs":999,"content":1000},{"textAlign":53},[1001],{"text":1002,"type":361},"Scalable solutions: Discover flexible approaches tailored to different community sizes, needs, and resources.",{"type":371,"content":1004},[1005],{"type":15,"attrs":1006,"content":1007},{"textAlign":53},[1008],{"text":1009,"type":361},"Case studies: Learn from example scenarios of how jurisdictions can adapt the model to meet their specific challenges.",{"type":427,"attrs":1011,"content":1012},{"level":429,"textAlign":53},[1013],{"text":1014,"type":361},"Who should use this 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territoires",{"name":1104,"created_at":1105,"published_at":1106,"updated_at":1107,"id":1108,"uuid":1109,"content":1110,"slug":1262,"full_slug":1263,"sort_by_date":53,"position":1264,"tag_list":1265,"is_startpage":285,"parent_id":491,"meta_data":1266,"group_id":1269,"first_published_at":1270,"release_id":53,"lang":299,"path":53,"alternates":1271,"default_full_slug":1263,"translated_slugs":1272},"Enhanced Recovery Canada","2025-11-18T19:00:51.106Z","2026-02-20T17:14:36.181Z","2026-02-20T17:14:36.198Z",113880478223892,"54b58755-28d1-4361-834e-ae9bc6b14736",{"new":285,"seo":1111,"_uid":1113,"hero":1114,"type":174,"topics":1133,"Noindex":285,"content":1134,"audience":1260,"duration":16,"regional":1261,"component":486},{"title":1104,"plugin":328,"description":1112},"Our clinical and patient resources help patients get better, faster after surgery.","aa8af55f-700d-4fe9-9a1c-8a47aee78e9d",[1115],{"_uid":1116,"file":1117,"image":1118,"title":1104,"format":16,"component":346,"description":1121,"key_learning":16,"prerequisite":16},"0f3ab809-f178-4fd0-8745-1c6a3c65543e",[],{"id":1119,"filename":1120,"fieldtype":283},114299188608814,"https://a-ca.storyblok.com/f/850807391887861/8ef7139d70/erc-logo-en.jpg",{"type":12,"content":1122},[1123],{"type":15,"attrs":1124,"content":1125},{"textAlign":53},[1126],{"text":1127,"type":361,"marks":1128},"Enhanced Recovery Canada™ (ERC) is helping lead the drive to improve surgical safety in Canada. 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Stay tuned for more information.",[1150],{"type":1130,"attrs":1151},{"color":16},{"type":15,"attrs":1153,"content":1154},{"textAlign":53},[1155,1160,1168],{"text":1156,"type":361,"marks":1157},"Please contact us at ",[1158],{"type":1130,"attrs":1159},{"color":16},{"text":1161,"type":361,"marks":1162},"erc@hec-esc.ca",[1163,1166],{"type":442,"attrs":1164},{"href":1165,"uuid":53,"anchor":53,"target":53,"linktype":472},"mailto:erc@hec-esc.ca",{"type":1130,"attrs":1167},{"color":16},{"text":1169,"type":361,"marks":1170}," if you have any questions.",[1171],{"type":1130,"attrs":1172},{"color":16},{"_uid":1174,"content":1175,"component":483},"4776fb98-642e-468f-a443-b138ffdaff0c",[1176],{"_uid":1177,"content":1178,"component":411},"ffd5be4f-fdcb-4bc4-a5ed-922040a32ae3",{"type":12,"content":1179},[1180,1185,1190,1195,1200,1230,1235,1240,1245,1250,1255],{"type":15,"attrs":1181,"content":1182},{"textAlign":53},[1183],{"text":1184,"type":361},"Data shows that the protocols behind ERC’s surgical pathways have reduced surgical complications and hospital stays by up to 50 percent, all while readmissions and costs are reduced. This is vital given the pressures facing healthcare systems across the country.",{"type":15,"attrs":1186,"content":1187},{"textAlign":53},[1188],{"text":1189,"type":361},"Enhanced recovery approaches also improve patient and healthcare provider experiences by helping clinicians and patients work as a coordinated team.",{"type":427,"attrs":1191,"content":1192},{"level":429,"textAlign":53},[1193],{"text":1194,"type":361},"Resources for healthcare providers and leaders",{"type":15,"attrs":1196,"content":1197},{"textAlign":53},[1198],{"text":1199,"type":361},"Based on Enhanced Recovery After Surgery (ERAS) surgical best practices, we’ve developed clinical pathways for procedures that touch every operating room across the country including:",{"type":368,"content":1201},[1202,1209,1216,1223],{"type":371,"content":1203},[1204],{"type":15,"attrs":1205,"content":1206},{"textAlign":53},[1207],{"text":1208,"type":361},"colorectal surgery",{"type":371,"content":1210},[1211],{"type":15,"attrs":1212,"content":1213},{"textAlign":53},[1214],{"text":1215,"type":361},"gynaecologic surgery",{"type":371,"content":1217},[1218],{"type":15,"attrs":1219,"content":1220},{"textAlign":53},[1221],{"text":1222,"type":361},"orthopaedic inpatient and outpatient hip and knee replacement surgeries",{"type":371,"content":1224},[1225],{"type":15,"attrs":1226,"content":1227},{"textAlign":53},[1228],{"text":1229,"type":361},"cesarean section surgery",{"type":15,"attrs":1231,"content":1232},{"textAlign":53},[1233],{"text":1234,"type":361},"These pathways support a multidisciplinary team approach focused on all stages of the patient’s journey, from pre-admission to post discharge. They can be used by surgeons, anaesthesiologists, nurses, dietitians, physiotherapists and other healthcare providers involved in delivering surgical care, as well as healthcare leaders and policy makers.",{"type":427,"attrs":1236,"content":1237},{"level":429,"textAlign":53},[1238],{"text":1239,"type":361},"Resources for patients",{"type":15,"attrs":1241,"content":1242},{"textAlign":53},[1243],{"text":1244,"type":361},"Patients, their family members and other caregivers have an important role to play in making sure surgeries are a success. That’s why patient and family engagement is a core pillar of Enhanced Recovery Canada.",{"type":15,"attrs":1246,"content":1247},{"textAlign":53},[1248],{"text":1249,"type":361},"We’ve developed easy-to-use patient resources that explain how to prepare for surgery and what you can do to feel better and safer, in the hospital and at home. ",{"type":427,"attrs":1251,"content":1252},{"level":429,"textAlign":53},[1253],{"text":1254,"type":361},"About Enhanced Recovery Canada",{"type":15,"attrs":1256,"content":1257},{"textAlign":53},[1258],{"text":1259,"type":361},"Led by Healthcare Excellence Canada and partners, ERC was formed in 2017 to lead the drive to improve surgical safety across the country. This evidence-based approach to surgical care is aimed at minimizing the stress of surgery and supporting patients to recover quickly.",[122,129,157,115],[185,192,200],"enhanced-recovery-canada","resources/enhanced-recovery-canada",-14870,[],{"parent_slug":493,"umbraco_path":1267,"umbraco_uuid":1268},"/HealthcareExcellenceCanada/Resources/EnhancedRecoveryCanada","8ea60428-9cba-4dc7-808c-b88a39f2519e","0122eb54-6c52-4e83-b067-0e5e9afd24d0","2025-11-18T19:00:51.197Z",[],[1273],{"path":1274,"name":1275,"lang":305,"published":291},"ressources/recuperation-optimisee-canada","Récupération optimisée Canada",{"name":1277,"created_at":1278,"published_at":1279,"updated_at":1280,"id":1281,"uuid":1282,"content":1283,"slug":1481,"full_slug":1482,"sort_by_date":53,"position":1483,"tag_list":1484,"is_startpage":285,"parent_id":491,"meta_data":1485,"group_id":1488,"first_published_at":1489,"release_id":53,"lang":299,"path":53,"alternates":1490,"default_full_slug":1482,"translated_slugs":1491},"Support for Caregivers: A Report on What’s Available","2025-11-18T19:00:52.081Z","2026-02-26T12:47:50.534Z","2026-02-26T12:47:50.593Z",113880482250261,"ede9d43a-4683-4bbd-b222-07bde68562e2",{"new":285,"seo":1284,"_uid":1286,"hero":1287,"type":170,"topics":1307,"Noindex":285,"content":1308,"audience":1479,"duration":16,"regional":1480,"component":486},{"title":1277,"plugin":328,"description":1285},"This report explores existing programming supports for caregivers who enable aging in place and identifies gaps and common practices across Canada.","67c155a5-ea94-47c5-b695-6d5c8a6308b3",[1288],{"_uid":1289,"file":1290,"image":1298,"title":1277,"format":16,"component":346,"description":1285,"key_learning":1303,"prerequisite":16},"c3ff7069-64fa-49b6-bcdc-53e666646790",[1291],{"_uid":1292,"file":1293,"label":1277,"component":342},"db81e2d2-b0e3-4f63-867f-5dac70d43223",{"id":1294,"alt":1295,"name":16,"focus":16,"title":1295,"source":16,"filename":1296,"copyright":16,"fieldtype":283,"meta_data":1297,"is_external_url":285},114291050129219,"HEC AIP Report Final EN","https://a-ca.storyblok.com/f/850807391887861/e1793d0c19/hec-aip-report-final-en.pdf",{},{"id":1299,"alt":1300,"title":16,"source":16,"filename":1301,"copyright":16,"fieldtype":283,"meta_data":1302},114299797905359,"Older adult in a cream sweater with younger arms wrapped around, hands resting gently on theirs, symbolizing care and support.","https://a-ca.storyblok.com/f/850807391887861/663f9f5bc0/istock-1269847328.jpg",{"alt":1300,"title":16,"source":16,"copyright":16},{"type":12,"content":1304},[1305],{"type":15,"attrs":1306},{"textAlign":53},[69,32,106,46,76,55,39],[1309,1468],{"_uid":1310,"content":1311,"component":483},"f61bc0d1-b9c8-4b02-858d-4f89b6e4ef84",[1312,1463],{"_uid":1313,"content":1314,"component":411},"f4e88a81-438f-446e-a462-fe0de3a1ff57",{"type":12,"content":1315},[1316,1339,1344,1349,1372,1377,1414,1418,1423,1428,1433,1438,1443,1448,1453,1458],{"type":15,"attrs":1317,"content":1318},{"textAlign":53},[1319,1321,1328,1330,1337],{"text":1320,"type":361},"Evidence shows that ",{"text":1322,"type":361,"marks":1323},"one in 10 people who enter long-term care could have been cared for at home",[1324],{"type":442,"attrs":1325},{"href":1326,"uuid":53,"anchor":53,"custom":1327,"target":471,"linktype":472},"https://yourhealthsystem.cihi.ca/hsp/inbrief?lang=en&_gl=1*1hclsjx*_ga*NTEzNzg2OTgyLjE2OTIyMDk5MzQ.*_ga_44X3CK377B*MTY5MjIwOTkzNC4xLjEuMTY5MjIxMDMyMy4wLjAuMA..&_ga=2.224801242.1196673589.1692209934-513786982.1692209934#!/indicators/082/new-long-term-care-residents-who-potentially-could-have-been-cared-for-at-home/;mapC1;mapLevel2;/",{},{"text":1329,"type":361}," with formal support. However, lack of information and navigation support, limited mobility and transportation, geographic disparities and other ",{"text":1331,"type":361,"marks":1332},"barriers make it difficult for many older adults to be supported to age in place",[1333],{"type":442,"attrs":1334},{"href":1335,"uuid":53,"anchor":53,"custom":1336,"target":471,"linktype":472},"https://doi.org/10.1186/s12877-022-02816-y",{},{"text":1338,"type":361},". Encouragingly, many aging in place programs across Canada are successfully helping older adults stay at home safely and have better health and quality of life.",{"type":427,"attrs":1340,"content":1341},{"level":429,"textAlign":53},[1342],{"text":1343,"type":361},"What’s inside",{"type":15,"attrs":1345,"content":1346},{"textAlign":53},[1347],{"text":1348,"type":361},"This report examines existing programming supports for caregivers who facilitate aging in place, revealing both the breadth of practices and identified gaps. Through an environmental scan and one-on-one interviews with individuals from six organizations, it highlights a variety of supports offered to caregivers, such as:",{"type":368,"content":1350},[1351,1358,1365],{"type":371,"content":1352},[1353],{"type":15,"attrs":1354,"content":1355},{"textAlign":53},[1356],{"text":1357,"type":361},"Information on caregiving, which is widely accessible online, focusing on caregiving techniques and self-care tips.",{"type":371,"content":1359},[1360],{"type":15,"attrs":1361,"content":1362},{"textAlign":53},[1363],{"text":1364,"type":361},"Accessible support services which include peer support and 24-hour hotlines.",{"type":371,"content":1366},[1367],{"type":15,"attrs":1368,"content":1369},{"textAlign":53},[1370],{"text":1371,"type":361},"Different levels of support for caregivers, such as respite care, in-person peer support, counselling and financial support with variation in access based on geographic location.",{"type":15,"attrs":1373,"content":1374},{"textAlign":53},[1375],{"text":1376,"type":361},"Despite the variety of supports available there are some areas where additional ones are needed, including:",{"type":368,"content":1378},[1379,1386,1393,1400,1407],{"type":371,"content":1380},[1381],{"type":15,"attrs":1382,"content":1383},{"textAlign":53},[1384],{"text":1385,"type":361},"Increased recognition of caregivers' essential role, necessitating training for healthcare professionals, employers, and colleagues.",{"type":371,"content":1387},[1388],{"type":15,"attrs":1389,"content":1390},{"textAlign":53},[1391],{"text":1392,"type":361},"Continuous funding to sustain caregiver programs, potentially achieved through advocacy efforts.",{"type":371,"content":1394},[1395],{"type":15,"attrs":1396,"content":1397},{"textAlign":53},[1398],{"text":1399,"type":361},"Tailored support for caregivers with unique needs, such as youth, Indigenous caregivers, 2SLGBTQIA+ individuals, older adults, dual caregivers and those in remote communities.",{"type":371,"content":1401},[1402],{"type":15,"attrs":1403,"content":1404},{"textAlign":53},[1405],{"text":1406,"type":361},"Provision of respite care to prevent caregiver burnout.",{"type":371,"content":1408},[1409],{"type":15,"attrs":1410,"content":1411},{"textAlign":53},[1412],{"text":1413,"type":361},"Financial assistance to alleviate economic strain caused by reduced work hours or additional expenses.",{"type":427,"attrs":1415,"content":1416},{"level":429,"textAlign":53},[1417],{"text":745,"type":361},{"type":15,"attrs":1419,"content":1420},{"textAlign":53},[1421],{"text":1422,"type":361},"As part of our work on reimagining excellence in care for older adults living at home, Healthcare Excellence Canada acknowledges that caregivers play an essential role. Knowing what supports currently exist for caregivers and where there are gaps can help scale up best practices and highlight where more work is needed to support aging in place. This ensures that our programming is comprehensive and inclusive and that caregivers receive the necessary recognition and support.",{"type":427,"attrs":1424,"content":1425},{"level":429,"textAlign":53},[1426],{"text":1427,"type":361},"Publication date",{"type":15,"attrs":1429,"content":1430},{"textAlign":53},[1431],{"text":1432,"type":361},"May 2024",{"type":427,"attrs":1434,"content":1435},{"level":429,"textAlign":53},[1436],{"text":1437,"type":361},"Authors",{"type":15,"attrs":1439,"content":1440},{"textAlign":53},[1441],{"text":1442,"type":361},"Cathexis Consulting",{"type":427,"attrs":1444,"content":1445},{"level":429,"textAlign":53},[1446],{"text":1447,"type":361},"Advisors",{"type":15,"attrs":1449,"content":1450},{"textAlign":53},[1451],{"text":1452,"type":361},"Stephanie Lagosky, Tanya 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findings from a study that identified innovative and promising models of care in long-term care, and barriers and facilitators to their implementation. 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