In collaboration with Toronto Paramedic Services and the North Western Toronto Ontario Health Team (NWT OHT), work continues to adapt the Rehabilitative Care Alliance’s Older Adult Community Paramedic Post-Fall Rehabilitative Care Pathway for use in the GTA.

This initiative is designed to assist older adults who have fallen and not been transported to hospital, but who may benefit from rehab care referrals, resources or other programs to help prevent future falls. Given that paramedics frequently respond to such incidents, they are strategically positioned in the patient journey to aid in preventing future falls and functional decline.  The NWT OHT area was chosen in part because it has one of the highest number of seniors in the province – a number that is expected to double by 2036, as reported by the OHA.

Once implemented, the pathway will require community paramedics to complete a multifactorial risk and frailty assessment to determine which of three intervention streams is most appropriate.  Options include community intervention; outpatient/ambulatory services, which may include home care and/or specialized geriatric services; or direct access to inpatient rehab. An inventory of local rehabilitative care services and referral processes to facilitate smooth patient transitions will be mapped out for each intervention stream for community paramedics to use.

At present, the GTA Rehab Network is designing education for community paramedics on the standardized assessment tools that will be used in the post-fall pathway and working with the NWT OHT to confirm and align available services to the pathway.

This work was supported by Healthcare Excellence Canada (HEC). HEC is an independent, not-for-profit charity funded primarily by Health Canada.

For more information, please contact Sanja Milicic Iafrate, Project Manager.