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The Senior Friendly Hospital (SFH) ACTION (Accelerating Change Together In Ontario) Program is a complex knowledge-to-practice process, which has grown into a collaborative numbering 87 hospitals across Ontario. As a result of participation in SFH ACTION, hospitals have developed a team trained in the SFH framework, quality improvement, and change management, and lead the implementation of senior-friendly improvement work at their organizations.

Click here for a video of the 3-day workshop for cohort 1 hospitals, hosted in Toronto April 29 to May 1, 2015.



Frail older patients make up the majority of inpatient days in Ontario hospitals. The vision of the LHIN-led Ontario Senior Friendly Hospital (SFH) Strategy is to enable seniors to maintain optimal health and function while they are hospitalized so that they can transition successfully home or to the next appropriate level of care.

The pan-LHIN Senior Friendly Hospital strategy has been guided by the RGPs of Ontario SFH framework and focused on the priorities identified in the 2011 provincial SFH report. Hospitals have made good progress in these priority areas - prevention and management of delirium and functional decline. To further build the capability to execute successful and ongoing improvement work, we offered a dynamic training program, launched in April 2015, informed by best practices in implementation science, quality improvement and change management. Program highlights include internationally recognized speakers, facilitated group discussions, webinars, and coaching to support knowledge translation applied directly to senior-friendly improvement plans. The SFH ACTION curriculum includes three core themes:

  1. Senior Friendly Hospital Framework: Embedding evidence-based approaches in the delivery of care to older adults requires a systemic approach that considers the influences of the entire care environment. The SFH Framework is an organization-wide approach that can be applied to planning and decision making, and adapted to the unique context of any hospital.
  2. Quality Improvement Methodology: Quality Improvement is a systematic approach to making changes that lead to better patient outcomes, stronger system performance and enhanced professional development. Participants will develop an understanding on how to apply the Model of Improvement to SFH improvement strategies.
  3. Change Management and Leadership: In a complex healthcare environment, the capacity to manage change is vital. Effective change management and leadership significantly influence the success rates of organizational initiatives. Participants will develop a range of strategies and tactics that will assist them in designing and implementing their SFH improvement goals.