Mount Sinai’s Acute Care for Elder’s (ACE) Strategy

Mount Sinai's Acute Care for Elder's (ACE) StrategyMount Sinai Hospital is an internationally recognized 472-bed acute care academic health sciences centre located in Toronto, Ontario, dedicated to delivering the best medicine and best patient experience possible by focusing on excellence in patient- and family-centred care.

The hospital’s Geriatrics Steering Committee (GSC), comprised of hospital leads, front-line staff, patients and caregivers, plans and implements changes to benefit the physical and mental care of older adults. When the GSC successfully lobbied for new funding within the organization to establish an inter-professional team in geriatrics in 2007, the group became increasingly interested in the implementation of more evidence-based, elder-friendly care practices. This influenced Mount Sinai’s senior leadership to make Geriatrics a core strategic priority through the implementation of its Acute Care for Elder’s (ACE) Strategy in 2010.

The GSC established its priorities, planned around implementing changes based on evidence and the realities of the hospital environment, and reviewed their progress and areas for development to ensure the overall sustainability and success of the initiative. Recognizing that their patients not only come from the community, but often need the support of community partners to remain active and independent, the ACE strategy approach also focuses on strong collaboration across health system partners, including the Toronto Central Community Care Access Centre (TC CCAC) and the SPRINT Senior Care and Circle of Care Community Support Services (CSS) Agencies.

Under this Strategy, Mount Sinai has implemented a series of evidence-informed, but tailored interventions (i.e. ISAR, GEM, ACE, Orthogeriatrics, HELP, NICHE, ICCP, etc.). A leading practice for other health care organizations, the hospital’s GSC has set the bar high in terms of establishing quality patient-centred care for our growing ageing population.

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