Tuesday, September 25, 2018


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An Edmonton-based community program designed to transform primary care into a central hub has been selected as the best frailty innovation of 2018.

The Seniors’ Community Hub (SCH) was co-created by Dr. Marjan Abbasi (project lead) and Dr. Sheny Khera to better meet the dynamic health and social needs of older adults with frailty and their family/friend caregivers.

The objectives of the Seniors’ Community Hub (SCH) are to: maintain and enhance seniors’ health and wellness; build integrated primary health care that is centered on the goals and priorities of older adults; develop effective information sharing between patients, care providers and settings; provide community-based support to family/friend caregivers to prevent or alleviate caregiver burden; and foster long-term sustainability in the primary care setting.

Click here to read more about the Seniors’ Community Hub from the Edmonton Oliver Primary Care Network.

Left to right: John Muscedere (CFN Scientific Director), Maria Judd (CFHI — sponsor),  Marjan Abbasi (Project Lead), Sheny Khera, Susan Rogers (CIHR Institute of Aging — sponsor), Russell Williams (CFN Board Chair)

The other innovations in the Top 5 are: (listed in no particular order):

  1. Health PEI Home Care and Geriatric Programs (PEI) — COACH Program (Caring for Older Adults in Community and at Home) – Elaine Campbell — named Conference Choice by attendees
  2. Fraser Health Authority (B.C.) — CARES: Early Frailty Identification and Prevention Strategy – Annette Garm
  3. Hamilton Health Sciences (Ontario) — Hospital Without Walls: Bridging the Gap in Health Disparities for Adults Living with Frailty – Kelly O’Halloran
  4. Centre for Family Medicine Family Health Team (Ontario) — C5-75: Case-finding for Complex Chronic Conditions in persons 75+ — Linda Lee