Improving Seniors’ Care in the Kalyna Country Primary Care Network

Innovating to Improve Seniors’ Care in Kalyna Country



The Kalyna County Primary Care Network (KCPCN) serves a large geriatric population with complex needs who require access to a variety of supports in order to maintain independence and wellness. The KCPCN wanted to know how effectively the current Geriatric Assessment Program (GAP) model was serving these seniors and whether it created the collaborations needed for professionals to share knowledge and coordinate appropriate referrals.


Lead: Brian Match, Executive Director, Kalyna Country PCN in collaboration with St. Joseph’s General Hospital, Vegreville, Alberta Health Services (AHS) Vermillion Health Centre, AHS Viking Health Centre and Extendicare.


The evaluation is assessing the reach and effectiveness of the current GAP model and the effectiveness of care plan interventions on patient functioning and patient health outcomes. It is also looking at identifying and addressing gaps in knowledge regarding geriatric conditions and care.


The collaboration between health professionals and community service providers led to the development and delivery of online training for healthcare providers and an online resource directory of services for seniors. This resource has increased the number of referrals and use of existing programs and services with less duplication.

Kalyna Country Directory of Seniors Services.