An older adult sitting in an armchair and talking on the phone.

Advancing Frailty Care in the Community Collaborative: Participating Teams

The Advancing Frailty Care in the Community collaborative supported 17 teams in seven provinces to improve the identification, assessment and management of frailty in primary and home care.  

The following teams participated in the collaborative: 

Program overview :

Alberta

Alberta Health Services: North Zone, Alberta

Lead Organization

Seniors Health, North Zone, Alberta Health Services

Sage Seniors Association, Alberta

Lead Organization

Sage Seniors Association in collaboration with Athabasca University

Partner Organizations

Sage Seniors Association, Edmonton; Edmonton Oliver Primary Care Network, Seniors’ Community Hub; and Glenrose Rehabilitation Hospital

Southern Alberta HIV Clinic, Alberta Health Services, Alberta

Lead Organization

Alberta Health Services

Partner Organizations

Southern Alberta HIV Clinic; Sheldon M. Chumir Health Centre; Kerby Centre; HIV Community Link, Calgary, Alberta

The Alex (Alexandra Community Health Centre), Alberta

Lead Organization

The Alex (Alexandra Community Health Centre)

Partner Organization

Calgary West Central Primary Care Network and Carya (formerly Calgary Family Services)

British Columbia

Vancouver Island Health Authority, British Columbia

Lead Organization

Island Health

Fraser Health Authority, Aboriginal Health, British Columbia

Lead Organization

Fraser Health, Indigenous (First Nations, Inuit and Métis) Health

Partner Organization

Fraser Region Aboriginal Friendship Centre Association

Fraser Health Authority, Burnaby, British Columbia

Lead Organization

Fraser Health Authority; Burnaby Division of Family Practice

Partner Organizations

Burnaby Non-Governmental Organizations

Fraser Health Authority, Jim Pattison, British Columbia

Lead Organization

Fraser Health Authority; Primary Care Clinic; Jim Pattison Outpatient Care and Surgery Centre

Manitoba

Winnipeg Regional Health Authority, Manitoba

Lead Organization

Winnipeg Regional Health Authority (WRHA)

Partner Organizations

WRHA Integrated Palliative, Primary and Home Health Services; Elemental Professional Health Centre – Fee for Service Physician at 1600 Pembina Highway Winnipeg; ACCESS Fort Garry – WRHA Primary Care Clinic; WRHA Rehabilitation, Healthy Aging & Seniors Care; A & O: Support Services for Older Adults; Shared Health, Interlake Eastern Regional Health Authority; and patient and caregiver advisors

Ontario

Centre for Family Medicine, Ontario

Lead Organization

Centre for Family Medicine Family Health Team

Partner Organizations

Canadian Mental Health Association Waterloo Wellington; Schlegel-UW Research Institute for Aging; Waterloo-Wellington Specialized Geriatric Services

New Vision Family Health Team, Ontario

Lead Organization

New Vision Family Health Team

Partner Organizations

eHealth Centre of Excellence; Waterloo Wellington Local Health Integration Network; Grand River Hospital; St. Mary’s General Hospital; Canadian Mental Health Association Waterloo Wellington; and Specialized Geriatric Services IGSW program

Family First Health Centre – Family First Health Team, Ontario

Lead Organization

Family First Health Centre - Family First Health Team

Partner Organizations

Dementia Society of Ottawa and Renfrew County (via MINT Memory Clinic; Home & Community Care Support Services (Local Health Integration Networks, Ontario Health Team)

Wawa Family Health Team, Ontario

Lead Organization

Wawa Family Health Team (WFHT)

Partner Organizations

Wawa Senior Goose Club Drop-in Centre; Fenlon’s Pharmacy; Canadian Red Cross; Alzheimer’s Society; Home and Community Care North East Local Health Integration Network; Lady Dunn Health Centre

Gateway Community Health Centre, Ontario

Lead Organization

Gateway Community Health Centre

Partner Organization

Canadian Association of Community Health Centres

New Brunswick

Extra-Mural Program, New Brunswick

Lead Organization

EM/ANB Inc.

Partner Organizations

Medavie Health Services New Brunswick; Horizon Health Network – McAdam Health Centre and Saint Mary’s Health Centre

Newfoundland and Labrador

Western – Eastern Health, Newfoundland and Labrador

Lead Organization

Western Health

Partner Organizations

Eastern Health and Central Health

Saskatchewan

Saskatchewan Health Authority, Saskatchewan

Lead Organization

Primary Health Care Network 5, Saskatchewan Health Authority

Partner Organizations

Cypress Regional Hospital, Swift Current; Associate Family Physicians Clinic, Swift Current