The Ontario Fall Prevention Collaborative is a diverse group of health and social service practitioners from across Ontario who come together to share information, analyze trends and respond collectively to the need for change and innovation in fall prevention.

Background

In Ontario, fall prevention initiatives for older adults vary in their scope, approach, implementation and measurement of outcomes. The heterogeneous, fragmented nature of fall prevention efforts make it difficult to ascertain what interventions are working, how interventions can be improved and where a greater investment of resources or an increased level of co-ordination and collaboration between key stakeholders is required to maximize impact (Dr. Brian Hyndman, 2018). 

The collaborative advances excellence in fall prevention practice by carrying out applied research and practice development activities that individual practitioners do not have the time/ capacity to address on their own. The work of the collaborative aligns with the vision for health care in Ontario by prioritizing fall prevention among older adults and emphasizing integrated approaches. 

Identified priorities

  • Build capacity in the workforce and community
  • Advance excellence in fall prevention practice
  • Influence policy to prioritize fall prevention among older adults

 Knowledge synthesis

The collaborative identifies systemic issues in fall prevention in older adults and synthesizes evidence and experience to identify solutions that can be adopted and adapted across sectors, and regionally and/or locally in Ontario. 

The collaborative has completed two environmental scans of priority issues identified by member organizations. These identify the current state of indicators and tools relevant to fall prevention practice.

See these tools in the Resources section, below.

Stakeholder input and consultations

The collaborative has launched the second phase of its work: a knowledge synthesis of evidence-informed fall prevention guidelines and pathways in use in Ontario practice settings 

Two surveys on fall indicators, screening and assessment tools have been distributed to Ontario practitioners and clinicians to:

  • understand current practices
  • enable comparison to optimal approaches
  • identify what is needed to inform fall prevention practice for older adults. 

Results of the surveys and the knowledge synthesis will be validated by Ontario stakeholders with online consultations. Priorities for action and implementation will be identified to inform next steps[KT3]  with the goal of providing Ontario-wide recommendations for a seamless approach to fall prevention.  

The collaborative is also in the process of defining and formalizing its mission, vision, purpose and structure and developing a communication strategy to reach out to key stakeholders such as Ontario Health Teams (OHTs). 

Collective voice

The collaborative is well positioned to provide expertise and collective solutions to guide the development of an integrated, co-ordinated and effective approach to fall prevention among older adults in Ontario. The collaborative has previously informed the Premier’s Council on Ending Hallway Medicine through its position paper, An Integrated Approach to Preventing Fall-Related Injuries among Older Adults in Ontario.

The Collaborative also provided input to the Canadian Task Force on Preventive Health Care to inform the development of fall prevention protocols for older adults living in community dwellings.

Partnerships and co-ordinated and integrated action

The collaborative is aware that Ontario Health Teams (OHTs) will need fall prevention evidence, guidance, resources and tools for use in their practice. Especially for those OHTs prioritizing older adults, the collaborative can support OHTs in this important work. 

Membership

Public Health Ontario

Queensway Carleton Hospital 

Regional Geriatric Program of Eastern Ontario

Regional Geriatric Program of Eastern Ontario, Champlain Fall Prevention Strategy 

Registered Nurses’ Association of Ontario (RNAO)

Rehabilitative Care Alliance

Simcoe Muskoka District Health Unit

Sunnybrook Hospital

The Ottawa Hospital

Toronto Public Health

Western University


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