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This rapid review explored how to successfully initiate, implement, and sustain engagement with community and community organizations in care of older adults in the community. It provides evidence-informed guiding principles, approaches, and practices along with links to practical tools and resources for community engagement.",[723],{"type":620,"attrs":724},{"color":725},"#000000",{"type":543,"attrs":727,"content":729},{"level":728,"textAlign":53},3,[730],{"text":731,"type":336,"marks":732},"Guiding Principles of Community Engagement:",[733],{"type":734},"bold",{"_uid":736,"content":737,"component":599},"d1213d74-13cb-47b9-b60e-badb2b96105e",[738],{"_uid":739,"content":740,"component":347},"cbaf25d5-cce2-4ab1-ab03-fe8a7cf56c96",{"type":12,"content":741},[742,747,752,757,762,800,805,810,900,905,910,916,921,926,931,936,941],{"type":543,"attrs":743,"content":744},{"level":728,"textAlign":53},[745],{"text":746,"type":336},"Methods",{"type":15,"attrs":748,"content":749},{"textAlign":53},[750],{"text":751,"type":336},"An environmental scan and rapid review were conducted between November 2023 and March 2024. The team searched, reviewed and synthesized literature from several distinct and diverse fields addressing community engagement for care of older adults using meta-narrative techniques. In total, 98 sources (61 scholarly and 37 grey literature) were included in the review. Findings were presented according to overarching themes from the literature and reviewed by partners.",{"type":543,"attrs":753,"content":754},{"level":728,"textAlign":53},[755],{"text":756,"type":336},"Approaches to Community Engagement",{"type":15,"attrs":758,"content":759},{"textAlign":53},[760],{"text":761,"type":336},"This rapid review identified three key approaches to community engagement.",{"type":763,"attrs":764,"content":766},"ordered_list",{"order":765},1,[767,778,789],{"type":366,"content":768},[769],{"type":15,"attrs":770,"content":771},{"textAlign":53},[772,776],{"text":773,"type":336,"marks":774},"Asset Based Community Development",[775],{"type":734},{"text":777,"type":336},": This approach relies upon social relationships and mobilization of social capital whereby communities can foster desired change by identifying, connecting, and using existing assets.",{"type":366,"content":779},[780],{"type":15,"attrs":781,"content":782},{"textAlign":53},[783,787],{"text":784,"type":336,"marks":785},"Community-Based Social Innovations",[786],{"type":734},{"text":788,"type":336},": This approach promotes innovations that enable older adults to care for themselves and their peers, develop social cohesion and inclusivity.",{"type":366,"content":790},[791],{"type":15,"attrs":792,"content":793},{"textAlign":53},[794,798],{"text":795,"type":336,"marks":796},"Living Labs",[797],{"type":734},{"text":799,"type":336},": This approach applies a process of innovation to co-create through engagement with end users, i.e., older adults, care partners, community and community organizations.",{"type":543,"attrs":801,"content":802},{"level":728,"textAlign":53},[803],{"text":804,"type":336},"Practices Used to Engage with Communities",{"type":15,"attrs":806,"content":807},{"textAlign":53},[808],{"text":809,"type":336},"Within these approaches, many engagement practices are highlighted, including:",{"type":363,"content":811},[812,823,834,845,856,867,878,889],{"type":366,"content":813},[814],{"type":15,"attrs":815,"content":816},{"textAlign":53},[817,821],{"text":818,"type":336,"marks":819},"Asset Mapping",[820],{"type":734},{"text":822,"type":336},": Communities use asset mapping to identify, describe and often depict their strengths and assets graphically on a map.",{"type":366,"content":824},[825],{"type":15,"attrs":826,"content":827},{"textAlign":53},[828,832],{"text":829,"type":336,"marks":830},"Needs Assessment",[831],{"type":734},{"text":833,"type":336},": Provides information about community social needs or issues and determines which issues should be highlighted for action.",{"type":366,"content":835},[836],{"type":15,"attrs":837,"content":838},{"textAlign":53},[839,843],{"text":840,"type":336,"marks":841},"Community Action Plan for Engagement",[842],{"type":734},{"text":844,"type":336},": Helps to prioritize community needs by setting goals and objectives. The action plan can be a part of a wider strategic plan for community or actions of the initiative that may be combined into existing processes and priorities.",{"type":366,"content":846},[847],{"type":15,"attrs":848,"content":849},{"textAlign":53},[850,854],{"text":851,"type":336,"marks":852},"Champions",[853],{"type":734},{"text":855,"type":336},": Include those within and external to the communities who bolster and sustain momentum of the initiative.",{"type":366,"content":857},[858],{"type":15,"attrs":859,"content":860},{"textAlign":53},[861,865],{"text":862,"type":336,"marks":863},"Seniors Steering Committee",[864],{"type":734},{"text":866,"type":336},": Creating structures such as an advisory council comprised of older adults and/or their care partners from the community to guide initiatives, so they remain relevant to the needs of their community.",{"type":366,"content":868},[869],{"type":15,"attrs":870,"content":871},{"textAlign":53},[872,876],{"text":873,"type":336,"marks":874},"Systems-Level Engagement",[875],{"type":734},{"text":877,"type":336},": Involvement of municipal, provincial, and/or federal government entities in a collaborative approach to work together.",{"type":366,"content":879},[880],{"type":15,"attrs":881,"content":882},{"textAlign":53},[883,887],{"text":884,"type":336,"marks":885},"Co-Creation",[886],{"type":734},{"text":888,"type":336},": Refers to end-user engagement in the development and implementation of ideas and concepts with a focus on improving the lives of older adults.",{"type":366,"content":890},[891],{"type":15,"attrs":892,"content":893},{"textAlign":53},[894,898],{"text":895,"type":336,"marks":896},"Social Capital",[897],{"type":734},{"text":899,"type":336},": Refers to tapping into the networks of relationships among those in a society that allow for individuals to work together to achieve a common purpose.",{"type":543,"attrs":901,"content":902},{"level":728,"textAlign":53},[903],{"text":904,"type":336},"Phases in the Engagement Journey",{"type":15,"attrs":906,"content":907},{"textAlign":53},[908],{"text":909,"type":336},"The literature identified distinct phases in how engagement unfolds in initiatives. Initiation: Centering engagement around older adults and their care partners is a key starting point for engagement in initiatives enabling aging in place. Priority setting is also key to provide an impactful focus for initiatives. This can be aided through application of tools, such as Asset Mapping and Needs Assessment. Once priorities have been set, identify key actors to engage as partners in the initiative.",{"type":543,"attrs":911,"content":913},{"level":912,"textAlign":53},4,[914],{"text":915,"type":336},"Implementation",{"type":15,"attrs":917,"content":918},{"textAlign":53},[919],{"text":920,"type":336},"Multilevel leadership and a common vision ensure commitment and alignment toward common goals for implementation. Successful implementation relies on managing conflict and positive relationships when developing diverse partnerships. Also, inter-organisational barriers should be proactively addressed. Effective governance and management are enabled by a diverse age-friendly steering committee that leverages lived experience and ensures community members continue to be engaged throughout the initiative. Establishing evaluative indicators in the implementation phase is key to assess success of the enabling aging in place initiative.",{"type":543,"attrs":922,"content":923},{"level":912,"textAlign":53},[924],{"text":925,"type":336},"Sustainability",{"type":15,"attrs":927,"content":928},{"textAlign":53},[929],{"text":930,"type":336},"Engaging community champions and sustaining diverse partnerships is key to sustaining the momentum of the enabling aging in place initiative. Strong direct municipal engagement, such as embedding initiatives in local government, supports continuing systems-level engagement. Successful sustainability is enabled through diverse funding sources and proactively overcoming inter-organizational barriers. Last, but not least, sustainability is ensured through evaluation and monitoring progress to demonstrate value.",{"type":15,"attrs":932,"content":933},{"textAlign":53},[934],{"text":935,"type":336},"Please refer to the schematic in the final report for a visual representation of how the approaches, practices, and phases are related and intersect.",{"type":543,"attrs":937,"content":938},{"level":728,"textAlign":53},[939],{"text":940,"type":336},"Resources and Tools",{"type":15,"attrs":942,"content":943},{"textAlign":53},[944],{"text":945,"type":336},"This report provides an abridged table of 27 sources from the review, offering an overview and links to helpful tools and resources. Refer to this table to quickly find and access practical tools with real-world applications categorized based on phase of the engagement journey (i.e., initiation, implementation, sustainability), approach to community engagement (i.e., Asset Based Community Development, Community Based Social Innovation, living lab) and type of source (i.e., online repository of resources, toolkits and case studies). The table starts with comprehensive resources followed by more specialized tools for a specific engagement approach, practices, or phase(s). 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inspired change across Canada",{"type":12,"content":1128},[1129],{"type":15,"attrs":1130},{"textAlign":53},{"_uid":1132,"link":1133,"image":1139,"title":1141,"component":447,"description":1142},"44b6d5f6-0829-4dda-aba2-860d5fc51f73",[1134],{"_uid":1135,"link":1136,"label":1138,"component":443},"6251fe6b-4230-4dc5-810d-cea530ea4aa3",{"id":1010,"url":16,"linktype":434,"fieldtype":435,"cached_url":1137},"resources/nursing-home-without-walls-nhww-guide-for-nursing-homes-and-long-term-care-homes","Read the report",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1140},{}," Implementation Guide for LTC Homes",{"type":12,"content":1143},[1144],{"type":15,"attrs":1145,"content":1146},{"textAlign":53},[1147],{"text":1148,"type":336},"Provides a step-by-step roadmap for implementing the model in nursing and long-term care settings, drawing on proven strategies, insights and best practices",{"_uid":1150,"link":1151,"image":1157,"title":1159,"component":447,"description":1160},"01ea3a05-4861-4e2b-bb01-794786802306",[1152],{"_uid":1153,"link":1154,"label":1138,"component":443},"a5057d5c-1c65-4b6f-ac44-6395a8fa6515",{"id":1155,"url":16,"linktype":434,"fieldtype":435,"cached_url":1156},"79564da6-b68b-4258-b20f-2176986a8f8f","resources/nursing-home-without-walls-nhww-guide-for-jurisdictions",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1158},{},"Implementation Guide for Jurisdictions  ",{"type":12,"content":1161},[1162],{"type":15,"attrs":1163,"content":1164},{"textAlign":53},[1165],{"text":1166,"type":336},"A practical resource and a decision-making framework designed to help assess whether NHWW is the right fit for your region.","Get involved with Nursing Home Without Walls",{"type":12,"content":1169},[1170,1178,1189,1191],{"type":15,"attrs":1171,"content":1172},{"textAlign":53},[1173],{"text":1174,"type":336,"marks":1175},"There are opportunities for jurisdictions, nursing homes and LTC homes to get involved with NHWW.",[1176],{"type":620,"attrs":1177},{"color":725},{"type":15,"attrs":1179,"content":1180},{"textAlign":53},[1181,1183],{"text":1182,"type":336},"For more information, email ",{"text":1184,"type":336,"marks":1185},"nhww-fssm@hec-esc.ca",[1186],{"type":596,"attrs":1187},{"href":1188,"uuid":53,"anchor":53,"custom":53,"target":53,"linktype":594},"mailto:nhww-fssm@hec-esc.ca",{"type":15,"attrs":1190},{"textAlign":53},{"type":15,"attrs":1192},{"textAlign":53},{"id":16,"_uid":1194,"items":1195,"component":1209},"f195970a-23ad-4b13-b0bd-4713f146f6d2",[1196],{"_uid":1197,"image":1198,"quote":1200,"author":1207,"component":1208,"author_title":16},"3bdc42ef-4a6b-4fdc-b386-9f7d54f4a0fe",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1199},{},{"type":12,"content":1201},[1202],{"type":15,"attrs":1203,"content":1204},{"textAlign":53},[1205],{"text":1206,"type":336},"“Nothing is as rewarding as hearing our participants tell us how much our services have improved their quality of life and kept them at home longer. It reminds us of what a difference we’re making in their lives.”","Inkerman and Paquetville NHWW team","quote-item","quote",{"id":16,"_uid":1211,"link":1212,"image":1213,"title":1215,"video_id":1216,"component":1217,"video_mp4":1218,"media_type":1220,"video_type":1221,"description":1222,"video_title":1273,"video_mp4_thumbnail":1274},"a7475ecd-947e-4f12-a854-2e2829cd8484",[],{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1214},{},"From pilot to pan-Canadian spread","bKDaFYrHvR4","text-media",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1219},{},"video","youtube",{"type":12,"content":1223},[1224,1232,1237,1260,1265],{"type":15,"attrs":1225,"content":1226},{"textAlign":53},[1227],{"text":1228,"type":336,"marks":1229},"This webinar provides an overview of the Nursing Home Without Walls (NHWW) program, an initiative designed to enable older adults to age in place. Developed by Dr. Suzanne Dupuis-Blanchard, this evidence-based program started out as four pilot sites in New Brunswick. Over the past two years, and through a partnership with the Government of New Brunswick’s Department of Social Development, Université de Moncton, and Healthcare Excellence Canada, NHWW has expanded to reach communities across the province.",[1230],{"type":620,"attrs":1231},{"color":725},{"type":543,"attrs":1233,"content":1234},{"level":728,"textAlign":53},[1235],{"text":1236,"type":336},"Speakers",{"type":363,"content":1238},[1239,1246,1253],{"type":366,"content":1240},[1241],{"type":15,"attrs":1242,"content":1243},{"textAlign":53},[1244],{"text":1245,"type":336},"Stephanie Lagosky",{"type":366,"content":1247},[1248],{"type":15,"attrs":1249,"content":1250},{"textAlign":53},[1251],{"text":1252,"type":336},"Dr. Suzanne Dupuis-Blanchard",{"type":366,"content":1254},[1255],{"type":15,"attrs":1256,"content":1257},{"textAlign":53},[1258],{"text":1259,"type":336},"Judy Freeze",{"type":543,"attrs":1261,"content":1262},{"level":728,"textAlign":53},[1263],{"text":1264,"type":336},"Host",{"type":363,"content":1266},[1267],{"type":366,"content":1268},[1269],{"type":15,"attrs":1270,"content":1271},{"textAlign":53},[1272],{"text":1245,"type":336},"Nursing Home Without Walls: From pilot to pan-Canadian spread",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1275},{},{"id":16,"_uid":1277,"title":1278,"columns":1279,"component":416,"description":1457},"c89e837a-9413-480d-8b11-46eb06fa951e","The Story of Nursing Home Without Walls",[1280,1385,1407],{"_uid":1281,"image":1282,"title":16,"content":1284,"component":348},"5b0abf87-e528-4c4e-9d14-05e2a14c6d9f",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"filename":53,"copyright":53,"fieldtype":292,"meta_data":1283,"is_external_url":277},{},[1285,1377],{"_uid":1286,"content":1287,"component":347},"448c64e9-815f-4bac-9137-07a4e73fab67",{"type":12,"content":1288},[1289,1294,1299,1313,1357,1372],{"type":15,"attrs":1290,"content":1291},{"textAlign":53},[1292],{"text":1293,"type":336},"Nursing Home Without Walls (NHWW) helps nursing and long-term care (LTC) homes support older adults to age in place with access to essential services and support.",{"type":15,"attrs":1295,"content":1296},{"textAlign":407},[1297],{"text":1298,"type":336},"Created by researcher Dr. Suzanne Dupuis-Blanchard from the Université de Moncton, this program facilitates healthy aging at home by providing access to essential knowledge, support, and services.",{"type":15,"attrs":1300,"content":1301},{"textAlign":407},[1302,1304,1311],{"text":1303,"type":336},"In 2019, four English and French-speaking rural communities began implementing the NHWW model in their local nursing homes in 2019 through the ",{"text":1305,"type":336,"marks":1306},"Healthy Seniors Pilot Project",[1307],{"type":596,"attrs":1308},{"href":1309,"uuid":53,"anchor":53,"custom":1310,"target":593,"linktype":594},"https://www.gnb.ca/en/campaign/healthy-seniors/nursing-home.html",{},{"text":1312,"type":336},". Although somewhat different in their approaches, their goals were the same – to support aging in place in their local communities. Early results of the NHWW pilot programs include:",{"type":363,"content":1314},[1315,1322,1329,1336,1343,1350],{"type":366,"content":1316},[1317],{"type":15,"attrs":1318,"content":1319},{"textAlign":53},[1320],{"text":1321,"type":336},"Increased satisfaction with levels of social interactions and outings.",{"type":366,"content":1323},[1324],{"type":15,"attrs":1325,"content":1326},{"textAlign":53},[1327],{"text":1328,"type":336},"Increased knowledge on who to contact to get information on services for aging at home.",{"type":366,"content":1330},[1331],{"type":15,"attrs":1332,"content":1333},{"textAlign":53},[1334],{"text":1335,"type":336},"69% of older adults stating that the services received are accessible and support them to stay in their home.",{"type":366,"content":1337},[1338],{"type":15,"attrs":1339,"content":1340},{"textAlign":53},[1341],{"text":1342,"type":336},"Increased feeling of security in their home and the community.",{"type":366,"content":1344},[1345],{"type":15,"attrs":1346,"content":1347},{"textAlign":53},[1348],{"text":1349,"type":336},"100% of older adults are satisfied with the services offered by NHWW.",{"type":366,"content":1351},[1352],{"type":15,"attrs":1353,"content":1354},{"textAlign":53},[1355],{"text":1356,"type":336},"Prevented some non-urgent visits to the Emergency Deptartment or medical after-hours clinic.",{"type":15,"attrs":1358,"content":1359},{"textAlign":407},[1360,1362,1370],{"text":1361,"type":336},"To advance the adoption of NHWW and support older adults living and aging in community, the New Brunswick Department of Social Development (Social Development), Université de Moncton and Healthcare Excellence Canada partnered together to spread and scale the NHWW initiative beyond the four pilot sites. In 2025, a funding opportunity was ",{"text":1363,"type":336,"marks":1364},"announced",[1365],{"type":596,"attrs":1366},{"href":1367,"uuid":1121,"anchor":53,"custom":1368,"target":1369,"linktype":434},"/updates/bringing-care-closer-how-new-brunswick-s-nursing-home-without-walls-model-inspired-change-across-canada",{},"_self",{"text":1371,"type":336}," for Nursing Homes in New Brunswick to establish a Nursing Home Without Walls program within their local communities.",{"type":15,"attrs":1373,"content":1374},{"textAlign":407},[1375],{"text":1376,"type":336},"Over the course of the next year, Social Development, Healthcare Excellence Canada and the Université de Moncton provided support, coaching and resources to sites during the planning and implementation of their NHWW programs. Learnings and impacts from the spread and scale of this innovation are currently being measured with the plan to share, so that other jurisdictions across Canada can learn from the work being done in New Brunswick.",{"_uid":1378,"image":1379,"component":1384},"94d99832-dc23-4ded-b969-f2bb679e82af",{"id":1380,"alt":1381,"name":16,"focus":16,"title":1381,"source":16,"filename":1382,"copyright":16,"fieldtype":292,"meta_data":1383,"is_external_url":277},114299883118556,"NHWW Group Photo","https://a-ca.storyblok.com/f/850807391887861/fca73031a5/nhww-group-photo.jpg",{"alt":1381,"title":1381,"source":16,"copyright":16},"simple-image",{"_uid":1386,"image":1387,"title":1389,"content":1390,"component":348},"db5cd3df-7b9c-4c17-9b4a-6fb75152866e",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1388},{},"Nursing Home Without Walls Participating Teams",[1391,1400],{"_uid":1392,"content":1393,"component":347},"b8193953-0618-4eb1-a3fd-b229fe50595b",{"type":12,"content":1394},[1395],{"type":15,"attrs":1396,"content":1397},{"textAlign":53},[1398],{"text":1399,"type":336},"The Nursing Home Without Walls (NHWW) program, a partnership with Healthcare Excellence Canada, the Government of New Brunswick Department of Social Development and the Université de Moncton’s Research Centre on Aging is supporting sites from across New Brunswick to enable older adults to age in place.",{"_uid":1401,"image":1402,"component":1384},"2f25921a-92c7-412b-9214-0c03f2abebd8",{"id":1403,"alt":1404,"name":16,"focus":16,"title":16,"source":16,"filename":1405,"copyright":16,"fieldtype":292,"meta_data":1406,"is_external_url":277},139662253475250,"Map of New Brunswick representing the communities currently supported by Nursing Homes Without Walls.","https://a-ca.storyblok.com/f/850807391887861/2100x1200/58152ddd7d/nhww-location-map-w-title-mar24.webp",{"alt":1404,"title":16,"source":16,"copyright":16},{"_uid":1408,"image":1409,"title":1411,"content":1412,"component":348},"067a5168-32fb-4c0e-b4df-d047e897c1d9",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1410},{},"About the pilot sites",[1413],{"_uid":1414,"content":1415,"component":347},"bbf73dda-1bfd-4c0a-b676-7de55f1c615a",{"type":12,"content":1416},[1417,1422,1427,1432,1437,1442,1447,1452],{"type":15,"attrs":1418,"content":1419},{"textAlign":53},[1420],{"text":1421,"type":336},"Four nursing homes volunteered to pilot the NHWW program. These homes were in the rural communities of Port Elgin, Lamèque, Inkerman and Paquetville. Access to services is complex in rural communities -New Brunswick is composed of 49% rural communities.",{"type":15,"attrs":1423,"content":1424},{"textAlign":53},[1425],{"text":1426,"type":336},"All four nursing homes implemented the program at the same time and offer services to meet the needs of their communities (based on previous consultations and community needs assessment), without duplicate existing resources or services.",{"type":543,"attrs":1428,"content":1429},{"level":912,"textAlign":53},[1430],{"text":1431,"type":336},"Lamèque",{"type":15,"attrs":1433,"content":1434},{"textAlign":53},[1435],{"text":1436,"type":336},"In Lamèque, NHWW initially assisted older adults with frailty at home with personal care, meals, medication and socialization. Services expanded to include transportation, community activities, home maintenance and caregiver support, reflecting a community- and person-centered approach to holistically address the diverse needs of older adults and their caregivers.",{"type":543,"attrs":1438,"content":1439},{"level":912,"textAlign":53},[1440],{"text":1441,"type":336},"Inkerman and Paquetville",{"type":15,"attrs":1443,"content":1444},{"textAlign":53},[1445],{"text":1446,"type":336},"In Inkerman and Paquetville, NHWW provides home maintenance, transportation, bathing, foot care, health clinics, and socialization for older adults. Paquetville collaborates with a local volunteer organization for meal services. Sharing a coordinator, the nursing homes maintain distinct service approaches while leveraging proximity and similar needs between the communities.",{"type":543,"attrs":1448,"content":1449},{"level":912,"textAlign":53},[1450],{"text":1451,"type":336},"Port Elgin",{"type":15,"attrs":1453,"content":1454},{"textAlign":53},[1455],{"text":1456,"type":336},"In Port Elgin, NHWW prioritizes community service access. The program aids older adults in accessing federal, provincial, and local services by assessing their needs and assisting with applications. Addressing social isolation, weekly coffee chats are hosted, and transportation is coordinated for appointments and errands. Expanding services, Port Elgin lends equipment and supplies to support older adults in comfortable home living.",{"type":12,"content":1458},[1459],{"type":15,"attrs":1460,"content":1461},{"textAlign":53},[1462],{"text":1463,"type":336},"Originating in New Brunswick, this program enables nursing and LTC homes to support older adults to age in place with access to essential services and support.",{"id":16,"_uid":1465,"items":1466,"component":1209},"7ff1bc06-1812-47c3-ad6f-8c4f6049f94b",[1467,1483,1495,1507],{"_uid":1468,"image":1469,"quote":1471,"author":1482,"component":1208,"author_title":16},"6182381d-3e1a-4549-ae9a-5bb23f83fd4d",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1470},{},{"type":12,"content":1472},[1473],{"type":15,"attrs":1474,"content":1475},{"textAlign":53},[1476],{"text":1477,"type":336,"marks":1478},"\"I just wanted you to know how very much I look forward to and enjoy the exercise class. It may be a senior’s class, but I assure you we all get our heart rates up and we stretch every single part of our bodies including places that we didn’t know we had! Thank you for organizing such a lovely class to enrich our lives.\" ",[1479],{"type":620,"attrs":1480},{"color":1481},"#1F1F1F","A note from a NHWW client",{"_uid":1484,"image":1485,"quote":1487,"author":1494,"component":1208,"author_title":16},"f15f0fe3-7d95-41d2-8d7f-0ffa6c3ce477",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1486},{},{"type":12,"content":1488},[1489],{"type":15,"attrs":1490,"content":1491},{"textAlign":53},[1492],{"text":1493,"type":336},"\"My mother is a new person. She now smiles and has something to look forward too.\" ","From a daughter about her mother who lives alone",{"_uid":1496,"image":1497,"quote":1499,"author":1506,"component":1208,"author_title":16},"062537b4-30bd-4796-98b7-d84a084a485e",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1498},{},{"type":12,"content":1500},[1501],{"type":15,"attrs":1502,"content":1503},{"textAlign":53},[1504],{"text":1505,"type":336},"\"Thank you for the information and links, and for all the time and care you took with us yesterday. Your visit was a huge help to us, and we are grateful to be able to benefit from NHWW.\"","A couple receiving a home visit",{"_uid":1508,"image":1509,"quote":1511,"author":1518,"component":1208,"author_title":16},"a8036181-b928-4a83-a742-e4ee2939b266",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":1510},{},{"type":12,"content":1512},[1513],{"type":15,"attrs":1514,"content":1515},{"textAlign":53},[1516],{"text":1517,"type":336},"\"I am so happy, I can't stop crying. There is no way I could have spent another winter in that home. NHWW has literally saved my life and I cannot thank you enough, thank you very much.\""," An 85-year-old man who was housing challenged",{"id":16,"cta":1520,"_uid":1527,"items":1528,"title":1011,"component":998},[1521],{"_uid":1522,"link":1523,"label":1526,"component":991},"9748279f-8964-4fe0-aedd-2456ad875c74",{"id":1524,"url":16,"linktype":434,"fieldtype":435,"cached_url":1525},"c0994de2-19e1-4311-b3e8-b4ddd7069dc6","resources/","See all resources ","ee1fec44-4ae2-4940-aaf5-9668607ed799",[1155,1010,275,1529,1530,1531],"ede9d43a-4683-4bbd-b222-07bde68562e2","efb02f61-6d53-4d27-9131-5e6eefcc8c80","d1a0ccab-fd83-4a8d-9a1b-154ef057dba2",[115,129,150],"hec-page-program",[1535,1562,1576],{"_uid":1536,"content":1537,"component":1561},"026279e3-a863-464b-a19f-11e59a078912",[1538],{"_uid":1539,"content":1540,"component":347},"7ea856ea-80d0-4233-a51f-f13823bb424f",{"type":12,"content":1541},[1542,1547,1556],{"type":543,"attrs":1543,"content":1544},{"level":545,"textAlign":53},[1545],{"text":1546,"type":336},"What is Nursing Home Without Walls?",{"type":15,"attrs":1548,"content":1549},{"textAlign":53},[1550,1554],{"text":1551,"type":336,"marks":1552},"Nursing Home Without Walls (NHWW) ",[1553],{"type":734},{"text":1555,"type":336},"helps nursing and long-term care (LTC) homes support older adults to age where they call home with access to essential services and support. By helping older adults stay in their homes longer, NHWW supports their independence and aims to delay premature admission to long-term care. 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They provide space, staff support, and valuable knowledge about the local community, available services, and aging-related needs. In some cases, they also provide direct supports to older adults living at home.",{"type":15,"attrs":1594,"content":1595},{"textAlign":53},[1596],{"text":1597,"type":336},"Each NHWW program is shaped by the needs of its community. Nursing homes adjust the program to fit their local context, using their unique strengths. 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Healthcare Excellence Canada’s resources will help you take action that goes beyond preventing harm and fosters safe and inclusive care.","9df650c6-f849-4ef7-8579-542855f73b59",[3416],{"_uid":3417,"image":3418,"title":3406,"format":16,"component":302,"description":3413,"key_learning":16,"prerequisite":16},"5a880321-301d-468d-a385-c9dfc372e9ac",{"id":3419,"filename":3420,"fieldtype":292},114294594480802,"https://a-ca.storyblok.com/f/850807391887861/a2c654f2ae/tile-image-510x340px-eng-1-1.png",[91,69,32,76,106,46,98,39],[3423,3900,3916,3935,4048,4192],{"_uid":3424,"content":3425,"component":599},"ecf4010a-4ad9-4df3-aaad-6621fea9d473",[3426,3528,3535,3549,3558],{"_uid":3427,"content":3428,"component":347},"aa8ffdd1-ca8a-45f6-b868-c7c377f2d4ae",{"type":12,"content":3429},[3430,3435,3440,3471,3476,3481,3502,3507,3512,3517],{"type":543,"attrs":3431,"content":3432},{"level":545,"textAlign":53},[3433],{"text":3434,"type":336},"Safety is much more than the absence of harm",{"type":15,"attrs":3436,"content":3437},{"textAlign":53},[3438],{"text":3439,"type":336},"Strengthening patient safety is fundamental to excellent healthcare and has been a recognized priority in Canada for more than 20 years. Historically, patient safety efforts have focused mostly on measuring and responding to physical harm. However, safety is much more than the absence of harm. And as recent data show, we still have a way to go before we get there.",{"type":15,"attrs":3441,"content":3442},{"textAlign":53},[3443,3445,3451,3453,3459,3461,3469],{"text":3444,"type":336},"Globally, 10 percent of patients are harmed and over 3 million people die every year from healthcare, ",{"text":3446,"type":336,"marks":3447},"according to the World Health Organization",[3448],{"type":596,"attrs":3449},{"href":3450,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://www.who.int/news-room/fact-sheets/detail/patient-safety",{"text":3452,"type":336},". Closer to home, ",{"text":3454,"type":336,"marks":3455},"The Canadian Adverse Events study",[3456],{"type":596,"attrs":3457},{"href":3458,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://pubmed.ncbi.nlm.nih.gov/15159366/",{"text":3460,"type":336}," of 2004 found an overall rate of patient harm of 7.5% in hospital settings, with 37% of adverse events deemed preventable. More recent data reported by the Canadian Institute for Health Information found ",{"text":3462,"type":336,"marks":3463},"one in 17 hospital stays in Canada",[3464],{"type":596,"attrs":3465},{"href":3466,"uuid":3467,"anchor":53,"custom":3468,"target":1369,"linktype":434},"/resources/hospital-harm-is-everyones-concern","3b0b67e4-3791-4e2d-9008-4c21c4bdf065",{},{"text":3470,"type":336}," involved at least one harmful event in 2022-23. The data highlight the urgency of improving patient safety as rates in recent years have been higher compared to pre-pandemic numbers. The majority of the data available focuses on physical harm rather than all forms which also includes psychological, social and spiritual harm.",{"type":15,"attrs":3472,"content":3473},{"textAlign":53},[3474],{"text":3475,"type":336},"Healthcare Excellence Canada plays an important role in shaping the way patient safety is defined and understood. Initially through the work of the Canadian Patient Safety Institute (CPSI) and now as HEC, we are supporting a transformative shift from seeing safety as the absence of harm to a more holistic approach to fostering safe, inclusive care. One of the primary ways we are doing this is by working to apply the leading framework for measuring and monitoring safety, to see what lessons can be learned about its application in Canada.",{"type":543,"attrs":3477,"content":3478},{"level":728,"textAlign":53},[3479],{"text":3480,"type":336},"A framework for expanding the definition of safety",{"type":15,"attrs":3482,"content":3483},{"textAlign":53},[3484,3486,3492,3494,3500],{"text":3485,"type":336},"The release of the ",{"text":3487,"type":336,"marks":3488},"Measurement and Monitoring Safety Framework (MMSF)",[3489],{"type":596,"attrs":3490},{"href":3491,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://www.health.org.uk/publications/the-measurement-and-monitoring-of-safety",{"text":3493,"type":336}," catalyzed a major change in the way safety is defined and practised and has informed and influenced Healthcare Excellence Canada’s approach. Created by Professor Charles Vincent and colleagues at ",{"text":3495,"type":336,"marks":3496},"The Health Foundation",[3497],{"type":596,"attrs":3498},{"href":3499,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://www.health.org.uk/",{"text":3501,"type":336}," in 2013, the MMSF proposed shifting away from focusing on the absence of harm towards adopting a broader view of safety. This new view examined the sources of resilience and capabilities that enable safe care and endorsed a less reactive approach to improving safety.",{"type":543,"attrs":3503,"content":3504},{"level":545,"textAlign":53},[3505],{"text":3506,"type":336},"Shifting from rethinking towards acting on patient safety",{"type":15,"attrs":3508,"content":3509},{"textAlign":53},[3510],{"text":3511,"type":336},"How we act to create safer care is just as important as how we conceptualize it. That’s why Healthcare Excellence Canada has developed the following resources to help you rethink and act to improve patient safety in healthcare settings.",{"type":543,"attrs":3513,"content":3514},{"level":728,"textAlign":53},[3515],{"text":3516,"type":336},"Rethinking Patient Safety Discussion Guide",{"type":15,"attrs":3518,"content":3519},{"textAlign":53},[3520,3522,3526],{"text":3521,"type":336},"Healthcare Excellence Canada published ",{"text":3523,"type":336,"marks":3524},"Rethinking Patient Safety, a Discussion Guide for Patients, Healthcare Providers and Leaders",[3525],{"type":734},{"text":3527,"type":336}," during Canadian Patient Safety Week 2023 to encourage everyone across the continuum of care to enable safer care. The guide explains Healthcare Excellence Canada’s approach to patient safety that fosters a curious mindset and shifts away from seeing safety as simply the absence of harm. This resource also aims to spur discussions around patient safety and what is means for you.",{"_uid":3529,"file":3530,"link":3532,"label":3516,"linkType":596,"component":597,"linkLabel":442},"163f74cd-8ed4-47bd-be65-745efb6a722d",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":3531},{},{"id":3533,"url":16,"linktype":434,"fieldtype":435,"cached_url":3534},"515a6db5-7990-4f67-b458-811cab7e99cf","resources/rethinking-patient-safety-discussion-guide",{"_uid":3536,"content":3537,"component":347},"9860c1c5-eafc-4943-bcc5-0c94b4e127a3",{"type":12,"content":3538},[3539,3544],{"type":543,"attrs":3540,"content":3541},{"level":728,"textAlign":53},[3542],{"text":3543,"type":336},"How Safe is Your Care?",{"type":15,"attrs":3545,"content":3546},{"textAlign":53},[3547],{"text":3548,"type":336},"The release of \"How Safe is Your Care? Measurement and monitoring of safety through the eyes of patients and their care partners\" provides important insights into how patients and their care partners see safety. The report offers guidance on how to effectively engage patients and care partners in all aspects of measurement and monitoring of safety and provides recommendations outlining how to strengthen provider and patient partnerships in support of safer care.",{"_uid":3550,"file":3551,"link":3556,"label":3557,"linkType":978,"component":597,"linkLabel":16},"d4595014-4524-4d17-9f41-36a05c1fd4a6",{"id":3552,"alt":3553,"name":16,"focus":16,"title":3553,"source":16,"filename":3554,"copyright":16,"fieldtype":292,"meta_data":3555,"is_external_url":277},114293584038291,"20220525 Howsafeisyourcare FINAL EN","https://a-ca.storyblok.com/f/850807391887861/bc9df4166f/20220525-howsafeisyourcare-final-en.pdf",{},{"id":16,"url":16,"linktype":434,"fieldtype":435,"cached_url":16},"How Safe is Your Care? Measurement and monitoring of safety through the eyes of patients and their care partners",{"_uid":3559,"content":3560,"component":347},"fb2cf783-9aa4-45d8-abc8-ac894bb6160c",{"type":12,"content":3561},[3562,3567,3582,3601,3619,3634,3649,3665,3682,3691,3710,3721,3752,3761,3884,3892],{"type":543,"attrs":3563,"content":3564},{"level":545,"textAlign":53},[3565],{"text":3566,"type":336},"A timeline of patient safety",{"type":15,"attrs":3568,"content":3569},{"textAlign":53},[3570,3572,3580],{"text":3571,"type":336},"Important work has taken place to evolve our understanding of patient safety, what it means to different stakeholders, and how to foster it. While there has been tremendous progress, more work is needed to refine this understanding and address harm. As early adopters and leaders on the MMSF in Canada, Healthcare Excellence Canada and partners have a role to play in this effort—one that we hope you will join—so that we can truly ",{"text":3573,"type":336,"marks":3574},"transform to the presence of safety",[3575],{"type":596,"attrs":3576},{"href":3577,"uuid":3578,"anchor":53,"custom":3579,"target":1369,"linktype":434},"/updates/are-we-safe-or-just-lucky","19a25cf2-515c-4f1a-8e4a-cca4111ca274",{},{"text":3581,"type":336},". Together.",{"type":15,"attrs":3583,"content":3584},{"textAlign":53},[3585,3589,3591,3599],{"text":3586,"type":336,"marks":3587},"1999: ",[3588],{"type":734},{"text":3590,"type":336},"A report titled ",{"text":3592,"type":336,"marks":3593},"To Err is Human: Building a Safer Health System",[3594,3597],{"type":596,"attrs":3595},{"href":3596,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://pubmed.ncbi.nlm.nih.gov/25077248/",{"type":3598},"italic",{"text":3600,"type":336}," was published by the Institute of Medicine. The report explores patient deaths due to medical error and concludes that the problem is not necessarily people, but the system in which people work.",{"type":15,"attrs":3602,"content":3603},{"textAlign":53},[3604,3608,3610,3617],{"text":3605,"type":336,"marks":3606},"2001: ",[3607],{"type":734},{"text":3609,"type":336},"The Institute of Medicine in the US releases ",{"text":3611,"type":336,"marks":3612},"Closing the Quality Chasm: A New Health System for the 21st Century",[3613,3616],{"type":596,"attrs":3614},{"href":3615,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://pubmed.ncbi.nlm.nih.gov/25057539/",{"type":3598},{"text":3618,"type":336},". This report outlined the Six Aims for Improvement (Safety, Timeliness, Effectiveness, Efficiency, Equity, Patient-Centredness).",{"type":15,"attrs":3620,"content":3621},{"textAlign":53},[3622,3626,3632],{"text":3623,"type":336,"marks":3624},"2004: ",[3625],{"type":734},{"text":3627,"type":336,"marks":3628},"The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada",[3629,3631],{"type":596,"attrs":3630},{"href":3458,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},{"type":3598},{"text":3633,"type":336}," by Baker, Norton et al., is the first Canadian study to provide a national estimate of the incidence of adverse events. The study found that 7.5% of 100 admissions resulted in an adverse event, of which 36.9% were preventable.",{"type":15,"attrs":3635,"content":3636},{"textAlign":53},[3637,3641,3642,3647],{"text":3638,"type":336,"marks":3639},"2013: ",[3640],{"type":734},{"text":3485,"type":336},{"text":3643,"type":336,"marks":3644},"Measurement and Monitoring of Safety Framework (MMSF)",[3645],{"type":596,"attrs":3646},{"href":3491,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},{"text":3648,"type":336}," catalyzed a major change in the way safety is defined and practiced. Created by Charles Vincent and colleagues at The Health Foundation, the MMSF presented an approach for shifting away from focusing on the absence of harm towards adopting a broader view of safety.",{"type":15,"attrs":3650,"content":3651},{"textAlign":53},[3652,3656,3663],{"text":3653,"type":336,"marks":3654},"2015: ",[3655],{"type":734},{"text":3657,"type":336,"marks":3658},"Beyond the Quick Fix: Strategies for Improving Patient Safety",[3659,3662],{"type":596,"attrs":3660},{"href":3661,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://tspace.library.utoronto.ca/handle/1807/80119?mode=full",{"type":3598},{"text":3664,"type":336}," published by the Institute of Health Policy, Management and Evaluation at the University of Toronto concluded that despite the growing understanding of the safety threats and efforts made to identify safety practices, there is still effort needed to broaden and link efforts to improve care and care environments.",{"type":15,"attrs":3666,"content":3667},{"textAlign":53},[3668,3672,3674,3680],{"text":3669,"type":336,"marks":3670},"2016: ",[3671],{"type":734},{"text":3673,"type":336},"The Canadian Institute for Health Information (CIHI) releases the ",{"text":3675,"type":336,"marks":3676},"Hospital Harm Indicator",[3677],{"type":596,"attrs":3678},{"href":3679,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://www.cihi.ca/en/indicators/hospital-harm",{"text":3681,"type":336},". This indicator measures the rate of acute care hospitalizations with at least one occurrence of unintended harm during a hospital stay that could potentially have been prevented.",{"type":15,"attrs":3683,"content":3684},{"textAlign":53},[3685,3689],{"text":3686,"type":336,"marks":3687},"2017: ",[3688],{"type":734},{"text":3690,"type":336},"The Canadian Patient Safety Institute (CPSI), now Healthcare Excellence Canada, began working with healthcare teams from across the country to advance our knowledge and experience of the MMSF in Canada.",{"type":15,"attrs":3692,"content":3693},{"textAlign":53},[3694,3698,3700,3708],{"text":3695,"type":336,"marks":3696},"2023: ",[3697],{"type":734},{"text":3699,"type":336},"Healthcare Excellence Canada and Patients for Patient Safety Canada released ",{"text":3701,"type":336,"marks":3702},"Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare Providers and Leaders",[3703,3707],{"type":596,"attrs":3704},{"href":3705,"uuid":3533,"anchor":53,"custom":3706,"target":1369,"linktype":434},"/resources/rethinking-patient-safety-discussion-guide",{},{"type":3598},{"text":3709,"type":336}," which summarizes learnings and ideas suggesting a new way of approaching patient safety.",{"type":543,"attrs":3711,"content":3712},{"level":545,"textAlign":407},[3713,3718],{"text":3714,"type":336,"marks":3715},"Measurement and Monitoring of Safety Framework",[3716],{"type":620,"attrs":3717},{"color":16},{"text":2123,"type":336,"marks":3719},[3720],{"type":734},{"type":15,"attrs":3722,"content":3723},{"textAlign":407},[3724,3728,3735,3740,3746,3751],{"text":3485,"type":336,"marks":3725},[3726],{"type":620,"attrs":3727},{"color":16},{"text":3729,"type":336,"marks":3730},"Measurement and Monitoring Safety Framework (MMSF) in 2013",[3731,3733],{"type":596,"attrs":3732},{"href":3491,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},{"type":620,"attrs":3734},{"color":16},{"text":3736,"type":336,"marks":3737}," catalyzed a major change in the way safety is defined and practiced and has informed and influenced Heathcare Excellence Canada’s approach. Created by Professor Charles Vincent and colleagues at ",[3738],{"type":620,"attrs":3739},{"color":16},{"text":3495,"type":336,"marks":3741},[3742,3744],{"type":596,"attrs":3743},{"href":3499,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},{"type":620,"attrs":3745},{"color":16},{"text":3747,"type":336,"marks":3748},", the MMSF proposed shifting away from focusing on the absence of harm towards adopting a broader view of safety. This new view examined the sources of resilience and capabilities that enable safe care and endorsed a less reactive approach to improving safety. ",[3749],{"type":620,"attrs":3750},{"color":16},{"text":2123,"type":336},{"type":15,"attrs":3753,"content":3754},{"textAlign":407},[3755,3760],{"text":3756,"type":336,"marks":3757},"The MMSF offers many advantages when it comes to how we think about safety. It:   ",[3758],{"type":620,"attrs":3759},{"color":16},{"text":2123,"type":336},{"type":363,"content":3762},[3763,3774,3785,3796,3807,3818,3829,3840,3851,3862,3873],{"type":366,"content":3764},[3765],{"type":15,"attrs":3766,"content":3767},{"textAlign":53},[3768,3773],{"text":3769,"type":336,"marks":3770},"creates a more holistic view of safety. ",[3771],{"type":620,"attrs":3772},{"color":16},{"text":2123,"type":336},{"type":366,"content":3775},[3776],{"type":15,"attrs":3777,"content":3778},{"textAlign":53},[3779,3784],{"text":3780,"type":336,"marks":3781},"changes our safety focus – moving away from a focus on past harm. ",[3782],{"type":620,"attrs":3783},{"color":16},{"text":2123,"type":336},{"type":366,"content":3786},[3787],{"type":15,"attrs":3788,"content":3789},{"textAlign":53},[3790,3795],{"text":3791,"type":336,"marks":3792},"provides a shared and consistent understanding of safety. ",[3793],{"type":620,"attrs":3794},{"color":16},{"text":2123,"type":336},{"type":366,"content":3797},[3798],{"type":15,"attrs":3799,"content":3800},{"textAlign":53},[3801,3806],{"text":3802,"type":336,"marks":3803},"changes the way we think about safety. ",[3804],{"type":620,"attrs":3805},{"color":16},{"text":2123,"type":336},{"type":366,"content":3808},[3809],{"type":15,"attrs":3810,"content":3811},{"textAlign":53},[3812,3817],{"text":3813,"type":336,"marks":3814},"helps us move away from managing risk to managing safety. ",[3815],{"type":620,"attrs":3816},{"color":16},{"text":2123,"type":336},{"type":366,"content":3819},[3820],{"type":15,"attrs":3821,"content":3822},{"textAlign":53},[3823,3828],{"text":3824,"type":336,"marks":3825},"moves us from assurance and accountability reporting to a \"practice of inquiry.\" ",[3826],{"type":620,"attrs":3827},{"color":16},{"text":2123,"type":336},{"type":366,"content":3830},[3831],{"type":15,"attrs":3832,"content":3833},{"textAlign":53},[3834,3839],{"text":3835,"type":336,"marks":3836},"empowers everyone to take a proactive role in safety. ",[3837],{"type":620,"attrs":3838},{"color":16},{"text":2123,"type":336},{"type":366,"content":3841},[3842],{"type":15,"attrs":3843,"content":3844},{"textAlign":53},[3845,3850],{"text":3846,"type":336,"marks":3847},"promotes a culture of collective responsibility for safety. ",[3848],{"type":620,"attrs":3849},{"color":16},{"text":2123,"type":336},{"type":366,"content":3852},[3853],{"type":15,"attrs":3854,"content":3855},{"textAlign":53},[3856,3861],{"text":3857,"type":336,"marks":3858},"promotes an understanding that staff and patient safety go hand in hand. ",[3859],{"type":620,"attrs":3860},{"color":16},{"text":2123,"type":336},{"type":366,"content":3863},[3864],{"type":15,"attrs":3865,"content":3866},{"textAlign":53},[3867,3872],{"text":3868,"type":336,"marks":3869},"places value on soft intelligence (e.g. listening, observing and perceiving).   ",[3870],{"type":620,"attrs":3871},{"color":16},{"text":2123,"type":336},{"type":366,"content":3874},[3875],{"type":15,"attrs":3876,"content":3877},{"textAlign":53},[3878,3883],{"text":3879,"type":336,"marks":3880},"recognizes the value that patients and caregivers have in creating safety. ",[3881],{"type":620,"attrs":3882},{"color":16},{"text":2123,"type":336},{"type":543,"attrs":3885,"content":3886},{"level":728,"textAlign":407},[3887],{"text":3888,"type":336,"marks":3889},"How it works ",[3890],{"type":620,"attrs":3891},{"color":16},{"type":15,"attrs":3893,"content":3894},{"textAlign":407},[3895],{"text":3896,"type":336,"marks":3897},"MMSF is made up of five dimensions that healthcare leaders, providers, patients and families can use to understand and improve patient safety. The framework assesses and evaluates safety from \"ward to board\" by providing a comprehensive and accurate real-time view of patient safety. It helps users move from \"assurance\" to \"inquiry\" by shifting away from a focus on past cases of harm towards current performance, future risks and organizational resiliency.   ",[3898],{"type":620,"attrs":3899},{"color":16},{"_uid":3901,"items":3902,"component":1209},"87523179-6e6d-461e-8d4c-92d66373e0c8",[3903],{"_uid":3904,"image":3905,"quote":3907,"author":3914,"component":1208,"author_title":3915},"6520e012-4669-4bad-8caf-73e926b50727",{"id":53,"alt":53,"name":16,"focus":53,"title":53,"source":53,"filename":16,"copyright":53,"fieldtype":292,"meta_data":3906},{},{"type":12,"content":3908},[3909],{"type":15,"attrs":3910,"content":3911},{"textAlign":53},[3912],{"text":3913,"type":336},"\"The framework for the Measurement and Monitoring of Safety helps people rethink their understanding of safety in their own clinical environment,\" says Dr. Baker. \"What we saw during the demonstration project is that staff were really engaged by this idea that they can have an active role in promoting and maintaining safety.\"","Dr. G. Ross Baker","PhD, Professor, Institute of Health Policy Management and Evaluation, University of Toronto  ",{"id":16,"_uid":3917,"content":3918,"component":599},"42e298e1-7e88-40aa-91c6-245a3ed1ca70",[3919,3928],{"_uid":3920,"content":3921,"component":347},"d168f704-36b1-4cd9-8443-6345f345c66d",{"type":12,"content":3922},[3923],{"type":15,"attrs":3924,"content":3925},{"textAlign":53},[3926],{"text":3927,"type":336},"Armed with a series of valuable questions, you can make better decisions about the safety of the care you provide. The primary questions are:",{"_uid":3929,"image":3930,"component":1384},"18e48b18-8da1-4d06-b18d-c7af91deabf7",{"id":3931,"alt":3932,"name":16,"focus":16,"title":16,"source":16,"filename":3933,"copyright":16,"fieldtype":292,"meta_data":3934,"is_external_url":277},114300191903786,"A diagram consisting of one dark grey circle in the centre with the text, “Safety measurement and monitoring,” surrounding by five petal-shape objects in various colours connected by a larger circle outline, containing the text “Past harm: Has patient care been safe in the past?” “Reliability: Are our clinical systems and processes reliable?” “Sensitivity to operations: Is care safe today?” “Anticipation and preparedness: Will care be safe in the future?” and “Integration and learning: Are we responding and improving?”","https://a-ca.storyblok.com/f/850807391887861/0a134b9440/2022-safetymeasurementandmonitoring-en.png",{"alt":3932,"title":16,"source":16,"copyright":16},{"_uid":3936,"content":3937,"component":599},"3c630d12-c036-408c-9b4d-93e05a5c5afc",[3938],{"_uid":3939,"content":3940,"component":347},"91fa781f-844d-4361-add1-e2d1cf1aea6b",{"type":12,"content":3941},[3942,3947,3952,3957,3962,3967,3972,3998,4003,4008,4020,4024],{"type":543,"attrs":3943,"content":3944},{"level":728,"textAlign":53},[3945],{"text":3946,"type":336},"Applying the framework in Canada",{"type":15,"attrs":3948,"content":3949},{"textAlign":53},[3950],{"text":3951,"type":336},"In 2017, the Canadian Patient Safety Institute (which amalgamated with the Canadian Foundation for Healthcare Improvement to form Healthcare Excellence Canada in 2021), began working with healthcare teams from across the country to advance our knowledge and experience of the MMSF in Canada. Following a successful demonstration project led by Dr. G. Ross Baker at the University of Toronto, a subsequent learning collaborative was launched in 2018 with 11 teams from seven provinces. With expert faculty and mentoring over 18 months, each team used the MMSF to develop a more comprehensive approach to delivering safer care.",{"type":15,"attrs":3953,"content":3954},{"textAlign":53},[3955],{"text":3956,"type":336},"An evaluation in 2020 concluded that the collaborative successfully built the capacity of teams to understand and implement the MMSF in their local settings. Participants reported positive impacts on stakeholder groups' knowledge and behaviours, healthcare processes and patient outcomes.",{"type":15,"attrs":3958,"content":3959},{"textAlign":53},[3960],{"text":3961,"type":336},"\"We started out in the safety world really worrying about past harm and I think that was really important because it raised peoples' understanding about the magnitude of the safety issues. But it is insufficient because people don't go to work thinking about past incidents; they go to work thinking about the patients they are going to see today. So that is part of the shift now is that we are putting safety into a much more relevant context for the staff on their units doing their daily jobs. I think we can still build on that. We can build a broader sense of how units function, and how units interact with other units.\"",{"type":15,"attrs":3963,"content":3964},{"textAlign":53},[3965],{"text":3966,"type":336},"- Dr. G. Ross Baker, PhD, Professor, Institute of Health Policy Management and Evaluation, University of Toronto",{"type":543,"attrs":3968,"content":3969},{"level":912,"textAlign":53},[3970],{"text":3971,"type":336},"Learn more:",{"type":363,"content":3973},[3974,3986],{"type":366,"content":3975},[3976],{"type":15,"attrs":3977,"content":3978},{"textAlign":53},[3979],{"text":3980,"type":336,"marks":3981},"Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative | BMJ Quality & Safety",[3982],{"type":596,"attrs":3983},{"href":3984,"uuid":53,"anchor":53,"custom":3985,"target":593,"linktype":594},"https://qualitysafety.bmj.com/content/32/8/470",{},{"type":366,"content":3987},[3988],{"type":15,"attrs":3989,"content":3990},{"textAlign":53},[3991],{"text":3992,"type":336,"marks":3993},"Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada | BMJ Quality & Safety",[3994],{"type":596,"attrs":3995},{"href":3996,"uuid":53,"anchor":53,"custom":3997,"target":593,"linktype":594},"https://qualitysafety.bmj.com/content/32/8/441",{},{"type":543,"attrs":3999,"content":4000},{"level":728,"textAlign":53},[4001],{"text":4002,"type":336},"Measuring and monitoring safety: A patient and care partner perspective",{"type":15,"attrs":4004,"content":4005},{"textAlign":53},[4006],{"text":4007,"type":336},"The evaluation showed that the MMSF improved safety practices and was well-received by frontline teams, senior leaders and board members. Limited attention, however, had been paid to how patients engage with this wider view of safety.",{"type":15,"attrs":4009,"content":4010},{"textAlign":53},[4011,4013,4018],{"text":4012,"type":336},"The release of ",{"text":3557,"type":336,"marks":4014},[4015,4017],{"type":596,"attrs":4016},{"href":3554,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},{"type":3598},{"text":4019,"type":336}," provides important insights into how patients and their care partners see safety. The report offers guidance on how to effectively engage patients and care partners in all aspects of measurement and monitoring of safety and provides recommendations outlining how to strengthen provider and patient partnerships in support of safer care.",{"type":543,"attrs":4021,"content":4022},{"level":912,"textAlign":53},[4023],{"text":3971,"type":336},{"type":363,"content":4025},[4026,4037],{"type":366,"content":4027},[4028],{"type":15,"attrs":4029,"content":4030},{"textAlign":53},[4031],{"text":4032,"type":336,"marks":4033},"‘Safety is about partnership’: Safety through the lens of patients and caregivers",[4034],{"type":596,"attrs":4035},{"href":4036,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://onlinelibrary.wiley.com/doi/epdf/10.1111/hex.13939",{"type":366,"content":4038},[4039],{"type":15,"attrs":4040,"content":4041},{"textAlign":53},[4042],{"text":4043,"type":336,"marks":4044},"Reconceptualizing Patient Safety Beyond Harm: Insights From a Mixed-Methods Qualitative Inquiry",[4045],{"type":596,"attrs":4046},{"href":4047,"uuid":53,"anchor":53,"custom":53,"target":593,"linktype":594},"https://journals.lww.com/jncqjournal/abstract/9900/reconceptualizing_patient_safety_beyond_harm_.122.aspx",{"id":16,"_uid":4049,"items":4050,"title":4175,"component":3183,"description":4176},"f9756087-feb3-444a-979e-dd64fde0e851",[4051,4071,4085,4160],{"_uid":4052,"title":4053,"ctaLeft":4054,"ctaRight":4055,"component":2360,"columnLeft":4056,"columnRight":4059},"29dbd715-39cd-4bf0-a9d8-53b7b6777bf5","Executive summary",[],[],{"type":12,"content":4057},[4058],{"type":15},{"type":12,"content":4060},[4061,4066],{"type":15,"attrs":4062,"content":4063},{"textAlign":53},[4064],{"text":4065,"type":336},"The Measurement and Monitoring of Safety Framework (MMSF) consists of five dimensions, and a series of prompting key questions, that guide users to comprehensively and conceptually view safety. These five dimensions and related questions address: past harm, reliability, sensitivity to operations, anticipation and preparedness, and integration and learning. ",{"type":15,"attrs":4067,"content":4068},{"textAlign":407},[4069],{"text":4070,"type":336},"In October 2018, the Canadian Patient Safety Institute (CPSI), now Healthcare Excellence Canada, launched a patient safety improvement project under the leadership of Maryanne D'Arpino of CPSI (Executive Lead) and Dr. G. Ross Baker at the University of Toronto (Academic Lead). This program, a learning collaborative with expert faculty and mentorship, aimed to enable the implementation of the MMSF amongst 11 teams from seven provinces across Canada over an 18-month period with the aim of each team developing a more comprehensive approach to safety and the delivery of safer care. This report presents findings from an evaluation study funded by CPSI that aimed to examine the effectiveness of this Collaborative.",{"_uid":4072,"title":746,"ctaLeft":4073,"ctaRight":4074,"component":2360,"columnLeft":4075,"columnRight":4078},"d9f19cdb-2f20-42bf-bb33-a6da9cd5aecf",[],[],{"type":12,"content":4076},[4077],{"type":15},{"type":12,"content":4079},[4080],{"type":15,"attrs":4081,"content":4082},{"textAlign":53},[4083],{"text":4084,"type":336},"This study used a qualitative approach based on interview, observation and documentary data collection methods. In-depth semi-structured interviews were conducted with team members. One-day site visit observations were conducted at five sites; observations of learning sessions were conducted and relevant documents were collected. Thirty-six team members participated in the interviews. A total of 29 hours was spent at site visits; in addition to approximately 33 hours in learning session 3, the closing congress and all-team virtual meetings. ",{"_uid":4086,"title":4087,"ctaLeft":4088,"ctaRight":4089,"component":2360,"columnLeft":4090,"columnRight":4093},"ed56d671-ca2b-4a1c-b2e9-6fa064be6608","Key findings",[],[],{"type":12,"content":4091},[4092],{"type":15},{"type":12,"content":4094},[4095],{"type":363,"content":4096},[4097,4104,4111,4118,4125,4132,4139,4146,4153],{"type":366,"content":4098},[4099],{"type":15,"attrs":4100,"content":4101},{"textAlign":53},[4102],{"text":4103,"type":336},"Overall participants provided positive feedback about the in-person learning sessions. They particularly valued the expert presenters, multifaceted approaches used to teach the MMSF, and the structure created for learning within and between participating teams. ",{"type":366,"content":4105},[4106],{"type":15,"attrs":4107,"content":4108},{"textAlign":53},[4109],{"text":4110,"type":336},"While some participants felt 'overwhelmed' at the amount of information in the first learning session, the majority felt positive about the framework from the outset. The first learning session set in place the need for a shift in thinking about safety from an absence of harm to presence of safety, to thinking about changing culture, and that it would take time to understand and implement the MMSF. ",{"type":366,"content":4112},[4113],{"type":15,"attrs":4114,"content":4115},{"textAlign":53},[4116],{"text":4117,"type":336},"The coaching by CPSI senior program managers played key roles in participants' understanding and implementation of the MMSF. The coaches were responsive and accessible between site visits. They provided ongoing education and support; and were instrumental in providing the feedback necessary for ongoing implementation of the MMSF. Some participants would have wanted more coaching and more clarity about coaching and team accountability expectations. ",{"type":366,"content":4119},[4120],{"type":15,"attrs":4121,"content":4122},{"textAlign":53},[4123],{"text":4124,"type":336},"Team members used a range of teaching strategies and methods to support the implementation of MMSF into practice. These included teaching about the framework to groups of stakeholders (e.g. healthcare providers and senior leadership). ",{"type":366,"content":4126},[4127],{"type":15,"attrs":4128,"content":4129},{"textAlign":53},[4130],{"text":4131,"type":336},"Quality improvement (QI) consultants, physicians and boards began teaching about the framework by integrating its language into day- to- day communication and using it to discuss specific safety or patient care issues. Team members made decisions about how to teach the framework to stakeholder groups, taking into consideration issues such as availability, number of people involved, professional roles and interest. There were different perceptions about the effectiveness of teaching the MMSF and whether it’s necessary to teach the framework itself or if it’s sufficient to teach and implement tools and processes informed by the framework. ",{"type":366,"content":4133},[4134],{"type":15,"attrs":4135,"content":4136},{"textAlign":53},[4137],{"text":4138,"type":336},"Teams were encouraged to focus on MMSF implementation strategies that were context specific and allowed for the integration of the framework into the daily clinical and administrative work of the units or targeted areas. Teams consequently used a variety of strategies. These included the use of the MMSF to inform the following processes and activities: safety huddles, health care processes, safety incidents and reports; meetings; communication; patient and family focused initiatives; and board and senior leadership level activities. Each strategy had success in targeting different stakeholders and effecting change in different ways. ",{"type":366,"content":4140},[4141],{"type":15,"attrs":4142,"content":4143},{"textAlign":53},[4144],{"text":4145,"type":336},"The MMSF teams consisted of individuals with varied professional backgrounds and roles at local, regional and provincial levels. This variability allowed for sharing of diverse perspectives and multiple avenues to teach, implement and spread the MMSF. However, variability in engagement with the collaborative and movement out and into the teams over the 18 months were challenges. A small number of teams had patient, family and board representation who were seen to bring valuable perspectives to the team and its work. Physicians were a more difficult group to engage. ",{"type":366,"content":4147},[4148],{"type":15,"attrs":4149,"content":4150},{"textAlign":53},[4151],{"text":4152,"type":336},"The majority of participants were supportive of wider spread of the MMSF yet there was variability in their opportunities for spread beyond their implementation site(s). While a small number remained focused at the original site of implementation, the other teams demonstrated varying levels of spread: unplanned spread; planned individual or team efforts which led to pockets of uptake in the organization or region; planned and coordinated widespread efforts to spread the MMSF across an organization and region. Challenges to spread included limited dedicated resources, uncertain authority to influence spread, the need for alignment with wider-level processes and frameworks and healthcare organizational and regional restructuring. ",{"type":366,"content":4154},[4155],{"type":15,"attrs":4156,"content":4157},{"textAlign":53},[4158],{"text":4159,"type":336},"The majority of participants reported positive impacts from MMSF implementation. These included changes in thinking about safety which impacted on behaviours and practices; healthcare staff engagement in prevention, identification and management of safety issues; patient, resident and family engagement in safety; and improvements in healthcare processes",{"_uid":4161,"title":4162,"ctaLeft":4163,"ctaRight":4164,"component":2360,"columnLeft":4165,"columnRight":4168},"0c8e5e08-02c5-49ca-a7ee-376109724f12","Conclusions and implications",[],[],{"type":12,"content":4166},[4167],{"type":15},{"type":12,"content":4169},[4170],{"type":15,"attrs":4171,"content":4172},{"textAlign":53},[4173],{"text":4174,"type":336},"The MMSF collaborative was successful in teaching the teams about the MMSF and coaching them to implement the framework in their local settings. Participants perceived the MMSF work as having positive impacts on stakeholder groups' knowledge and behaviours and on healthcare processes and patient outcomes. These findings support further education and implementation of the MMSF; however, these efforts would need to address the facilitators and challenges identified in this report to ensure a more systematic and comprehensive spread throughout healthcare organizations and regions. ","Evaluation of the MMSF Collaborative",{"type":12,"content":4177},[4178,4183],{"type":15,"attrs":4179,"content":4180},{"textAlign":53},[4181],{"text":4182,"type":336},"May 2020",{"type":15,"attrs":4184,"content":4185},{"textAlign":407},[4186,4190],{"text":4187,"type":336,"marks":4188},"Authors: ",[4189],{"type":734},{"text":4191,"type":336},"Joanne Goldman, PhD | Scientist, Centre for Quality Improvement and Patient Safety, Faculty of Medicine, University of Toronto, Leahora Rotteau, PhD, Cand | Program Manager, Centre for Quality Improvement and Patient Safety, Faculty of Medicine, University of Toronto ",{"_uid":4193,"content":4194,"component":599},"f2a28bf9-41ed-4cc0-961a-e1232df49579",[4195],{"_uid":4196,"file":4197,"link":4202,"label":4175,"linkType":978,"component":597,"linkLabel":16},"f55466d7-b46a-45b9-aff9-0354a3bfd8fd",{"id":4198,"alt":4199,"name":16,"focus":16,"title":4199,"source":16,"filename":4200,"copyright":16,"fieldtype":292,"meta_data":4201,"is_external_url":277},114290907965223,"Measurementmonitoringevaluationreport FINAL Ua","https://a-ca.storyblok.com/f/850807391887861/36521a8bcb/measurementmonitoringevaluationreport-final-ua.pdf",{},{"id":16,"url":16,"linktype":434,"fieldtype":435,"cached_url":16},[115,143,129,136,150,122],[185,192,200],"rethinking-patient-safety","resources/rethinking-patient-safety",-16310,[],{"parent_slug":1021,"umbraco_path":4210,"umbraco_uuid":4211},"/HealthcareExcellenceCanada/Resources/RethinkingPatientSafety","a04dd6d1-4491-438a-aa13-9447a8c05762","16cd147b-e6c8-4fe8-aa4a-2a1a7f6adb01","2025-11-18T19:04:18.210Z",[],[4216],{"path":4217,"name":4218,"lang":1032,"published":441},"ressources/repenser-la-securite-des-patients","Repenser la sécurité des patients",{"name":4220,"created_at":4221,"published_at":4222,"updated_at":4223,"id":4224,"uuid":1010,"content":4225,"slug":4333,"full_slug":1137,"sort_by_date":53,"position":4334,"tag_list":4335,"is_startpage":277,"parent_id":1019,"meta_data":4336,"group_id":4339,"first_published_at":4340,"release_id":53,"lang":1026,"path":53,"alternates":4341,"default_full_slug":1137,"translated_slugs":4342},"Nursing Home Without Walls (NHWW): Guide for Nursing Homes and Long-Term Care Homes","2025-11-18T19:00:13.807Z","2026-02-26T19:45:12.905Z","2026-02-26T19:45:12.936Z",113880325422569,{"new":277,"seo":4226,"_uid":4228,"hero":4229,"type":174,"topics":4236,"content":4237,"audience":4331,"duration":16,"regional":4332,"component":1014},{"title":4220,"plugin":279,"description":4227},"A guide for nursing and LTC homes to assess if the NHWW model for community-based aging in place care is the right fit for them.","70c69c00-3b3d-4489-9e90-4752e59123c5",[4230],{"_uid":4231,"file":4232,"image":4233,"title":4220,"format":16,"component":302,"description":4227,"key_learning":16,"prerequisite":16},"75f021d6-c0ef-44d7-9b8b-36c50f47126a",[],{"id":4234,"filename":4235,"fieldtype":292},114299888693215,"https://a-ca.storyblok.com/f/850807391887861/aa1156b114/foyer-de-soins-sans-mur-logo-eng-color.png",[69,46,106],[4238],{"id":16,"_uid":4239,"content":4240,"component":599},"ec1e71e0-32c4-418c-8a53-470fcffd5cd7",[4241,4313,4322],{"_uid":4242,"content":4243,"component":347},"6384e10c-d55f-48b1-bdc0-f9ff9fa13cb6",{"type":12,"content":4244},[4245,4256,4261,4266,4303,4308],{"type":15,"attrs":4246,"content":4247},{"textAlign":53},[4248,4254],{"text":1087,"type":336,"marks":4249},[4250],{"type":596,"attrs":4251},{"href":4252,"uuid":994,"anchor":53,"custom":4253,"target":1369,"linktype":434},"/programs/nursing-home-without-walls",{},{"text":4255,"type":336}," (NHWW) harnesses community, nursing home and long-term care assets to create a positive, person-centred and flexible approach to aging in place, enhancing quality of life for older adults and their care partners.",{"type":15,"attrs":4257,"content":4258},{"textAlign":53},[4259],{"text":4260,"type":336},"The Nursing Home Without Walls (NHWW): Guide for Nursing Homes provides a step-by-step roadmap for implementing NHWW programs, enabling nursing and long-term care homes to become hubs of community-based care and support. NHWW offers a flexible, person-centered approach that leverages nursing and long-term care expertise to provide outreach, coordination, and support to older adults in the community.",{"type":543,"attrs":4262,"content":4263},{"level":545,"textAlign":53},[4264],{"text":4265,"type":336},"What’s inside this guide?",{"type":363,"content":4267},[4268,4275,4282,4289,4296],{"type":366,"content":4269},[4270],{"type":15,"attrs":4271,"content":4272},{"textAlign":53},[4273],{"text":4274,"type":336},"Step-by-step implementation strategies: From assessing readiness to hiring an NHWW coordinator, this guide walks you through the key phases of launching a successful program.",{"type":366,"content":4276},[4277],{"type":15,"attrs":4278,"content":4279},{"textAlign":53},[4280],{"text":4281,"type":336},"Community asset mapping: Learn how to identify and collaborate with local organizations to maximize resources and services for older adults.",{"type":366,"content":4283},[4284],{"type":15,"attrs":4285,"content":4286},{"textAlign":53},[4287],{"text":4288,"type":336},"Service design and delivery models: Discover best practices for offering person-centered supports, from social engagement programs to home-based healthcare coordination.",{"type":366,"content":4290},[4291],{"type":15,"attrs":4292,"content":4293},{"textAlign":53},[4294],{"text":4295,"type":336},"Workforce and volunteer planning: Explore strategies for staffing NHWW initiatives, engaging volunteers, and ensuring sustainable operations.",{"type":366,"content":4297},[4298],{"type":15,"attrs":4299,"content":4300},{"textAlign":53},[4301],{"text":4302,"type":336},"Program evaluation and continuous improvement: Gain insights into tracking program success, measuring impact, and refining services to meet community needs.",{"type":543,"attrs":4304,"content":4305},{"level":545,"textAlign":53},[4306],{"text":4307,"type":336},"Who should use this guide?",{"type":15,"attrs":4309,"content":4310},{"textAlign":53},[4311],{"text":4312,"type":336},"This guide is for nursing and long-term care leaders, directors, and coordinators who want to expand their reach and provide innovative aging-in-place solutions. Whether your facility is in the early exploration phase or ready to launch an NHWW program, this resource offers the tools, insights, and best practices needed to succeed.",{"_uid":4314,"file":4315,"link":4320,"label":4321,"linkType":978,"component":597,"linkLabel":16},"96e72316-0448-4105-800f-94f49dc08c63",{"id":4316,"alt":4317,"name":16,"focus":16,"title":4317,"source":16,"filename":4318,"copyright":16,"fieldtype":292,"meta_data":4319,"is_external_url":277},114293117696287,"Nursing Home Without Walls Guide For Nursing Homes","https://a-ca.storyblok.com/f/850807391887861/a4351d3c45/nursing-home-without-walls-guide-for-nursing-homes.pdf",{"alt":4317,"title":4317,"source":16,"copyright":16},{"id":16,"url":16,"linktype":434,"fieldtype":435,"cached_url":16},"Guide for Nursing Homes and Long-Term Care Homes",{"_uid":4323,"file":4324,"link":4329,"label":4330,"linkType":978,"component":597,"linkLabel":16},"a81fba06-7cec-4708-83b4-3c54a44e628c",{"id":4325,"alt":4326,"name":16,"focus":16,"title":4326,"source":16,"filename":4327,"copyright":16,"fieldtype":292,"meta_data":4328,"is_external_url":277},114293114128669,"FINAL DPRA Guide For Nursing Homes Summary Report ENGLISH (1)","https://a-ca.storyblok.com/f/850807391887861/dc8a97da8f/final-dpra-guide-for-nursing-homes-summary-report-english-1.pdf",{},{"id":16,"url":16,"linktype":434,"fieldtype":435,"cached_url":16},"Summary",[143,150],[185,192,200],"nursing-home-without-walls-nhww-guide-for-nursing-homes-and-long-term-care-homes",-14030,[],{"parent_slug":1021,"umbraco_path":4337,"umbraco_uuid":4338},"/HealthcareExcellenceCanada/Resources/NursingHomeWithoutWallsNHWWGuideForNursingHomesAndLongTermCareHomes","2ea257de-9c1f-49d2-81fd-533528951698","0995f978-95d9-4d5d-abf1-f142dec16294","2025-11-18T19:00:13.879Z",[],[4343],{"path":4344,"name":4345,"lang":1032,"published":441},"ressources/foyer-de-soins-sans-mur-fssm-guide-pour-les-foyers-de-soins","Foyer de soins sans mur (FSSM) : Guide pour les foyers de soins",[],[],1776087496166]