2010/11 Baycrest and Baycrest Foundation Annual Report


Imagine
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2010/11 ANNUAL REPORT NOW IS THE TIME TO TRANSFORM THE FUTURE BUILDING THE FUTURE OF AGING INTRODUCING BAYCREST HEALTH SCIENCES TEACHING AND LEARNING IN THE NEXT GENERATION INNOVATION ENGINE BRINGING GREAT IDEAS TO LIFE BAYCREST BOARD OF DIRECTORS, BOARD OF GOVERNORS, EXECUTIVE TEAM AND MEDICAL STAFF BAYCREST FINANCIAL SUMMARY NOW IS THE TIME TO SUPPORT THE FUTURE

INTRODUCING BAYCREST HEALTH SCIENCES

New model enhances integration of care, research and education

Ask Karima Velji to describe how she imagines the geriatric care facility of the not-too-distant future and the first words that come to her mind are mobility, participation and engagement.

In choosing these words, the vice-president of Clinical and Residential Programs and chief nursing executive at Baycrest is describing a place where seniors are fully engaged in life — keeping physically and mentally fit; learning new skills; interacting with others; making choices about how they want to live the remainder of their lives; and having their culture, history and individuality honoured and respected.

The future of aging is being created at Baycrest today. Introduced this year, Baycrest Health Sciences (BHS) is an academic health-care delivery system designed to take our vision of successful aging and turn it into a reality for millions, at home and around the world. Enhancement of mobility is one of eight "big dot" measures we will be using to assess how well the new system is performing for those we serve at Baycrest.

The new system enhances the integration of clinical care, research and education in patient population-focused, interdisciplinary centres and programs that provide a continuum of health care, wellness and prevention. Patients, family caregivers, health-care providers, scientists, educators and industry are linked in a model that will drive the development of innovative "next" practices in geriatric medicine globally.

BHS has been identified by the Ontario government as its strategic partner for the introduction and testing of innovative models of care delivery and services to the senior population.

Baycrest Health Sciences is comprised of the Rotman Research Institute, The Centre for Knowledge Exchange in Aging, and the following clinical centres and programs:

Centre for Memory and Neurotherapeutics
It is expected that dementia will have affected 115.4 million people by 2050. This Centre's integrated research, clinical and educational programs provide insights to help identify the "next generation" of interventions for maintaining healthy memory and other cognitive functions.

Centre for Mental Health
This Centre investigates the causes and effects of mood disorders and develops and applies new prevention and treatment techniques. A specialized mental health team works closely with practitioners who are providing primary care in community settings. The team also offers technology-enabled consultation province-wide, as well as patient assessments.

Residential and Aging at Home Program
This Program provides an array of community-based services that serve as models of care to enable seniors to successfully "age at home." Combining residential care at Baycrest with programs we provide to the community enhances that all-important
continuum of care for seniors, some of whom will eventually move from their community to either an assistive living facility like the Terraces at Baycrest or a long-term care home, such as Baycrest's Apotex Centre.

Rehabilitation Program
Having a healthy mind and body is fundamental to successful aging. Following a serious illness — a stroke, for example — appropriate and timely rehabilitation, both physical and cognitive, is key to helping patients return to health and independent living whenever possible. The Rehabilitation Program combines both high- and low-intensity rehabilitation for patients on one floor of Baycrest Hospital. This allows our students to experience the continuum of rehabilitation care to acquire their competencies, and allows our scientists to conduct research that spans the rehabilitation care continuum.

D
r. Paul Katz

"It is a basic paradigm of treating geriatric patients
that you need a team."
- Dr. Paul Katz

Complex and Specialized Geriatric Care Program
This Program is the hub for developing and delivering new models of integrated, interprofessional collaborative care. Our expertise in the care of frail, elderly individuals has historically placed Baycrest at the forefront in this field. We have combined the complex care program with the specialized geriatrics program we deliver to seniors as out-patients or in their homes. The integration of these two services allows our health-care providers to follow patients through the various levels of wellness and illness across the continuum. Seniors benefit from the program through better access to timely and appropriate care, reduced wait times for care, and being able to live longer in communities rather than in institutions.

The centres and programs are interdisciplinary because, as Dr. Paul Katz explains, "it is a basic paradigm of treating geriatric patients that you need a team." Katz is vice-president of Medical Services and chief medical officer at Baycrest. "These patients problems are complex and bio-psychosocial," he adds. "For example, the physician is not going to know all of the social issues that come up with a patient – they have expertise in the medical side, but they need access to this other expertise as well, so it is about working together."

Programs and services also focus on the specific needs of particular patient populations. For example, the Rehabilitation Program will include the full continuum of care services from inpatient to out-patient rehabilitation.

Speaking to the cognitive neuroscience component of the new health sciences platform, Baycrest's vice-president of Research Dr. Randy McIntosh points out that the new organizational structure means "people who rely on Baycrest will know that we provide excellent clinical care, but also do the latestand greatest research to make sure that their clinical care is at the forefront."

Because "Baycrest is an academic health science centre, the promise we have made to the people we serve is that the care they receive will be top notch," says Karima Velji. "That means when a patient comes to Baycrest, they should know that the assessments and interventions we provide here are like no other."

See the 2010/2011 Baycrest Research Annual Report for more information on the integral role scientific discovery and its application plays in the Next Generation of Baycrest.

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