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The PoET Southwest Spread Project

Every day in Ontario, long-term care (LTC) residents are at risk of receiving unwanted and non-beneficial treatment because of errors related to consent. The PoET (Prevention of Error-based Transfers) Project aims to reduce these consent-related errors that contribute to transfers from long-term care to hospital by identifying opportunities to align care with the Health Care Consent Act so that residents receive treatment that is in line with their wishes, values and beliefs.

The project was developed as an Ethics Quality Improvement project at William Osler Health System (WOHS) in 2013. While working with local long-term care homes to change decision making, they found that the number of residents who were transferred back and forth to hospital in the two months before dying there was reduced by 59 per cent.

The PoET Southwest Spread Project (PSSP) is a joint venture between WOHS and DFM, funded by Health Canada, to implement and evaluate PoET in LTC homes in the Mississauga Halton and Hamilton Niagara Haldimand Brant LHINs.

DFM is leading the evaluation, which will measure the impact of PoET’s ability to reduce error-based transfers to hospital. The evaluation will also highlight key facilitators and barriers to implementing large scale innovations in long-term care; and investigate and report on the potential cost-savings to the health care system overall.

In March 2020, the project team held its first stakeholder meeting. This was an opportunity for representatives from LTC homes to come together and learn, share, and shape PSSP. Watch this video to hear from some of the stakeholders:


This project has been made possible through a financial contribution from Health Canada. The views expressed herein do not necessarily represent the views of Health Canada.

    • McMaster University Department of Family Medicine
    • David Braley Health Sciences Centre
    • 100 Main Street West, 6th Floor
    • Hamilton, ON L8P 1H6
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