Concurrent Sessions

F7-a Reducing Barriers to Primary Care for Older Adults Living in Supportive Housing

Theme 7. Clinical innovations to address equity

Presentation Details

  • Date: 10/18/2016
  • Concurrent Session F
  • Time: 11:45am – 12:30pm
  • Room: Pier 9
  • Style: Presentation (information provided to audience, with opportunity for audience to ask question)
  • Focus: Practical (e.g. Presentation on how to implement programs and/or practices in the team environment)
  • Target Audience: Clinical providers

Learning Objectives

Attendees will develop an understanding of the barriers faced by some older adults with serious mental illness and other chronic conditions. They will learn about the approach developed by John Gibson House (JGH) and Village FHT to improve health outcomes for this very difficult to serve and vulnerable population. Application of technology such as OTN and secure email will be discussed.


This holistic and comprehensive approach has resulted in medication adjustments/decreases, new diagnoses and follow up treatments. Homebound patients, who  refused to see a family physician for years now receive in-house services. Daily OTN monitoring enables staff to intervene earlier.   The number of:

  1. ED visits has decreased from 10 visits to 6 visits
  2. Hospitalizations decreased from 29 visits to 14 visits, just over 50%.

Secure email communication between JGH and VFHT supported rapid response to Flu Outbreak (2014/2015). The coordinated care enabled patients to receive prompt treatment, daily updates were easily facilitated and preventative measures (Tamiflu) were accessible to all patients.


  • Breanne John, John Gibson House, LOFT
  • Diana Noel, Executive Director, Village FHT
  • David Verrilli, Lead Physician, Village FHT

Authors & Contributors

  • Laura Pye