Staying Healthy Clinic Improve Access for Older Adults with Chronic Conditions and/or Declining Health

With support from the program, the teams introduced promising practices — approaches that improved access to safe, including culturally safe, team-based primary care — by meeting the unique needs of communities, patients and providers while encouraging collaboration and shared learning across Canada. One of the 20 teams (Newfoundland and Labrador Health Services) advanced five unique promising practices to respond to the needs of people and providers throughout their province.

About this Promising Practice

Older adults in New Brunswick’s rural communities have limited access to preventative, team-based primary healthcare services.

The Staying Healthy Clinic is a nurse-led, team-based primary healthcare service for older adults with chronic conditions and/or at risk of declining health. The clinic provides older adults with health services and information to help improve their skills and confidence to: manage their chronic condition, prevent health decline, falls, and learn how to access community resources to help them age safely at home. For patients at risk for frailty, the primary care team develops a care plan with self-management support interventions and provides ongoing case management for up to six months. The clinic currently operates out of the Central Miramichi Community Health Centre in rural New Brunswick and can be accessed by self-referral and/or referral from a healthcare team member."

• Program: Strengthening Access to Primary Care in Northern, Rural and Remote Communities

• Location: Nackawic, New Brunswick