GeriMedRisk


History


Earl Nightengale once wrote, “everything begins with an idea” …….


And the idea for GeriMedRisk began back in 2013 when Dr. Joanne Ho was a Resident Physician with the University of Toronto Geriatric Medicine and Clinical Pharmacology Program completing a clinical rotation at the Ontario Poison Centre.  The ability to provide a highly specialized, evidenced-based clinical consultation service that would be accessible to everyone served as an inspiration and sparked a flame that would help to form the foundation for what GeriMedRisk is today.  In 2016, while working at Grand River Hospital, Dr.’s Joanne Ho and Sophiya Benjamin identified a need to help older adults particularly those suffering from complex illnesses and who were prescribed multiple medications.  Together they envisioned a clinical service that would give all older adults in Ontario access to highly-trained specialists that included geriatric medicine, geriatric psychiatry, geriatric pharmacists and clinical pharmacologists. 


The passion to pursue excellence combined with the vision for older adult care reignited a flame and the heavy lifting to build a program began. 

With the guidance, financial support and direction from many skilled and talented colleagues such as Jennifer Tung, Derelie Mangin (McMaster Family Medicine), the Labarge Optimal Aging Opportunities grant, the Centre for Aging and Brain Health Initiative (CABHI), St. Joseph’s Health Centre and the Canadian Mental Health Association Waterloo Wellington (CMHAWW), Ho and Benjamin conducted a stepped wedge cluster randomized control trial to test the feasibility of their program model in LTC homes in their local region of Waterloo Wellington.  With the help of Wilfred Laurier University, operations research experts and local clinicians, the model was tested to scale up incrementally to include 3 regions and eventually the entire province.  Consistently, the trials demonstrated that this new program could decrease patient wait times and help to prevent hospitalizations.  In 2018 the Ministry of Health funded GeriMedRisk to provide services in three regions in Ontario and in 2019 funding was granted for GeriMedRisk to serve the entire province.  Today clinicians from across Ontario can access GeriMedRisk by telephone, fax, e-Consult (OTN and BASE e-Consult) and through Central Intake services in North Simcoe Muskoka, Hamilton Niagara Haldimand Brant (HNHB) and Champlain regions.  In 2020, GeriMedRisk was incorporated as a Federal not-for-profit organization and established a Board of Directors.  From a small group to a team of 22, GeriMedRisk continues to grow. 


I will neither give a deadly drug to anybody if asked for it nor will I make a suggestion to this effect. Leon Kass “The Hippocratic Oath”

A passion for education and research has been an integral part of GeriMedRisk since its inception.  From teaching medical residents, hosting monthly educational sessions and creating older adult specific drug information materials, GeriMedRisk has been able to contribute to capacity building within our health care system.  Working with Bruyère Institute, the Regional Geriatric Program (RGP) Toronto and Central, McMaster Geriatric Medicine and Sid Feldman of the University of Toronto, Ho and Benjamin benefited from examples of high quality, evidenced-based resources and today GeriMedRisk’s clinical rounds captures audiences from across Canada, North America and Internationally.


“When I see a list of 30 medications in an older adult with multiple comorbidities and poor function,…I honestly see an opportunity for GMR to help. I get really excited as I roll up my sleeves alongside my colleagues!” Joanne Ho


As Co-Executive Directors of GeriMedRisk, we are guided by our experiences as clinicians, researchers, care-partners and teachers.  We strive to integrate with local systems thoughtfully and collaboratively and as an asynchronous and remote service, we are particular about the protection of health information entrusted to us.   We are grateful to the many organizations that invested resources in GeriMedRisk and the many colleagues whose gifts of time and mentorship has made it possible for GeriMedRisk to continue its growth” 


              
Dr. Joanne Ho
Dr. Sophiya Benjamin







Our Funders & Supporting Organizations


GeriMedRisk is a nonprofit organization supported by partnerships, sponsors, and grant initiatives. Each of the following have committed essential resources to the startup and sustainability of this consultation and knowledge translation service.