In Canada, approximately half of the population is living with at least one chronic condition and more than one in four is diagnosed with two or more chronic conditions.1 The costs associated with lost productivity and health care expenditures is more than CAD $90 billion. Due to inflation that cost has risen to over $97.8 billion (in 2018). Self-management supports and strategies are vital to the health and well-being for persons living with chronic condition(s).

The "Bill George" is a 20-bed long-term care (LTC) home located in Sioux Lookout, which is one of the most northern LTC home in Ontario. Many residents are of indigenous background and are non-English speaking. The home's goal is to respect and recognize cultural and language diversity through the integration of traditional and modern medical practices.

In 2016, the Bill George began a three-year partnership with RNAO as a LTC Best Practice Spotlight Organization® (LTC-BPSO®) pre-designate and committed to implement five best practice guidelines (BPG) across the entire home focusing on falls, continence, oral health, pressure injuries and pain.