Registed Nurses' Association of Ontario


Improving Toronto nursing homes

A popular program introduced in long-term care homes in Peel Region dedicated to improving the quality of life for people living with dementia by encouraging staff to learn about the people in their care will be making its way to Toronto nursing homes after a unanimous vote by Toronto council.

In June, Toronto mayor sent a letter to Toronto’s long-term care general manager Reg Paul to examine the success of the Butterfly program in homes such as Malton Village Redstone.

Results from the use of the program at the Malton Village Redstone show a dramatic drop in staff absenteeism and an annual savings of $55,000. Year-end data also showed significant declines in antipsychotic drug use, depression, staff sick days and resident falls.

For years, RNAO has advocated for change to the funding models in nursing homes in particular stopping disincentive to improve patient outcomes. For example, when evidence-based practices are implemented and resident problems are prevented or resolved, resident acuity decreases. While this is good for residents, the home’s case mix index (CMI) correspondingly falls and funding in the future years is decreased.

“It’s outrageous. The government needs to make a commitment that they will not just look, but will take action on ways that homes are funded so they are not punished when they do good emotional and clinical work,” said RNAO CEO Doris Grinspun in a Toronto Star article about the program.

The Malton Village Redstone has been a Best Practice Spotlight Organization (BPSO) designate of RNAO since 2017. Learn more about the BPSO program.

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