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2025 GAIN ROI Evaluation Report

Seniors Care Network led a comprehensive Return on Investment (ROI) evaluation to measure the clinical and financial impact of the Geriatric Assessment and Intervention Network (GAIN), a regionally coordinated program that provides specialized, interprofessional care for older adults living with frailty and dementia.


Using a multi-pronged approach, the evaluation combined administrative data, chart reviews, ad hoc interventions data, and client, care partner, and provider surveys to assess outcomes across GAIN.


The analysis identified more than $23 million in annual system benefits, primarily through avoided long-term care placements, reduced falls/falls risk, ED avoidance/diversion, and safer medication use. This resulted in an overall ROI of ~150%, indicating that for every dollar invested, the program generated $1.50 in measurable system cost avoidance.


These findings demonstrate that GAIN provides both measurable economic return and improved quality of care for older adults and their caregivers.

Related Resources

Related Resources

Central East Cognition Referral Pathway Guidance Document

ICIC 2026 Presentations: Strengthening Specialized Geriatric Services: A Provider Experience Evaluation in Central East Ontario, Canada

GEM ROI Infographic

ICIC 2026 Presentations: Building Ontario's Workforce Capacity for Integrated Geriatric Services: Findings from a Provincial Training Needs Assessment

ICIC 2026 Presentations: Measuring the Value of Integrated Geriatric Emergency Care: A Return on Investment Evaluation of Ontario’s Central East GEM Nurse Program

GEM ROI Report

ICIC 2026 Presentations: Frailty Pathways: A Population Health Management Strategy for Older Adults

2025 GAIN ROI Evaluation Infographic

Central East Provider Experience Evaluation

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