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Central East Cognition Referral Pathway Guidance Document

The Central East Cognition Referral Pathway Guidance Document is an evidence-informed resource designed to support the early identification of cognitive concerns and timely access to appropriate services for older adults. Intended for primary care providers and Specialized Geriatric Services, it provides a structured approach to screening, referral decision-making, and care coordination by incorporating both cognitive and frailty considerations.


The guidance document is not a clinical pathway. Rather, it supports consistent referral practices, service navigation, and transitions across the continuum of care. Tested through a regional pilot evaluation, the approach demonstrated potential for improved referral appropriateness and alignment between patient needs and service connections, helping to promote more person-centred care for older adults and their care partners.

Related Resources

Related Resources

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

Frailty Screening & Management in Primary Care

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

2025 GAIN ROI Evaluation Report

Frailty Screening & Management in the Community

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

2025 GAIN ROI Evaluation Infographic

Integrating Frailty into Chronic Disease Management: Enhancing Care for Older Adults living with Complexity

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