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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 (SGS), it provides a structured approach to screening and referral decision-making by incorporating both cognitive and frailty considerations.


The focus of the Pathway is not on directing clinical management. Rather, it supports consistent referral practices, service navigation, and transitions across the continuum. Tested through a regional pilot evaluation, the approach demonstrated potential for alignment between patient needs and SGS connections. Thereby, helping to promote more person-centred care for older adults and their care partners.

Related Resources

Related Resources

Community Paramedicine Frailty Pathway

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

2025 GAIN ROI Evaluation 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

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

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