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Give staff the confidence and tools to assess and treat residents in your home

Our tools guide your staff through a series of evidence-based questions and pathways that result in a well informed resident-centred plan of care every time. They help keep your residents healthy inside their care home while minimizing the need for acute intervention.

Improve your standard of care and deliver exceptional, individualized care.

What sets Clinical Support Tools for Long-Term Care apart?

Clinical Support Tools for Long-Term Care assist your care planning for residents while reducing your administrative burden.

Enhance your decision-making at the point of care, build staff capacity, and bridge collaboration between clinicians and staff through improved communication while reducing documentation time and errors. We offer an expansive library of tools for a range of common use-cases applicable to long-term care.

Our CSTs have been used over 300,000 times in nearly 300 Ontario long-term care homes, with CST training provided to more than 8,500 LTC staff.

Key results from frontline staff

91% indicated CSTs improved their ability to provide evidence-based care 91%
88% indicated CSTs increased their ability to care for residents at the end of life 88%
86% indicated CSTs increased their knowledge of the CST condition 86%
82% of nurses said the CSTs benefited their overall practice 82%

Source: 2021 Think Research survey of Clinical Support Tools users.


“The use of the Hypoglycemic Protocol has not only improved residents’ quality of life through better management of diabetes, it has also eliminated unnecessary use of health care dollars by avoiding unnecessary emergency department transfers.” — Mackenzie Health

“Our home implemented the Palliative & End of Life Management CST which tied in nicely with our chosen Quality Improvement Plan for the fiscal year. This particular tool has helped us in a multitude of ways. For instance, copies are provided to the physician and nurse practitioners so they can be made fully aware of what is occurring. It is also used to guide care planning and to facilitate discussion with the residents and his/her loved ones.” — Ontario Finnish Resthome, Sault Ste. Marie

“We have seen such an improvement in the quality of the lives of our residents and our staff’s response to residents. By using the tool, staff have been able to come up with better responses to the behaviours… [The CST] allows [staff] to respond to a critical incident quickly to help mitigate further issues. With a shortage of staffing, the new assessment also allows staff to spend more time with the resident and less time on the assessment.” — Ritz Lutheran and Mitchell Nursing Home

Over 300,000 CSTs initiated

Deployed in nearly 300 LTC homes

Over 8,500 staff trained

Key features

Up-to-date content: Clinical Support Tools incorporate the latest best-practice standards and applicable legislation. They can help inform your care planning and decision-making.

Robust tools: Our expanding Support Tools library currently consists of nine in-depth tools covering common clinical conditions and resident circumstances. They assist you in managing a resident through admission, assessment, care planning, and other care management needs.

Simplified usability: Our Clinical Support Tools guide your staff through a systematic set of easy-to-use questions that are dynamically triggered based on provided answers.

EHR integration: Our solution integrates with leading electronic health record systems, including PointClickCare and MED e-care, to enable easy adoption.


Build staff capacity through embedded best-practice
Our clinical education team provides your staff robust training on how to use the tools, which contain embedded clinical suggestions to guide nurses with leading practices to support clinical decisions.

Drive compliance & internal quality improvement initiatives
CSTs are designed to promote regulatory compliance with programs such as end of life protocols, continence, diabetes and more,  and can be used to support long-term care homes’ Quality Improvement Plans.

Provides valuable data insights to support internal decision-making
CSTs provide homes with data that can be used for key performance indicators to support the ongoing monitoring of success towards your goals.

Brings leading practices directly to clinicians at the point of care
CSTs are built on current best practices, and digitally deployed through leading EHRs at the point of care

Early identification of potential health risks
Each CST begins with assessing the resident for high-risk health conditions. Initiating CSTs early can result in less complications, and avoidable transfer to the emergency department. 

Supports resident-centred care and interdisciplinary communication
Improves the quality of documentation to support communications with residents and family members, as well as with interprofessional team members.

Standardize Your Care Planning

CST clinical content library

Our library of nine CSTs address conditions that result in approximately 80% of avoidable transfers to the emergency department.

Responsive Behaviours (RB)

Intended to be used anytime there is a concern about a new or worsened behaviour change in a resident. The tool allows nurses to document the effectiveness of pharmacological and non-phamacological interventions. The tool aligns with the P.I.E.C.E.S.TM framework and incorporates the new Behaviour Supports Ontario – Dementia Observation System (BSO-DOS©).

Acute Respiratory Infection Assessment and Management Protocol (COVID-19)

Provides nursing staff with evidence- based recommendations to care for residents with suspected or confirmed COVID-19. The tool is designed to facilitate the implementation of prompt infection and control measures, best practice monitoring, and symptom management.

Palliative and End-of-Life (PEOL)

Supports a resident-centred approach to palliative care by assessing general indicators of decline and clinical indicators associated with a life-limiting illness. Early identification of goals for care acknowledges the residents, wishes, values, and beliefs and informs the plan of care. 

Chronic Obstructive Lung Disease (COPD)

Intended to be used to prevent acute exacerbations of COPD to reduce ED visits and avoidable hospitalizations. Assesses clinical indicators to facilitate a step-wise approach for monitoring symptom severity and treatment effectiveness.

Comprehensive Pain Assessment

Used to assess residents’ self-reported and observed pain, regardless of cognitive status. The CST tracks which validated pain scale was used for residents – including numeric,  facial, and verbal – enabling nursing staff to quickly and confidently select the appropriate scale when assessing a resident’s pain. The CST also replaces the previous process of documenting residents’ pain and care plans in progress notes, which was disjointed and contributed to disruptions in continuity of care. The CST includes an alert scoring to enable the clinical team to triage residents according to clinical observation and overall pain status to better manage residents who are in the most pain.

Wound Assessment

Supports an evidence-based approach to the identification, management and ongoing monitoring of prevalent wounds impacting residents. The tool comprises 6 assessments based on common etiologies seen in LTC plus a head to toe skin documentation tool. Embedded PUSH scoring allows clinicians to track and trend the progression of wound healing.

Continence, Constipation & UTIs (CCU)

Incontinence, constipation, and UTI are complex, interrelated conditions that have a profound impact on morbidity and quality of life for LTC residents. The assessment supports in the identification of potential contributing factors and the resident’s individualized elimination patterns.

End-of-Life (EOL)

Facilitates quick and efficient assessment and management of frail and elderly residents requiring end-of-life care. The assessment enables the collection of information needed to prioritize, plan and implement interventions for managing symptoms that are aligned with a resident’s needs, preferences and goals of care at end-of-life. 

Diabetes Management (DM)

Promotes proactive assessment and management of diabetes among frail and elderly residents by including key leading practices to improve resident care and outcomes. The tool aligns with the Minister’s Directive: Glucagon, Severe Hypoglycemia, and Unresponsive Hypoglycemia.

How our tools support your staff and residents

Frontline staff

  • Supports best-practice decision making with clinical suggestions provided at point of care
  • Build capacity through latest evidence-based care standards
  • Set a higher care standard resulting in fewer hospital transfers


  • Get ahead of day-to-day acuity levels and regulatory requirements
  • Improve your overall service standard and reduce administrative burden
  • Reduce risk in your day-to-day operations

Government and health agencies

  • Supports standardization to best-practice while encouraging holistic and individualized resident care
  • Help achieve sector priorities, including avoidable ED transfer, length of stay, and hallway medicine
  • Capture more accurate data collection for improved resource allocation and funding decisions

Contact Us

Get in touch for more information or to book a demonstration.

The latest on Clinical Support Tools for Long-Term Care

Clinical Support Tools Survey Shows Program’s Positive Impact in LTC Homes

Results from the survey show the Clinical Support Tools help staff provide standardized, evidence-based care.

Standardization is key to keeping seniors safe in long-term care homes

Health issues can often land seniors in the hospital even though they can be well managed in the home.

Planning for end-of-life puts long-term care residents’ wishes first

We’ve found that seniors do want to talk about dying — they just don’t know how to start the conversation.

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