NPSTAT - Nurse Practitioners Supporting Teams Averting Transfers





Updated August 21, 2013 - News Release Nurse-Led Teams Improving Care for People in Long-Term Care 

What is NPSTAT? 

The Central East LHIN, working with the Ministry of Health and Long-Term Care, has invested in three new NP outreach teams – in Scarborough, Durham and the North East cluster, which includes Peterborough, Northumberland, Kawartha Lakes and Haliburton.

In the Central East LHIN, the NP-led LTC outreach teams are collectively referred to as NPSTAT: - “Nurse Practitioners Supporting Teams Averting Transfers”.

The NPSTAT program was developed to address the health risks of transferring frail seniors to emergency departments for visits which could be avoided if treated in the long-term care home. Reducing avoidable hospital visits and admissions will improve the health profile and health care experience of long-term care home residents, while maintaining or reducing the cost of providing appropriate care.

When LTCH residents are hospitalized, npstat can also help facilitate earlier discharges back to the LTCHs which can decrease hospital length of stay (LOS), enhance continuity of care and communication between acute and LTC sectors, and provide support and resources to LTCH staff to help manage repatriated LTCH residents.

Click here to download a one-page introduction to NPSTAT.

Where is NPSTAT?

Teams are located at The Scarborough Hospital, The Village of Taunton Mills in Whitby and in local CCAC offices in east Durham and the North East and support over 20 LTCHs across the entire Central East LHIN region.


  1. Help reduce avoidable Emergency Department visits from partner Long-Term Care Homes (LTCHs) by 50% by March 31, 2011
  2. Help reduce the number of Alternate Level of Care (ALC) days for residents in partner LTCHs by 25% by March 31, 2012
  3. Help build capacity, knowledge and skills of LTCH staff

What our partners are saying:

Recent comments from health care partners show the key role that NPSTAT nurse practitioners have in caring for patients:

"On Monday July 5, 2010 Pickering Fire Service Station 6 responded to an alarm at a Nursing Home in Pickering for the report of a male difficulty breathing. Very shortly after our arrival and patient assessment we were greeted by Diane MacEachem and her co-worker. Immediately she gave us the patient information, nature of the emergency, event history, past medical history, assessment findings, vitals and patient care that they had been providing. Upon the arrival of the EMS crew her information she provided to them expanded, she was now talking to an Advance Care Paramedic. The level of knowledge and information that was shared between the Fire and EMS crews was as if we walked into an ER. In previous experiences with alarm calls at that location the information received by Fire and EMS was not always as in-depth and forthcoming. During the time EMS was attending to the patient I spoke to Diane and thanked her for what she had provided. Diane spoke of the Team she and her co-worker are a part of. The CE LHIN NPSTAT team provided great assistance to both Fire and EMS, being greeted with the knowledge and in-depth patient information at this call allowed us to be able to provide a valuable service to that member of our community. I would like to thank Diane for her work and look forward to seeing more members of her Team in the future."                                                             

Mike Palachik
Acting Captain, B2 Platoon
Operations and Emergency Services Department
Fire Services Division City of Pickering

NPSTAT Steering Committee

An NPSTAT Steering Committee, comprised of representatives from each of the host health service providers (Central East Community Care Access Centre, The Village of Taunton Mills and The Scarborough Hospital), the NP Clinical Director, a Central East LHIN rep, a Medical Director and a Director of Care affiliated with a long-term care home, provide oversight and direction to the program.

FINAL Terms of Reference