High Impact Practices
Evidence-informed practices in home and community care that result in better care, better outcomes and better value.
INNOVATION & TECHNOLOGY SERIES
Innovation in home care offers a promising pathway to high quality health and social care, while bending the cost curve for ever-growing health care expenditures. As a strategic priority, the Canadian Home Care Association identifies and stimulates innovative models of care and technology applications that support independence and improving health outcomes in the home setting.
Telehomecare in OntarioBetter Health, at Home
This High Impact Practices profiles the Ontario Telemedicine Network ‘s Telehomecare initiative that serves patients with chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF) and associated comorbidities. The initiative has positively impacted patients, providers and the health system in Ontario, as evidenced in the patient survey results:
- 88% of patients indicated a positive response in satisfaction with service, quality of teaching and coaching, usability of technology and confidence in self-management.
- 92% said they have less need to visit the emergency department.
- 76% reduced their need to visit their primary care provider.
INTEGRATED MODELS OF CARE SERIES
Integrated models of community-based care, seamlessly connect patients, both personally and electronically in real time, to their primary care provider, to their home care provider, to pharmacy services, hospitals and other social services as needed. The home care sector plays a vital role in making these connections happen. The Canadian Home Care Association is committed to identifying and facilitating the scale and spread of promising practices of integrated community-based care.
One Client, One Team™Transforming Integration at the Point of Care
An integration strategy, which has influenced the design and delivery of population-based programming for older adults, children with complex care needs and palliative care clients.
- Patients felt more confident in their ability to manage their health and access community resources.
- Health care partners experienced a positive impact on.
- Health system benefits included fewer unplanned ED visits, decreases in Alternative Level of Care (ALC) and reduction in hospital-to-long-term care placement.
Connecting Northern and Eastern Ontario Community ExpansionFacilitating Seamless Service across Care Settings
Improving the linkages between hospitals, the Community Care Access Centres, primary care and home care service providers in North Eastern and North Western Ontario. The project yielded clear benefits for patients, service providers, clinical (hospital) staff and care coordination staff, as well as other system partners (e.g. Family Health Teams, Healthlinks, NP-clinics).
- Improved access to in-home service plans and long-term care choices.
- Enhanced real-time communication of patient status related to hospital admit/discharge resulting in more timely discharge-planning.
- Better acute bed utilisation and community provider capacity.
Home is Best™
Developing an Integrated Primary and Home & Community Care System
The integration of home & community care and primary care is being implemented across the Fraser Health Authority and across B.C. Practitioners and clients are reporting more productive, meaningful relationships and interactions.
- Family physicians have increased confidence in the system and the quality of care that their patients can receive at home.
- An increase in the numbers of individuals discharged home who would have otherwise been headed for residential care.
- Clients and families are enthusiastic, “I feel more confident and in control. I’m living safely at home.”
High Impact Practice Archive (Pre 2014)
Community Care Dietitian Project
Nutritional Care Improves Client Outcomes and Reduces Hospital Admissions (British Columbia)
Maximizing use of investments while creating better outcomes for seniors and reducing ALC (Alternate Levels of Care) (Ontario)
Supporting Frail Seniors to Stay Safely at Home
Using a coordinated and integrated quality improvement approach to enhance care and maximize independence for frail seniors. (British Columbia)
Partnering for Patients
A partnership that brings care closer to home (Alberta)
An Evidence-Based Approach to Wound Care
Target, measure, report and improve = enhanced client outcomes and cost savings (Pan-Canadian)
Clinical Pharmacy Services in Home Care
Optimizing medication regimens, reducing adverse events and increasing satisfaction (New Brunswick)
Enhanced Palliative Care Program
A strategy to enable timely access to end-of-life care (Ontario)
Using Technology to Enhance Effective and Efficient Home Care Service Delivery (National)
TeleHomeCare CHF Program
Breaking down barriers to care regardless of where people live (British Columbia)
Bringing it all Home
Telehomecare in the Northern Lights Health Region (Alberta)
Technology achieves improved client self management of chronic disease and enables pre-emptive care. (New Brunswick)
A Journey to Enable Better Care
Creating an efficient and mobile care coordination team. (Ontario)
The Maximum Utility Program
A unique model for optimizing equipment management in the home and community care setting (Ontario)
The Family Care Home Model
Facilitating Community Living for People with Acquired Brain Injury (British Columbia)