Local Health Integration Network
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Home First

Read the latest on how Home First is changing the way we care for the frail elderly in Waterloo Wellington and watch a video.

Home is Where the Heart is...

Home First is a significant shift in health care thinking. When a person enters a hospital with an acute episode, every effort is made to ensure adequate resources are in place to support the person to ultimately go home. Only when returning home with care is not possible or safe to do so, are other options considered.

Essentially, Home First is about providing the right care, in the right place, at the right time and for the right cost.

People who receive care in their homes are generally happier, more comfortable in a familiar setting and tend to heal more quickly. In addition, getting better at home eases pressures on hospitals and long wait times in our hospital emergency rooms and reduces the risk of infections that can be picked up while in a hospital.

In January 2010, the WWLHIN began to implement a Home First philosophy, in partnership with our Waterloo Wellington Community Care Access Centre (WWCCAC).

Right now, 12% of the population in Waterloo Wellington is aged 65 and over.

Too often, seniors in our LHIN are waiting in hospitals and entering long-term care homes with health care needs that can be safely met in their homes, with the proper home care support. Home First is not meant to replace a hospital stay or an admission to a long-term care home. As always, the type of care an individual needs is the key factor in any decision about the best place for them to receive the care they require.

The WWLHIN has seen a decrease in Alternate Level of Care (ALC) patients in hospitals across the province, over the past two years; however, the WWLHIN’s efforts to promote and implement a Home First philosophy in our region will continue.

Please see the Waterloo Wellington CCAC page here.

  
Relevant Links

New! Watch a Home First video on how it is changing the care of the frail elderly in Ontario (August 2011).

Implementation Guide and Toolkit - ENGLISH

Implementation Guide and Toolkit - FRENCH

Frequently Asked Questions - ENGLISH

Frequently Asked Questions - FRENCH
Home First Experiences

Home First Approach Reduces Alternate Level of Care (ALC) Days by 43 percent at Grand River Hospital

Helping More Seniors Receive Care at Home after Hospital

 
 
Home First Facts

Studies have shown that, when appropriately managed, care in the home can moderate the demand for more costly hospital/long-term care options while maintaining an individual’s independence. Cost estimates include:

  • an acute care bed: $800-$1000/day;
  • a long-term care bed: $150/day;
  • assisted living services to a group of seniors: $35/day.

Home First helps to reduce the demand and wait list for long-term care by properly assessing high needs seniors after their acute episode and ensuring that only those who truly need long-term care are applying to be administered to a long-term care home.

The province’s 14 LHINs are partnering with their respective CCACs to further implement the Home First philosophy all across Ontario.