Facts & Figures - Publicly Funded Home Care

Who can receive home care in Ontario?

  • Any Ontarian that meets the eligibility criteria for publicly funded home care can receive the service.

Who oversees publicly funded home care?

  • In Ontario, publicly funded home care falls under the jurisdiction of the MOHLTC, which provides stewardship of the health system. Local health services are planned and funded by Local Health Integration Networks (LHINs).
  • Fourteen Community Care Access Centres (CCACs) are accountable to the LHINs and provide access to government funded home and community services and long-term care homes.

Facts & Figures for Community Care Access Centres (CCACs)

In 2012-13:

  • CCACs employed approximately 6,220 full time employees
  • 653,730 clients received home care services funded by the CCACs (Note, a client who is transferred or re-admitted may be counted more than once)
  • CCAC client age groupings were:
    • Elderly 58%
    • Adults 27%
    • Children 15%
  • 34,473,802 visits/hours of care were delivered by Service Provider Organizations
    • 72.3% of care delivered was personal support / homemaking
    • 23.9% of service was nursing (shift and visits)
    • 3.8% of visits/hours were provided by therapy providers
      • Occupational Therapy – 1.5%
      • Physiotherapy – 1.3%
      • Speech – 0.7%
      • Social work – 0.14%
      • Dietician Services – 0.15%

Trends in CCAC services:

Apr 1 to Mar 31 2005/06 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13
Individuals Served: 649,244 572,950 586,423 603,535 616,952 637,727 653,730
Client Age: Age 65+ 58% 53% 54% 54% 56% 56% 58%
Client Age: Age 19-64 32% 30% 29% 30% 28% 28% 27%
Client Age: Age 0-18 10% 17% 16% 16% 16% 16% 15%
Clients Placed in Long-Term Care Homes:     25,867 26,367 25,761 26,589 25,890
Full-Time Employees (approx.):   5,072 5,370 5,603 5,701 6,052 6,220
Services
Total Units 25,766,724 26,485,043 27,726,634 29,419,559 29,821,293 32,806,689 34,473,802
Personal Support/Homemaking Hours: 17,263,705 17,063,415 18,777,549 20,358,189 20,965,448 23,349,790 24,926,360
Total Nursing 6,957,015 7,591,594 7,461,840 7,697,234 7,606,320 8,149,821 8,241,067
Nursing Visits:   5,892,707 5,981,762 5,962,097 5,799,127 6,172,865 6,135,730
Shift Nursing Hours:   1,698,887 1,480,078 1,735,137 1,807,193 1,976,956 2,105,337
Occupational Therapy Visits: 566,868 736,134 556,147 506,154 482,051 513,290 521,497
Physiotherapy Visits: 541,101 572,725 519,168 483,163 426,690 444,054 435,521
Speech-Language Therapy Visits: 257,667 461,484 274,068 251,740 242,998 245,782 250,147
Dietician Services Visits: 51,533 59,690 58,584 52,877 45,384 47,954 48,681
Social Work Visits: 77,300 - 79,278 70,202 52,402 55,998 50,529

CCAC Client Population Model:

ccacClientType
  • In the last three years, the number of clients deemed:
    • Complex has increased by 5%
    • Chronic has increased by 3%
    • Acute short stay has decreased by 2%
    • Community independence has decreased by 5%
  • How long does it take to receive home care?

    • Nine out of ten people who were referred to home care services from the community (by a family physician, social worker, community organization or self/ family member) waited 12 days or less for their home services to start after agreeing to receive these services.

    How likely is a return to hospital for home care clients who have recently been discharged?

    • 14% of home care clients discharged from the hospital experienced an unplanned return to hospital within 30 days after being discharged.
    • 25% of individuals had an unscheduled emergency department visit within 30 days after being discharged from the hospital and referred for home care services.
    • Approximately one quarter of home care clients reported that they did not receive an influenza vaccine in the preceding two years.

    Do home care clients receive a positive experience from home care services?

    • Nine out of ten home care clients have a positive experience with nursing, personal support, physiotherapy, occupational therapy, speech and language therapy, and nutrition and social work services arranged by CCACs.
    • Investing in home-based care can save money, improve care and improve quality of life for people who would otherwise be hospitalized or institutionalized.
    Average Cost of Care
    (for one week for 424 seniors)
    Hospital Bed $2.5 million
    Long-term Care Bed $374,000.00
    Care at Home $125,000.00
    Average Per Diem Cost
    Hospital Bed $842.00/day
    Long-Term Care Bed $126.00/day
    Care at Home $42.00/day

    (2011) HOME First Shifts care of Seniors to HOME. LHINfo Minute, Northeastern Ontario Health Care Update

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