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 2013-14:

  • CCACs employed approximately 6,627 full time employees
  • 699,020 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 32%
    • Children 10%
  • 37,991,053 visits/hours of care were delivered by Service Provider Organizations
    • 73% of care delivered was personal support / homemaking
    • 21% of service was nursing (shift and visits)
    • 4.3% of visits/hours were provided by therapy providers
      • Occupational Therapy – 1.5%
      • Physiotherapy – 1.9%
      • Speech – 0.7%
      • Social work – 0.14%
      • Dietician Services – 0.13%

Trends in CCAC services:

Apr 1 to Mar 31 2009/10 2010/11 2011/12 2012/13  2013/14
Individuals Served: 603,535 616,952 637,727 653,730  699,020
Client Age: Age 65+ 54% 56% 56% 58%  58%
Client Age: Age 19-64 30% 28% 28% 27%  32%
Client Age: Age 0-18 16% 16% 16% 15%  10%
Clients Placed in Long-Term Care Homes: 26,367 25,761 26,589 25,890 26,374 
Full-Time Employees (approx.): 5,603 5,701 6,052 6,220  6,627
Services
Total Units 29,419,559 29,821,293 32,806,689 34,473,802  37,991,053
Personal Support/Homemaking Hours: 20,358,189 20,965,448 23,349,790 24,926,360  27,719,897
Total Nursing 7,697,234 7,606,320  8,149,821  8,241,067   7,980,381
Nursing Visits: 5,962,097 5,799,127 6,172,865 6,135,730  5,713,359
Shift Nursing Hours: 1,735,137 1,807,193 1,976,956 2,105,337  2,267,022
Occupational Therapy Visits: 506,154 482,051 513,290 521,497  553,209
Physiotherapy Visits: 483,163 426,690 444,054 435,521  705,052
Speech-Language Therapy Visits: 251,740 242,998 245,782 250,147  263,571
Dietician Services Visits: 52,877 45,384 47,954 48,681  49,014
Social Work Visits: 70,202 52,402 55,998 50,529  52,542

CCAC Client Population Model:

 

 

 

 

 

 

 

 

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.

Do Ontarians receive palliative care at home?

  • Although cancer patients represent only 30% of Canadian deaths annually, they make up 80% of end-of-life clients for the CCACs and occupy approximately 85% of hospice beds. (AG 2014)
  • 10% of all ALC days in Ontario in the 2013/14 fiscal year were due to patients waiting in hospital for palliative care elsewhere. (AG 2014)

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

  • Caring for terminally ill patients in an acute-care hospital is estimated to cost over 40% more than providing care in a hospital-based palliative-care unit, more than double the cost of providing care in a hospice bed, and over 10 times more than providing at-home care. (AG Report 2014)
  • The cost of providing palliative care in the last month of a patient’s life averages about:
    • $1,100 per day in an acute-care hospital bed
    • $630 to $770 per day in a bed in a palliative-care unit 
    • $460 per day in a hospice bed
    • under $100 per day where at-home care is provided. (AG 2014)
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