CCAC Client Population
- In 2014/15, approximately 70% of CCAC long-stay patients were categorized as complex, compared to less than 40% only five years ago.5
- 96,000 children received health services at school.6
Government Expenditures on Home Care
- Between 2005/06 and 2014/15, overall CCAC funding (which includes funding for home care and other CCAC services, such as long-term-care home placement) has increased by 73% from $1.4 billion to $2.5 billion, but has remained a relatively constant 4% to 5% of overall provincial health spending.7
- Costs for CCAC services ranged between $2,892 and $3,775 per person; the average was about $3,400 per person.8
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.9
- 10% of all ALC days in Ontario in the 2013/14 fiscal year were due to patients waiting in hospital for palliative care elsewhere.10
How likely is a return to hospital for home care clients who have recently been discharged?
- 12% of new home care clients discharged from the hospital experienced an unplanned return to hospital within 30 days after being discharged in 2013-14.11
- 26% of individuals had an unscheduled emergency department visit within 30 days after being discharged from the hospital and referred for home care services in 2013-14.12
- 27% of home care clients reported that they did not receive an influenza vaccine in the preceding two years in 2013-14.13
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.
What is the average cost of care in Ontario?
|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.14
- 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.15
1. Auditor General of Ontario (2015). 2015 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.01, CCACs-Community Care Access Centres-Home Care. http://www.auditor.on.ca/en/reports_en/en15/3.01en15.pdf
4. Various sources including OACCAC, MOHLTC, Ontario Ministry of Finance
5. Auditor General of Ontario (2015). 2015 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.01, CCACs-Community Care Access Centres-Home Care. http://www.auditor.on.ca/en/reports_en/en15/3.01en15.pdf
6. OACCAC. CCAC Fast Facts 2015. Retrieved from http://oaccac.com/News/Pages/CCACs-by-the-numbers-infographic.aspx
7. Auditor General of Ontario (2015). 2015 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.01, CCACs-Community Care Access Centres-Home Care. http://www.auditor.on.ca/en/reports_en/en15/3.01en15.pdf
9. Auditor General of Ontario (2014). 2014 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.08, Palliative Care. http://www.auditor.on.ca/en/reports_en/en14/308en14.pdf
11. Health Quality Ontario. Home Care Reporting – Provincial Results Summary by Attribute and Indicator, 2013/14. http://www.hqontario.ca/Public-Reporting/Home-Care
14. Auditor General of Ontario (2014). 2014 Annual Report of the Office of the Auditor General of Ontario. Chapter 3.08, Palliative Care. http://www.auditor.on.ca/en/reports_en/en14/308en14.pdf