Home Care In Ontario - Fact and Figures

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  There are 14 Community Care Access Centres in Ontario established by the Ministry of Health and Long-Term Care to provide access to government-funded home and community services and long-term care homes.ⁱ
  • CCACs employed approximately 5,603 full time employees in 2009/10ⁱⁱ
  • 603,535 clients received home care services funded by the CCACs in 2009/10 (note a client who is transferred or re-admitted may be counted more than once)ⁱⁱⁱ
  • In 2009/10 clients served by age groupings were:^iv
    
    • Elderly 56%
    • Adults 28%
    • Children 16%
  • 29,419,559 visits/hours of care were delivered in 2009/10^v
    • 69% of care delivered was personal support / homemaking
    • 26% of service was nursing
    • 5% of visits/hours were provided by therapy providers
    • Occupational Therapy - 1.7%
    • Physiotherapy - 1.6%
    • Speech - 0.9%
    • Social work - 0.2%
    • Dietician Services - 0.2%
• Investing in home-based care can save money, improve care and improve quality of life for people who would otherwise be hospitalized or institutionalized^vi

  Average Cost of Carevii (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

• 88% of Ontarians surveyed indicate a preference for home care for themselves ^viii
• The majority of clients are satisfied with their home care services^ix
• An estimated 150,000 Ontarians purchase 20 million visits/hours of home care services annually^x
• There is no evidence to support the superiority of either the for-profit or not-for-profit agencies in delivering service to clients^xi
• There is no conclusive evidence to show that corporate structure determines cost effectiveness^xii
• Differences in nurses’ work enjoyment, satisfaction with time for care and job security varies by agency but is not related to corporate structure^xiii
• 87% of home care workers surveyed indicated that their job change subsequent to a contract change was ‘positive’ or ‘somewhat positive’ for them^xiv
• A well resourced home care system is imperative to address the aging population in Ontario which will mean more people with chronic conditions and fewer health care providers^xv
• Innovation is the result of competition^xvi
• Trends in CCAC services^xvii

• The average annual cost per home-care client, according to the provincial Health Minister, is $3,956.76. That amount covers less than a week of chronic in-patient care in a hospital, and less than a month for the average patient in a long-term care facility.^xviii

1. Ministry of Health & Long-Term Care, http://www.health.gov.on.ca/english/public/contact/ccac/ccac_mn.html>
2. OACCAC,CCAC Report of Measurements, retrieved from http://www.ccac-ont.ca/Content.aspx?EnterpriseID=15&LanguageID=1&MenuID=138
3. Ibid
4. Ibid
5. Ibid
6. Chappell and Hollander, Synthesis Report: Final Report of the National Evaluation of the Cost-Effectiveness of Home Care, March 2002
7. North East LHIN. (2011) HOME First Shifts care of Seniors to HOME. LHINfo Minute, Northeastern Ontario Health Care Update. http://www.nelhin.on.ca/WorkArea/showcontent.aspx?id=11258
8. Pollara, SSCA Procurement Review Quantitative Survey Results, March 2005, p28
9. Caplan, Realizing the Potential of Home Care, 2005, p22
10. OHCA, November 2009. Creating an Ontario Home Care Rebate to Prevent Additional Costs to the Frail and Vulnerable, retrieved from www.homecareontario.ca/public/about/publications-presentations.cfm, December 3, 2009
11. Caplan, Realizing the Potential of Home Care, 2005, p42
12. Ibid
13. Doran, et al., Management and Delivery of Community Nursing Services in Ontario: Impact on the Quality of Care and the Quality of Worklife of Community-Based Nurses, Canadian Health Services Research Foundation, 2004
14. Pollara, Procurement Review Quantitative Survey Results, March 2005, p55
15. OHCA, Creating an Age-Friendly Ontario, 2007, http://www.homecareontario.ca/public/about/publications-position-papers.cfm
16. OHCA, Competition sparks Innovation, 2008, http://www.homecareontario.ca/public/about/publications-position-papers.cfm
17. Compilation of CCAC Measures retrieved from http://www.ccac-ont.ca/Content.aspx?EnterpriseID=15&LanguageID=1&MenuID=138
18. Radwanski, A. 2011 Publicly funded home care appeals to voters and politicians. The Globe and Mail. Retrieved on July 4, 2011 from http://www.theglobeandmail.com/news/politics/adam-radwanski/publicly-funded-home-care-appeals-to-voters-and-politicians/article2085257/